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



Yaseri M¹ ; Afarideh M² ; Hosseini M^{1, 3} ; Yousefifard M⁴ ; Rafei A⁵ ; Koohpayehzadeh J^{5, 6, 7} ; Asgari F⁵ ; Etemad K^{5, 8} ; Gouya MM⁵ ; Noshad S² ; Bagheri M¹ ; Ataei N^{3, 9}
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.