Leejee Choi1, Kyuwoong Kim2, Seulggie Choi2, Sung Min Kim2, Sang Min Park3, Joung Sik Son3
1Department of Biosystem and Biomedical Science, Korea University College of Health Science, Seoul, Korea 2Department of Biomedical Sciences, Seoul National University Graduate School, Seoul, Korea 3Department of Family Medicine, Seoul National University Hospital, Seoul, Korea
Background: This study was designed to investigate the
influence of family history of hypertension (FH) on
hypertension prevalence, management, and healthy
behaviors among Korean adults. Methods: By using data
from the Korea National Health and Nutrition Examination
Survey 2014-2016, a cross-sectional study was performed.
The study population included 8,280 individuals who
underwent health examination and food frequency
questionnaire were divided into two groups based on FH.
Participants with one or more first-degree FH classified as
having a FH. Health behaviors analyzed were low sodium
intake, weight management, no smoking, non-risky
drinking, and sufficient physical activity. Multiple logistic
regression analyses were used to compare outcome
variables (hypertension prevalence, awareness, treatment,
control, and healthy behaviors). Results: Of a total of 8,280
subjects, 3,626 (43.8%) participants had FH. Presence of a
FH significantly associated with the risk of hypertension
prevalence (adjusted odds ratio [aOR], 2.47; 95%
confidence interval [CI], 2.01-3.04), awareness (aOR,
1.97; 95% CI, 1.30-2.99), treatment (aOR, 2.61; 95% CI,
1.71-3.98), and control (aOR, 1.77; 95% CI, 1.19-2.64). In
contrast, FH was not significantly associated with healthy
behaviors. In the subgroup analyses, the normotensives with
FH were even slightly less likely to get health check-ups than
those without FH (aOR, 0.84; 95% CI, 0.72-0.99).
Conclusions: Although those with FH showed higher
prevalence, awareness, treatment, and control rates, health
behaviors of those with FH were not higher than those
without FH. More attention should be directed to promote
the healthy behaviors for management and prevention of
hypertension, especially among those with FH. Korean J
Health Promot 2019;19(1):1-8
Keywords: Hypertension,
Family history, Health behaviors
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