학술논문
Evaluation of Blood Pressure Status and Mortality in Turkey: Findings from Chronic Diseases and Risk Factors Cohort Study.
Document Type
Academic Journal
Author
Sozmen K; Department of Public Health, Faculty of Medicine, Izmir Katip Celebi University, Izmir 35620, Türkiye.; Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.; Ergor G; Department of Public Health, Faculty of Medicine, Dokuz Eylul University, Izmir 35340, Türkiye.; Sakarya S; Department of Public Health, Faculty of Medicine, Koc University, Istanbul 34010, Türkiye.; Dinc Horasan G; Department of Public Health, Faculty of Medicine, Izmir University of Economics, Izmir 35330, Türkiye.; Sahan C; Department of Public Health, Faculty of Medicine, Dokuz Eylul University, Izmir 35340, Türkiye.; Ekinci B; Department of Chronic Diseases and Elderly Health, General Directorate of Public Health of Turkey, Ankara 06430, Türkiye.; Arikan A; Department of Chronic Diseases and Elderly Health, General Directorate of Public Health of Turkey, Ankara 06430, Türkiye.; Sis S; Department of Chronic Diseases and Elderly Health, General Directorate of Public Health of Turkey, Ankara 06430, Türkiye.; Unal B; Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.; Department of Public Health, Faculty of Medicine, Dokuz Eylul University, Izmir 35340, Türkiye.
Source
Publisher: MDPI Country of Publication: Switzerland NLM ID: 9425208 Publication Model: Electronic Cited Medium: Internet ISSN: 1648-9144 (Electronic) Linking ISSN: 1010660X NLM ISO Abbreviation: Medicina (Kaunas) Subsets: MEDLINE
Subject
Language
English
Abstract
Background and objectives : An important Non-Communicable Disease risk factor, hypertension (HT), is highly prevalent and controlled HT rates are not sufficient which increases the risk of developing premature deaths. The purpose of the study is to evaluate differences in all-cause and cardiovascular-related mortality according to HT status by using national data from Chronic Diseases and Risk Factors Survey in Turkey (2011-2017). Materials and Methods: Cox regression models were used to estimate hazard ratios (HR) for predicting the all-cause and cardiovascular system-related mortalities. Median follow-up period was 6.2 years. Results: Among individuals with HT, 41.8% was untreated, 30.1% received treatment and had controlled blood pressure, and 28.1% were under treatment but had uncontrolled BP levels. The hazard for mortality among treated & uncontrolled hypertensive participants was significantly higher for all-cause (HR = 1.32, 95% CI = 1.06-1.65), cardiovascular (HR = 2.11, 95% CI = 1.46-3.06), heart disease (HR = 2.24, 95% CI = 1.46-3.43), and Coronary Heart Disease mortality (HR = 2.66, 95% CI = 1.56-4.53) compared to normotensive participants. Conclusions: Individuals with HT who were treated but do not have controlled blood pressure in Turkey had a significantly increased risk of Cardiovascular Disease and all-cause mortality. Along with studies investigating the causes of uncontrolled blood pressure despite initiation of treatment, support should be provided to patients in cases of non-adherence to antihypertensive medication or life change recommendations.