Year 2020, Volume 18 , Issue 1, Pages 26 - 38 2020-04-30

Malezya, Sarawak ergenleri arasında hipertansiyon prevalansının ve ilişkili faktörlerin kırsal ve kentsel karşılaştırılması: Kesitsel bir çalışma
Rural-urban comparison in prevalence of hypertension and its factors among adolescents of Sarawak, Malaysia: A cross-sectional study

Whye Lian CHEAH [1] , Ching Thon CHANG [2] , Helmy HAZMİ [3] , Grace, Woei Feng KHO [4]



Amaç: Bu makale Sarawak'ta ortaöğretim öncesi öğrencilerinde pre-hipertansiyon ve hipertansiyon prevalansı ve ilişkili faktörler üzerine bir çalışmayı rapor etmektedir. Yöntem: Kesitsel yapılan bu çalışmada anket kullanılmış ve antropometrik ve kan basıncı ölçümleri yapılmıştır. Bulgular: Toplam 2461 ortaokul öğrencisi katıldı. Pre-hipertansiyon prevalansı %13.2, evre 1 hipertansiyon %12.4 ve evre 2 hipertansiyon %4.6’ıydı. Aşırı kilo ve obezite prevalansı %24.3, yüksek bel çevresi 13.5 ve aşırı yağ ve obez %6.7 idi. Kentsel modele dayanarak, pre-hipertansiyon ile ilişkili faktörler yaş, cinsiyet, hipertansiyon öyküsü olan ebeveyn, aşırı kilo ve obezite idi. Hipertansiyon düzeyinde, sadece erkek cinsiyet, aşırı kilo ve obezite ilişkili faktörler olarak bulundu. Yüksek bel çevrisi ile hipertansiyon oluşma olasılıklar oranı yüksek bulundu OR=4.42 (%95 CI:1.75,11.11) bulundu. Kırsal modelde pre-hipertansiyon ile ilişkili bulunan faktörler yaş, erkek cinsiyet, etnik grup (Çinli), aşırı kilolu ve obez olma ve yüksek bel çevresidir. Pre-hipertansiyon için, tutarlı olarak hipertansiyon ile ilişkili değişkenler erkek cinsiyet, etnik grup (Iban ve Çin), aşırı kilolu ve obez olma, yüksek bel çevresi ve ailesel hipertansiyon, aşırı yağ ve obezite öyküsüne sahip olmaydı. Sonuç: Pre-hipertansiyon ve hipertansiyon prevalansı kentsel ve kırsal alanlar arasında farklı saptanırken, cinsiyet ve obezite yüksek kan basıncı ile ilişkili bulundu. Hipertansiyonda genç nesil arasında erken teşhis ve müdahalenin vurgulanması gerekmektedir.


Objectives: This paper reports a study of the prevalence of pre-hypertension and hypertension, and its associated factors among secondary school students in Sarawak.  Methods: It was a cross-sectional study using questionnaire, anthropometric and blood pressure measurement.    Results: A total of 2461 secondary school children participated.  The prevalence of pre-hypertension was 13.2%, stage 1 hypertension was 12.4% and stage 2 hypertension was 4.6%.  The prevalence of overweight and obesity was 24.3%, elevated waist circumference was 13.5, and overfat and obese was 6.7%.  Based on the urban model, factors that were associated with pre-hypertension were age, male, parent with history of hypertension, overweight and obese.  At the hypertension level, only male, overweight and obese were found to be associated.  A higher odds ratio was found for elevated waist circumference of 4.42 (95% CI:1.75, 11.11) to be associated with hypertension.  In rural model, factors found to be associated with pre-hypertension were age, male, ethnic group (Chinese), overweight and obese, elevated waist circumference.  For pre- hypertension level, variables that were consistently to be associated with hypertension were male, ethnic group (Iban and Chinese), overweight and obese, elevated waist circumference, and parent with history of hypertension, overfat and obese.  Conclusions: The prevalence of pre hypertension and hypertension was found to be different between urban and rural area, gender and obesity were found to be associated with elevated blood pressure.   There is a need to emphasize earlier detection and intervention among younger generation on hypertension.
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Primary Language en
Subjects Health Care Sciences and Services
Journal Section Original Research
Authors

