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Socioeconomic Inequalities in Prevalence, Awareness, Treatment and Control of Hypertension: Evidence From the Persian Cohort Study Publisher Pubmed



Amini M1 ; Moradinazar M1 ; Rajati F2 ; Soofi M3 ; Sepanlou SG4 ; Poustchi H5 ; Eghtesad S5 ; Moosazadeh M6 ; Harooni J7 ; Aghazadehattari J8 ; Fallahi M9 ; Fattahi MR10 ; Ansarimoghaddam A11 ; Moradpour F12 Show All Authors
Authors
  1. Amini M1
  2. Moradinazar M1
  3. Rajati F2
  4. Soofi M3
  5. Sepanlou SG4
  6. Poustchi H5
  7. Eghtesad S5
  8. Moosazadeh M6
  9. Harooni J7
  10. Aghazadehattari J8
  11. Fallahi M9
  12. Fattahi MR10
  13. Ansarimoghaddam A11
  14. Moradpour F12
  15. Nejatizadeh A13
  16. Shahmoradi M14
  17. Mansourghanaei F15
  18. Ostadrahimi A16
  19. Ahmadi A17
  20. Khaledifar A17
  21. Saghi MH9
  22. Saki N18
  23. Mohebbi I8
  24. Homayounfar R19
  25. Farjam M19
  26. Nadimi AE20
  27. Kahnooji M20
  28. Pourfarzi F21
  29. Zamani B21
  30. Rezaianzadeh A22
  31. Johari MG23
  32. Mirzaei M24
  33. Dehghani A25
  34. Motlagh SFZ7
  35. Rahimi Z26
  36. Malekzadeh R27
  37. Najafi F28

Source: BMC Public Health Published:2022


Abstract

Background: Elevated blood pressure is associated with cardiovascular disease, stroke and chronic kidney disease. In this study, we examined the socioeconomic inequality and its related factors in prevalence, Awareness, Treatment and Control (ATC) of hypertension (HTN) in Iran. Method: The study used data from the recruitment phase of The Prospective Epidemiological Research Studies in IrAN (PERSIAN). A sample of 162,842 adults aged > = 35 years was analyzed. HTN was defined according to the Joint National Committee)JNC-7(. socioeconomic inequality was measured using concentration index (Cn) and curve. Results: The mean age of participants was 49.38(SD = ± 9.14) years and 44.74% of the them were men. The prevalence of HTN in the total population was 22.3%(95% CI: 20.6%; 24.1%), and 18.8%(95% CI: 16.8%; 20.9%) and 25.2%(95% CI: 24.2%; 27.7%) in men and women, respectively. The percentage of awareness treatment and control among individuals with HTN were 77.5%(95% CI: 73.3%; 81.8%), 82.2%(95% CI: 70.2%; 81.6%) and 75.9%(95% CI: 70.2%; 81.6%), respectively. The Cn for prevalence of HTN was -0.084. Two factors, age (58.46%) and wealth (32.40%), contributed most to the socioeconomic inequality in the prevalence of HTN. Conclusion: The prevalence of HTN was higher among low-SES individuals, who also showed higher levels of awareness. However, treatment and control of HTN were more concentrated among those who had higher levels of SES, indicating that people at a higher risk of adverse event related to HTN (the low SES individuals) are not benefiting from the advantage of treatment and control of HTN. Such a gap between diagnosis (prevalence) and control (treatment and control) of HTN needs to be addressed by public health policymakers. © 2022, The Author(s).
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