Prevalence, Awareness, Treatment, and Control of Hypertension in Indonesian Young Adults


Windhy Monica1), Vitri Widyaningsih2)

 

1)Masters Program in Public Health, Universitas Sebelas Maret

2)Public Health Department, Faculty of Medicine, Universitas  Sebelas Maret

 

ABSTRACT

Background: Hypertension is commonly found in young adults and causes many non-com­mu­nicable diseases with high morbidity and mortality. Understanding the de­mo­graphic factors ine­qualities associated with hypertension isessential for designing effec­­tive intervention strategies, es­­pecially for their productive years. The aim of the cur­rent study was to use sub-nationally rep­re­­sentative survey data to examine pre­va­lence, diagnosis, and management of hypertension in In­do­nesian young adults.

Subjects and Method: This was a cross-sectional study in 13 provinces in Indonesia. A sample of 13,954 study subjects aged 19-39 years was selected for this study. The de­pen­dent va­ri­able was hypertension. The independent variables were age, gender, and edu­cation. The data were collected from the 2014 Indonesian Family Life Survey (IFLS 5). The data were analyzed by a multiple logistic regression.

Results: Age-standardized prevalence of hypertension among the study participants was 30.82% (95% CI= 46.8 to 48.9), of which almost 75% were undiagnosed. Hyper­ten­sion was sig­n­i­ficantly higher in women (52.4%) than men (47.6%) with p<0.001. Over 78.5% of hy­per­tension cases were uncontrolled. Gender, region of living, and education sta­tus had differential impact on the diagnosis of hypertension and in receiving treat­ment. Less than a third were aware of their hypertension and a quarter of those on medi­cation had their blood pressure effec­tively controlled. Older people and those living in rural region were more vulnerable to have un­diagnosed and untreated hyper­tension compared to younger, urban people.

Conclusion: Age-standardized prevalence of hypertension among the study partici­pants was 30.82%, of which almost 75% were undiagnosed. Hyper­tension was signifi­cant­ly higher in wo­men than men. Substantial effort should be given to improve aware­ness about the condition and ma­king provision for early diagnosis and treatment.

Keywords: hypertension, risk factor, young adult, national health survey, Indonesia

Correspondence: Windhy Monica. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: windhymo­nica@gmail.com

 DOI: https://doi.org/10.26911/theicph.2019.01.20

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