National and subnational hypertension prevalence estimates for the Republic of Ireland: better outcome and risk factor data are needed to produce better prevalence estimates.

Hdl Handle:
http://hdl.handle.net/10147/311937
Title:
National and subnational hypertension prevalence estimates for the Republic of Ireland: better outcome and risk factor data are needed to produce better prevalence estimates.
Authors:
Barron, Steve; Balanda, Kevin; Hughes, John; Fahy, Lorraine
Citation:
National and subnational hypertension prevalence estimates for the Republic of Ireland: better outcome and risk factor data are needed to produce better prevalence estimates. 2014, 14 (1):24 BMC Public Health
Publisher:
BMC public health
Journal:
BMC public health
Issue Date:
10-Jan-2014
URI:
http://hdl.handle.net/10147/311937
DOI:
10.1186/1471-2458-14-24
PubMed ID:
24410964
Abstract:
Hypertension is a global public health challenge. National prevalence estimates can conceal important differences in prevalence in subnational areas. This paper aims to develop a consistent set of national and subnational estimates of the prevalence of hypertension in a country with limited data for subnational areas.; A nationally representative cross-sectional Survey of Lifestyle, Attitudes and Nutrition (SLAN) 2007 was used to identify risk factors and develop a national and a subnational model of the risk of self-reported, doctor-diagnosed hypertension among adults aged 18+ years in the Republic of Ireland. The subnational model's group-specific risk estimates were applied to group-specific population count estimates for subnational areas to estimate the number of adults with doctor-diagnosed hypertension in subnational areas in 2007. A sub-sample of older adults aged 45+ years who also had their blood pressure objectively measured using a sphygmomanometer was used to estimate the national prevalence of diagnosed and undiagnosed hypertension among adults aged 45+ years.; The prevalence of self-reported, doctor-diagnosed hypertension among adults aged 18+ years was 12.6% (95% CI = 11.7% - 13.4%). After adjustment for other explanatory variables the risk of self-reported, doctor-diagnosed hypertension was significantly related to age (p < 0.001), body mass index (p < 0.001), smoking (p = 0.001) and fruit and vegetable consumption (p = 0.003). Among adults aged 45+ years the prevalence of undiagnosed hypertension (38.7% (95% CI 34.6% - 42.8%)) was higher than self-reported, doctor-diagnosed hypertension (23.4% (95% CI = 22.0% - 24.7%)). Among adults aged 45+ years, the prevalence of undiagnosed hypertension was higher among men (46.8%, 95% CI 41.2% - 52.4%) than women (31.2%, 95% CI 25.7% - 36.6%). There was no significant variation in the prevalence of self-reported, doctor-diagnosed hypertension across subnational areas.; Services need to manage diagnosed hypertension cases and to detect and manage undiagnosed cases. Further population level improvements in lifestyle risk factors for hypertension are key in developing a more integrated approach to prevent cardiovascular disease. Better subnational data on hypertension outcomes and risk factors are needed to better describe the distribution of hypertension risk and hypertension prevalence in subnational areas.
Item Type:
Article
Language:
en
Description:
Hypertension is a global public health challenge. National prevale nce estimates can conceal important differences in prevalence in subnational areas. This paper aims to develop a consistent set of national and subnational estimates of the prevalenc e of hypertension in a country with limited data for subnational areas
Keywords:
HYPERTENSION; PREVALENCE
ISSN:
1471-2458

Full metadata record

DC FieldValue Language
dc.contributor.authorBarron, Steveen_GB
dc.contributor.authorBalanda, Kevinen_GB
dc.contributor.authorHughes, Johnen_GB
dc.contributor.authorFahy, Lorraineen_GB
dc.date.accessioned2014-01-28T09:52:22Z-
dc.date.available2014-01-28T09:52:22Z-
dc.date.issued2014-01-10-
dc.identifier.citationNational and subnational hypertension prevalence estimates for the Republic of Ireland: better outcome and risk factor data are needed to produce better prevalence estimates. 2014, 14 (1):24 BMC Public Healthen_GB
dc.identifier.issn1471-2458-
dc.identifier.pmid24410964-
dc.identifier.doi10.1186/1471-2458-14-24-
dc.identifier.urihttp://hdl.handle.net/10147/311937-
dc.descriptionHypertension is a global public health challenge. National prevale nce estimates can conceal important differences in prevalence in subnational areas. This paper aims to develop a consistent set of national and subnational estimates of the prevalenc e of hypertension in a country with limited data for subnational areasen_GB
dc.description.abstractHypertension is a global public health challenge. National prevalence estimates can conceal important differences in prevalence in subnational areas. This paper aims to develop a consistent set of national and subnational estimates of the prevalence of hypertension in a country with limited data for subnational areas.-
dc.description.abstractA nationally representative cross-sectional Survey of Lifestyle, Attitudes and Nutrition (SLAN) 2007 was used to identify risk factors and develop a national and a subnational model of the risk of self-reported, doctor-diagnosed hypertension among adults aged 18+ years in the Republic of Ireland. The subnational model's group-specific risk estimates were applied to group-specific population count estimates for subnational areas to estimate the number of adults with doctor-diagnosed hypertension in subnational areas in 2007. A sub-sample of older adults aged 45+ years who also had their blood pressure objectively measured using a sphygmomanometer was used to estimate the national prevalence of diagnosed and undiagnosed hypertension among adults aged 45+ years.-
dc.description.abstractThe prevalence of self-reported, doctor-diagnosed hypertension among adults aged 18+ years was 12.6% (95% CI = 11.7% - 13.4%). After adjustment for other explanatory variables the risk of self-reported, doctor-diagnosed hypertension was significantly related to age (p < 0.001), body mass index (p < 0.001), smoking (p = 0.001) and fruit and vegetable consumption (p = 0.003). Among adults aged 45+ years the prevalence of undiagnosed hypertension (38.7% (95% CI 34.6% - 42.8%)) was higher than self-reported, doctor-diagnosed hypertension (23.4% (95% CI = 22.0% - 24.7%)). Among adults aged 45+ years, the prevalence of undiagnosed hypertension was higher among men (46.8%, 95% CI 41.2% - 52.4%) than women (31.2%, 95% CI 25.7% - 36.6%). There was no significant variation in the prevalence of self-reported, doctor-diagnosed hypertension across subnational areas.-
dc.description.abstractServices need to manage diagnosed hypertension cases and to detect and manage undiagnosed cases. Further population level improvements in lifestyle risk factors for hypertension are key in developing a more integrated approach to prevent cardiovascular disease. Better subnational data on hypertension outcomes and risk factors are needed to better describe the distribution of hypertension risk and hypertension prevalence in subnational areas.-
dc.languageENG-
dc.language.isoenen
dc.publisherBMC public healthen_GB
dc.rightsArchived with thanks to BMC public healthen_GB
dc.subjectHYPERTENSIONen_GB
dc.subjectPREVALENCEen_GB
dc.titleNational and subnational hypertension prevalence estimates for the Republic of Ireland: better outcome and risk factor data are needed to produce better prevalence estimates.en_GB
dc.typeArticleen
dc.identifier.journalBMC public healthen_GB

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