Hypertension status in people aged 18 - 69 in Thu Duc district, Ho Chi Minh city and intervention effectiveness, 2018 - 2020 - 2


LIST OF ABBREVIATIONS


TT

Acronym

Write in full

1

ASEAN

Association of Southeast Asian Nations (Association of Southeast Asian Nations)

Southeast Asia

2

Health insurance

Health insurance

3

BKLN

Non-communicable diseases

4

BN

Patient

5

BMI

Body Mass Index (Body Mass Index)

6

CD

Community

7

CBVC

Officials and civil servants

8

CS

Partner

9

CSHQ

Performance index

10

CSSKBĐ

Primary health care

11

CT

Intervention

12

Medical staff

Medical Associate

13

Mobile

Diabetes

14

GDSK

Health education

15

ESC

European Society of Cardiology

16

HA

Blood pressure

17

HAMT

Target blood pressure

18

HATT

Systolic blood pressure

19

HATTr

Diastolic blood pressure

20

HDL-C

High Density Lipoprotein Cholesterol (cholesterol

high density lipoprotein)

21

HQCT

Intervention effectiveness

22

ISH

International Society of Hypertension

Maybe you are interested!

Hypertension status in people aged 18 - 69 in Thu Duc district, Ho Chi Minh city and intervention effectiveness, 2018 - 2020 - 2




world pressure)

23

JNC

United States Joint National Committee (United States Joint National Committee)

United States)

24

LDL-C

Low Density Lipoprotein Cholesterol (cholesterol

low density lipoprotein)

25

MLCT

Glomerular filtration rate

26

NCT

Senior Citizen

27

NHANES

National Health and Nutrition Examination Survey (Research

National Health and Nutrition Examination Survey)

28

NMCT

Myocardial infarction

29

NVSKCĐ

Community Health Worker

30

NVYT

Healthcare staff

31

QG

Nation

32

SL

Quantity

33

TBMMN

Stroke

34

EXCUSE

Hypertension

35

Secondary School

Junior High School

36

High School

High school

37

TL

Proportion

38

TT

Media

39

TP

City

40

TYT

Medical station

41

WHO

World Health Organization (World Health Organization)

42

YTLQ

Related factors

43

YTNCTM

Cardiovascular risk factors


LIST OF TABLES


Board

Table name

Page

1.1.

Diagnostic thresholds for hypertension according to each method of measuring blood pressure...

3

1.2.

Classification of hypertension according to ESC/ESH and Vietnam Ministry of Health ...

4

1.3.

JNC VII classification of hypertension ........................................

5

1.4.

Risk factor stratification and treatment of hypertensive patients...

5

1.5.

Cardiovascular risk stratification .....................................................

6

2.1.

Sample size of survey in 3 wards ...................................................

32

2.2.

Blood pressure classification ........................................................................

43

2.3.

Diagnostic criteria for overweight and obesity based on BMI .............

43

2.4.

Stages of chronic kidney disease ...............................................

44

3.1.

Some general characteristics of the research subjects ....................

56

3.2.

Average blood pressure value of 3 measurements ....................................

57

3.3.

Current status of hypertension in research subjects....

57

3.4.

Blood pressure classification at the time of study ...............................

57

3.5.

Distribution of hypertension rate of subjects according to personal characteristics ........

58

3.6.

Distribution of prevalence of hypertension by study ward .............

59


3.7.

Some behaviors and factors related to hypertension of subjects in 3 research wards ................................................


59

3.8.

Association between personal characteristics and hypertension .................

60

3.9.

Some factors related to hypertension in the study subjects ......

61


3.10.

Results of multivariate logistic regression analysis of factors related to personal characteristics and body mass index related to hypertension ...........


62


3.11.

Results of multivariate logistic regression analysis on behavioral factors

vi, lifestyle related to high blood pressure .................................


63



Board

Table name

Page


3.12.

Results of multivariate logistic regression analysis of comorbid factors associated with hypertension .....................................


63


3.13.

Relationship between BMI and waist-to-hip ratio

Men and women with high blood pressure ........................................................


64


3.14.

The relationship between smoking behavior and salty eating habits on

Men and women with high blood pressure ........................................................


64


3.15.

Relationship between diabetes, hypercholesterolemia and

Men and women with high blood pressure ........................................................


65


3.16.

Relationship between measures to detect increased blood pressure, cholesterol,

blood sugar and nutrition tracking ........................


65

3.17.

Knowledge about high blood pressure threshold and manifestations of hypertension .......

66

3.18.

Knowledge about complications of hypertension .....................

67

3.19.

Knowledge about the risk of high blood pressure .........................

67

3.20.

Knowledge of high blood pressure risk behaviors .....................

68

3.21.

Knowledge about measures to prevent high blood pressure ...............................

69

3.22.

Knowledge about treatment of hypertension ..........................

70

3.23.

Practices to prevent high blood pressure .....................................

70

3.24.

High blood pressure risk behaviors .................................................................

71

3.25.

Rate of hypertension in the intervention group ........................................

71

3.26.

Rate of hypertension in the control group .....................................

72

3.27.

The relationship between intervention effects and hypertension ..........

72

3.28.

Drugs of choice for treatment (compared to before intervention) ......................

73

3.29.

Treatment at end of study (vs. baseline) .........