Orcid: 0000-0001-5963-0881
Author: Whye Lian CHEAH (Primary Author)
Institution: Universiti Malaysia Sarawak
Country: Malaysia


Orcid: 0000-0001-7410-3211
Author: Ching Thon CHANG
Institution: Universiti Malaysia Sarawak
Country: Malaysia


Orcid: 0000-0002-9568-370X
Author: Helmy HAZMİ
Institution: Universiti Malaysia Sarawak
Country: Malaysia


Orcid: 0000-0001-8412-6863
Author: Grace, Woei Feng KHO
Institution: Universiti Malaysia Sarawak
Country: Malaysia


Dates

Publication Date : April 30, 2020

Bibtex @research article { tjph539652, journal = {Turkish Journal of Public Health}, issn = {}, eissn = {1304-1088}, address = {}, publisher = {Turkish Society of Public Health Specialists}, year = {2020}, volume = {18}, pages = {26 - 38}, doi = {10.20518/tjph.539652}, title = {Rural-urban comparison in prevalence of hypertension and its factors among adolescents of Sarawak, Malaysia: A cross-sectional study}, key = {cite}, author = {Cheah, Whye Lian and Chang, Ching Thon and Hazmi̇, Helmy and Kho, Grace, Woei Feng} }
APA Cheah, W , Chang, C , Hazmi̇, H , Kho, G . (2020). Rural-urban comparison in prevalence of hypertension and its factors among adolescents of Sarawak, Malaysia: A cross-sectional study. Turkish Journal of Public Health , 18 (1) , 26-38 . Retrieved from https://dergipark.org.tr/en/pub/tjph/issue/53955/539652
MLA Cheah, W , Chang, C , Hazmi̇, H , Kho, G . "Rural-urban comparison in prevalence of hypertension and its factors among adolescents of Sarawak, Malaysia: A cross-sectional study". Turkish Journal of Public Health 18 (2020 ): 26-38 <https://dergipark.org.tr/en/pub/tjph/issue/53955/539652>
Chicago Cheah, W , Chang, C , Hazmi̇, H , Kho, G . "Rural-urban comparison in prevalence of hypertension and its factors among adolescents of Sarawak, Malaysia: A cross-sectional study". Turkish Journal of Public Health 18 (2020 ): 26-38
RIS TY - JOUR T1 - Rural-urban comparison in prevalence of hypertension and its factors among adolescents of Sarawak, Malaysia: A cross-sectional study AU - Whye Lian Cheah , Ching Thon Chang , Helmy Hazmi̇ , Grace, Woei Feng Kho Y1 - 2020 PY - 2020 N1 - DO - T2 - Turkish Journal of Public Health JF - Journal JO - JOR SP - 26 EP - 38 VL - 18 IS - 1 SN - -1304-1088 M3 - UR - Y2 - 2020 ER -
EndNote %0 Türkiye Halk Sağlığı Dergisi Rural-urban comparison in prevalence of hypertension and its factors among adolescents of Sarawak, Malaysia: A cross-sectional study %A Whye Lian Cheah , Ching Thon Chang , Helmy Hazmi̇ , Grace, Woei Feng Kho %T Rural-urban comparison in prevalence of hypertension and its factors among adolescents of Sarawak, Malaysia: A cross-sectional study %D 2020 %J Turkish Journal of Public Health %P -1304-1088 %V 18 %N 1 %R %U
ISNAD Cheah, Whye Lian , Chang, Ching Thon , Hazmi̇, Helmy , Kho, Grace, Woei Feng . "Rural-urban comparison in prevalence of hypertension and its factors among adolescents of Sarawak, Malaysia: A cross-sectional study". Turkish Journal of Public Health 18 / 1 (April 2020): 26-38 .
AMA Cheah W , Chang C , Hazmi̇ H , Kho G . Rural-urban comparison in prevalence of hypertension and its factors among adolescents of Sarawak, Malaysia: A cross-sectional study. TurkJPH. 2020; 18(1): 26-38.
Vancouver Cheah W , Chang C , Hazmi̇ H , Kho G . Rural-urban comparison in prevalence of hypertension and its factors among adolescents of Sarawak, Malaysia: A cross-sectional study. Turkish Journal of Public Health. 2020; 18(1): 38-26.