Myoung Un Oh1, Mona Choi2, Gwang Suk Kim2, Sung Sunwoo3
1Ministry of Patriots and Veterans Affairs, Seoul, 2College of Nursing, Yonsei University, Seoul, 3Department of Family Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
Background: Although adults in 30s and 40s are at risk for hypertension management due to low rates of
awareness, treatment, and control of hypertension, there has been a lack of study on hypertension management
for this population. Thus, the purpose of this study is to examine blood pressure screening and other associated
factors with hypertension management in terms of awareness, control, and treatment.
Methods: Secondary data analysis was performed on the data from the Fourth Korea National Health and
Nutrition Examination Survey in 2007-2009. To examine whether blood pressure screening affects hypertension
management in 929 subjects aged 30s and 40s with hypertension. Other factors, such as socio-demographics,
health status, and health behaviors, were also included for data analysis. Chi-square test and multiple
logistic regression analysis were carried out using SAS 9.1.
Results: Hypertension awareness rates were high in those who had diabetes mellitus (odds ratio [OR] 2.23;
95% confidence interval [CI] 1.27-3.90), self-rated their health status as poor (OR 2.89; 95% CI 1.82-4.58), and
received a blood pressure check up (OR 5.96; 95% CI 2.90-12.25). Hypertension treatment rates were high in
women (OR 2.50; 95% CI 1.47-4.27), and high in those who had diabetes mellitus (OR 2.59; 95% CI 1.49-4.47),
self-rated their health status as poor (OR 2.53; 95% CI 1.54-4.14), self-reported as past smoker (OR 2.01; 95%
CI 1.22-3.29), and received a blood pressure check up (OR 12.64; 95% CI 4.87-32.77). Hypertension control
rates were high in women (OR 2.47; 95% CI 1.29-4.72), and high in those who self-reported as past smoker
(OR 2.46; 95% CI 1.35-4.50), and received a blood pressure check up (OR 9.24; 95% CI 3.15-27.15).
Conclusions: For effective hypertension management in 30s and 40s, we should encourage this population to
have a regular blood pressure screening.
Korean J Health Promot 2013;13(2):61-68
Keywords: Hypertension, Blood pressure, Awareness, Treatment, Control, Screening |