73


3.30.

Percentage of patients using monotherapy and combination therapy

hypertension (before and during intervention) ....


74


Board

Table name

Page

3.31.

Results of some blood biochemical indices before and after intervention .....

75

3.32.

Proteinuria and glucosuria index before and after intervention ..................

75

3.33.

Sokolow-Lyon index on electrocardiogram before and after intervention

75

3.34.

Know the complications of hypertension before and after intervention .........

76


3.35.

Some cardiovascular risk factors in hypertensive patients

(before and after intervention) ............................................................


76


3.36.

Adhere to medication, check blood pressure regularly and re-check

Regular check-ups before and after intervention 3, 6, 12 and 18 months ........


77


3.37.

Percentage of hypertensive patients who comply with diet, drinking, and exercise

Exercise before and after intervention 3, 6, 12 and 18 months .............


78


3.38.

Proportion of patients achieving target blood pressure at pre- and post-treatment time points

after intervention 3, 6, 12 and 18 months ...............................................


79


3.39.

Association between gender and achieving target blood pressure at time of

Pre- and post-intervention scores 3, 6, 12 and 18 months ......................


79


3.40.

Association between age group and achieving target blood pressure at

pre- and post-intervention time points 3, 6, 12 and 18 months ...............


80


3.41.

Number of patients with symptoms due to drug side effects

Treatment of hypertension ................................................................................


80


3.42.

Number of patients with dangerous complications and deaths during treatment

Hypertension monitoring and treatment program ........................................


81


LIST OF IMAGES


Image

Image name

Page

1.1.

Model of primary care hypertension management .....................

21

1.2.

Theoretical framework of research .................................................................

29

2.1.

Waist measurement location ........................................................................

39

2.2.

Research design diagram ........................................................................

55


PROBLEM STATEMENT


Hypertension is one of the most common non-communicable diseases today and its frequency is constantly increasing in most countries. In 2000, the world had 972 million people with hypertension and it is estimated that by 2025 this number will increase to about 1.56 billion people [120]. In 2015, hypertension was the leading cause of premature death with about 10 million people and about 212 million lost life years (DALYs) due to hypertension [40], [95].

In Vietnam, in 2000, about 16.3% of adults had high blood pressure, by 2009 this rate was 25.4% and in 2016 it was 48% [68], [123]. High blood pressure is one of the dangerous non-communicable diseases with high mortality rates. In the total number of deaths, the proportion of non-communicable diseases increased from 56% in 1990 to 72% in 2010, of which cardiovascular disease (about 35 - 40% of the causes are due to high blood pressure) accounts for 30% of total deaths [110].

If hypertension is detected early, treated properly, and the patient complies with treatment, control will be very effective and limit dangerous complications, reduce the risk of death, and reduce the burden of disease for the individual, family, and society [65]. However, according to the Vietnam Cardiology Association, among

2,577 people ≥ 25 years old with hypertension in 8 provinces/cities in 2015, 39.1% were not detected with hypertension; 7.2% had untreated hypertension and 69.0% had uncontrolled hypertension [68], [69].

There are many risk factors leading to hypertension in the community such as: old age, family history, smoking, alcohol abuse, unreasonable diet, lack of physical activity, stress in life, ... Most of these risk factors can be controlled when people have the right understanding and know how to prevent them. However, according to the survey on hypertension in people ≥ 25 years old nationwide (2015 - 2016) of the Institute of Cardiology, the prevalence of cardiovascular and metabolic risk factors is quite high such as


dyslipidemia in men and women (62.8% and 54.2%), obesity (14.5% and 17.4%), diabetes (8.0% and 6.2%); smoking (58.8% and 3.8%), heavy drinking

alcohol/beer (27.6% and 0.9%), lack of physical activity (20.3% and 19.3%), ... [68].

In 2010 and 2011, the Government issued Decision 2331/QD-TTg and Decision 2406/QD-TTg on the list of national target programs for the period 2012 - 2015. Including the "High blood pressure prevention project". The goal is to improve people's knowledge about high blood pressure (50% of people have correct understanding of high blood pressure and prevention measures); train and develop human resources for prevention and management of high blood pressure treatment at the grassroots health care level [55], [56].

From 2012 to 2015, the hypertension prevention project mainly implemented screening for more than 2.3 million adults in 1,242 communes/wards [6]. From 2015 to 2018, due to limited resources, hypertensive patients were still mainly examined and treated at the district level; management and treatment of hypertension at the commune/ward level as well as lifestyle changes in the community have not yet achieved the project's goals [9].

Thu Duc District, Ho Chi Minh City until 2018, most of the ward health stations only manage hypertension on paper and books through screening examination of the program without organizing the management of hypertension treatment at the health station due to lack of resources. We researched the topic: "The current situation of hypertension in people aged 18 - 69 in Thu Duc District, Ho Chi Minh City and the effectiveness of interventions, 2018 - 2020" .

Research objectives:

1. Describe the current status of hypertension and some related factors in people aged 18 - 69 in Thu Duc district, Ho Chi Minh city, 2018.

2. Evaluate the effectiveness of some preventive and treatment interventions for hypertension for people aged 18 - 69 at the ward level in Thu Duc district, Ho Chi Minh city, 2019 - 2020.

Comment


Agree Privacy Policy *