Evaluation of awareness, treatment, control of hypertension and its effective factors in adults over 30 years old Covered by Salmas County Comprehensive Rural Health Service Centers

Abstract

Background: Hypertension is one of the major and growing health problems. The purpose of this study was to determine the Evaluation of awareness, treatment, control of hypertension and its effective factors in adults over 30 years old Covered by Salmas County Comprehensive Rural Health Service Centers. Methods: This cross-sectional study was performed on 756 people over 30 years old Covered by Salmas County Comprehensive Rural Health Service Centers that Selected By cluster sampling. Data were collected by using checklist and demographic questionnaire, and then data were analyzed by SPSS25 software. Findings: In this study, 95 (65.48%) were male. The mean and standard deviation of patients' age was 58.86±12.08 years. Regarding the knowledge and perception of hypertension, 45.24% of patients were moderate, 29.5% were good and 15.61% were poor. Persons younger than 40 years of age, government staff, and diplomas education and higher were significantly better informed than other about hypertesion. Most of the study subjects by controled blood pressure were men with of 67.3%, age group of 50-60 years with 63.72%, diploma and above 80%, government staff with a 83.33%, normal weight 73.70%, and non-smokers 63.48% were. The results of adjusted ordinal logistic regression showed that compared to the age group of less than 40 years, the age group of 50-60 years had lower awareness score. Compared to the illitrate, those with a high educated, and diploma or higher had a higher knowledge score. Adjusted logistic regression results showed that there was no significant relationship between demographic variables and hypertension status. Conclusion:Participants had good and acceptable knowledge about hypertension, and were in a good level in functional aspects such as disease control and compliance. Health care providers should strengthen their programs by focusing on identifying risk factors for hypertension, regular drug use training, nutrition and physical activity to help improve the knowledge of patients, especially the elderly.