A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä

Social, lifestyle and demographic inequalities in hypertension care




TekijätSiven SSE, Niiranen TJ, Aromaa A, Koskinen S, Jula AM

KustantajaSAGE PUBLICATIONS LTD

Julkaisuvuosi2015

JournalScandinavian Journal of Public Health

Tietokannassa oleva lehden nimiSCANDINAVIAN JOURNAL OF PUBLIC HEALTH

Lehden akronyymiSCAND J PUBLIC HEALT

Vuosikerta43

Numero3

Aloitussivu246

Lopetussivu253

Sivujen määrä8

ISSN1403-4948

eISSN1651-1905

DOIhttps://doi.org/10.1177/1403494815571031


Tiivistelmä

Aims: Recent nationwide in-depth analyses on inequalities in hypertension prevalence and care are scarce. This study assessed sociodemographic and lifestyle factors associated with the prevalence, awareness, treatment and control of hypertension in Finland. Methods: A representative nationwide sample (participation rate 58%) of the Finnish adult population underwent a health examination and interview in 2011. After excluding participants with missing data, 4230 people were included in the analyses. Weighted regression modelling was used to explore the associations of sociodemographic and lifestyle factors with the prevalence, awareness, treatment and control of hypertension. Results: The prevalence, awareness, treatment and control rates of hypertension (blood pressure 140/90 mmHg or antihypertensive medication) in Finland were 47%, 57%, 51% and 48%, respectively. Older age, male sex, lower education, retirement, higher BMI, never-smoking and heavy alcohol use were associated with a higher prevalence of hypertension (p<0.05). In contrast, younger age, non-retirement, lower BMI, smoking and high physical activity were associated with lower awareness and treatment rates (p<0.05). In addition, male sex was associated with lower awareness rates (p<0.01). Hypertension control was better in younger participants (p<0.05). Conclusions: In addition to high prevalence and moderate treatment rates of hypertension, serious sociodemographic and lifestyle inequities in hypertension care exist in Finland. Hypertension is more prevalent in older people of lower socio-economic status with adverse lifestyles. However, hypertension is more often unrecognised and untreated among people with low risk of hypertension.




Last updated on 2024-26-11 at 22:47