Key result
Hypertension is linked to ~3.6-fold higher odds of healthcare utilization, though overall uptake remains low.
Why the study?
Updating hypertension-related healthcare services requires understanding of the utilization status and its associated factors in Tehran.
Cross-Sectional (n=4,500)
Odds Ratio: 3.56 (95% CI 1.96–5.61)
Absolute Event Rate: 22.3% vs 11.9%
p-value: p=0.001
Utilization of hypertension-related healthcare services in Tehran is suboptimal (14.6% overall) and heavily influenced by socioeconomic status, education level, and insurance coverage.
Low utilization (22.3%) despite hypertension association signals access barriers; leaves open questions on determinants and requires prospective studies before guiding interventions.
Background: Updating hypertension-related healthcare services requires understanding of the utilization status and its associated factors. This study aimed to assess patterns of healthcare utilization related to hypertension and its associated factors in Tehran. Methods: This population-based cross-sectional study was conducted on adult residents over 30 years of age using a multistage stratified random sampling from December 2024 to May 2025. The data were collected using telephone interviews via a researcher-made questionnaire that included demographic information and information on the utilization patterns of health services related to hypertension. Multiple logistic regression was used to evaluate factors associated with health service utilization at the 95% confidence level using STATA-Command Survey software version 18. Results: Among the 4,500 participants, 14.6% (95% CI= 13.4-15.8) reported the utilization of healthcare services in healthcare facilities in Tehran during the past two years, with 22.3% (95% CI= 19.5-25.3) utilization observed among individuals with hypertension. In total, the largest proportion of reasons for receiving related health services were related to having worrying about symptoms (75.5%), good response and behavior from service providers (61.3%), and a high level of centers-doctors/healthcare providers (42.4%). Among the 3843 people who did not receive health services, the greatest proportion were related to financial problems and a lack of favorable insurance status (81.2%) and inadequate health service to meet needs (63.2%). Utilization was significantly related to increasing age (OR =3.94, 95% CI= 2.01--5.09), higher education level (OR =3.74, 95% CI= 1.85--5.02), better socioeconomic status (OR =3.21, 95% CI= 1.61--4.96), having armed forces health insurance good (OR =4.03, 95% CI= 1.27--6.98), and supplementary insurance good (OR =6.13, 95% CI= 2.41--8.14). Conclusion: Utilization of hypertension-related services in Tehran is suboptimal and is not only due to individual inattention but also the result of the interaction of various individual, economic, and social factors, which must be viewed as a package of intervenable issues to improve it.
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Mehri et al. (2026) conducted a cross-sectional in Hypertension (n=4,500). Hypertension vs. No hypertension was evaluated on Utilization of healthcare services related to hypertension (OR 3.56, 95% CI 1.96-5.61, p=0.001). Hypertension was associated with greater odds of healthcare utilization compared to no hypertension (OR 3.56), though overall utilization among hypertensive residents in Tehran remained low at 22.3%.
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