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Zero and Five End-Digit Preference and Blood Pressure Quality of Care Revisited Pubmed



Yaseri M1 ; Afarideh M2 ; Hosseini M1, 3 ; Yousefifard M4 ; Rafei A5 ; Koohpayehzadeh J5, 6, 7 ; Asgari F5 ; Etemad K5, 8 ; Gouya MM5 ; Noshad S2 ; Bagheri M1 ; Ataei N3, 9
Authors
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Authors Affiliations
  1. 1. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Endocrinology and Metabolism Research Center (EMRC), Vali-Asr Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Pediatric Chronic Kidney Disease Research Center, The Children’s Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Physiology Research Center, Department of Physiology, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran
  5. 5. Center for Disease Control, Ministry of Health and Medical Education, Tehran, Iran
  6. 6. Department of Community Medicine, Iran University of Medical Sciences, Tehran, Iran
  7. 7. Saveh Medical University, Saveh, Iran
  8. 8. Department of Epidemiology and Biostatistics, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  9. 9. Department of Pediatric Nephrology, The Children’s Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran

Source: Archives of Iranian Medicine Published:2017


Abstract

Background: To determine the rate of zero and five end-digit preference (EDP) for systolic and diastolic blood pressures (SBP and DBP, respectively) and risk factors amongst a representative sample of Iranian adults in the year 2011 Methods: Data gathered from 7997 Iranian adults aged 25-70 were extracted from the database of the sixth Survey of Surveillance of Risk Factors of Non-communicable Diseases, which surveyed a total of 11,864 individuals aged 6 to 70 years. Multilevel multiple logistic regression was used to identify the independent factors associated with zero or five EDP. Results: The prevalence ofthree serial zero or five EDP for SBP and DBP were 18.5% (95% Cl: 11.3%-25.7%). SBP >140 mmHg (OR = 0.78; 95% Cl: 0.65-0.95), DBP >90 mmHg (OR = 0.71; 95% Cl: 0.58-0.88), and a positive family history of diabetes (OR = 0.77; 95% Cl: 0.66-0.9) were found as protective factors against zero or five EDP in blood pressure recording the male gender (OR = 1.18; 95% Cl: 1.04-1.35) was found to be its independent risk factor. Conclusion: Sex, SBP, DBP and family history of diabetes were found to be the main independent determinants of EDP in our country which underscores the importance of assessing the many patient-related factors in the studies involving EDP as part of BP monitoring in public health care. © 2017, Academy of Medical Sciences of I.R. Iran. All rights reserved.
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