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Vasc Health Risk Manag. 2019 Feb 27;15:27-33. doi: 10.2147/VHRM.S199178. eCollection 2019.

The prevalence, awareness, treatment, and control of hypertension among adults: the first cross-sectional national population-based survey in Laos.

Author information

1
ASEAN Institute for Health Development, Mahidol University, Salaya, Nakhon Pathom, Thailand.
2
Office of the Deputy Vice Chancellor (Research and Innovation), North West University, Potchestroom, South Africa.
3
Department of Health Policy and Health System Research, Lao Tropical and Public Health Institute, Vientiane, Laos.
4
Lao Tropical and Public Health Institute, Vientiane, Laos.
5
Ministry of Health, Vientiane, Laos.
6
Faculty of Postgraduate Studies, University of Health Sciences, Ministry of Health, Vientiane, Laos.
7
Department for Management of Science and Technology Development, Ton Duc Thang University, Ho Chi Minh City, Vietnam, karl.peltzer@tdt.edu.vn.
8
Faculty of Pharmacy, Ton Duc Thang University, Ho Chi Minh City, Vietnam, karl.peltzer@tdt.edu.vn.

Abstract

Aim:

The aim of this study was to determine the national prevalence of hypertension and its awareness, treatment, and control in Laos.

Methods:

A national cross-sectional study was conducted in 2013. Using stratified cluster random sampling, 2,543 individuals aged 18-64 years were included from Laos. According to WHO STEPS methodology, questionnaire interview, anthropometric and blood pressure measurements, and biochemistry tests were conducted. Logistic regressions were used to estimate the determinants of hypertension (SBP [and/or DBP] ≥140 [90] mmHg or use of antihypertensive medications).

Results:

Overall, 20.0% of the population had hypertension, 18.5% among men and 21.1% among women. Among hypertensives, 29.4% were aware, 18.2% were currently using antihypertensive medication, and 16.7% had controlled their blood pressure (<140 mmHg SBP and DBP <90 mmHg). In fully adjusted models in both men and women, older age and general obesity were positively associated with hypertension. In addition, among men having raised cholesterol and completed primary education, and among women central obesity and hazardous or harmful alcohol users were positively associated with hypertension.

Conclusion:

The study found a significant prevalence of hypertension and low awareness, treatment, and control rates of hypertension among adults in Laos.

KEYWORDS:

Laos; awareness; control; determinants; hypertension; population survey; treatment

PMID:
30881005
PMCID:
PMC6398413
DOI:
10.2147/VHRM.S199178
[Indexed for MEDLINE]
Free PMC Article

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