Factors associated with undiagnosed hypertension among Tongan adults: a cross-sectional study
Abstract Background Hypertension is responsible for many premature deaths worldwide. However, many individuals with hypertension remain undiagnosed. Tonga is one of the countries that has had a steep increase in hypertension, thus undiagnosed hypertension could also be increasing. Purpose of this st...
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ftdoajarticles:oai:doaj.org/article:ac710072816b484bb7b950a478474c59 2024-02-11T10:01:45+01:00 Factors associated with undiagnosed hypertension among Tongan adults: a cross-sectional study Seini Siahi Talanoafoou Fifita Daisuke Nonaka Mele Tilema Cama Mele Inu Filise 2024-01-01T00:00:00Z https://doi.org/10.1186/s41182-023-00570-4 https://doaj.org/article/ac710072816b484bb7b950a478474c59 EN eng BMC https://doi.org/10.1186/s41182-023-00570-4 https://doaj.org/toc/1349-4147 doi:10.1186/s41182-023-00570-4 1349-4147 https://doaj.org/article/ac710072816b484bb7b950a478474c59 Tropical Medicine and Health, Vol 52, Iss 1, Pp 1-15 (2024) Undiagnosed hypertension Prevalence Risk factor Tonga Community-based survey Arctic medicine. Tropical medicine RC955-962 article 2024 ftdoajarticles https://doi.org/10.1186/s41182-023-00570-4 2024-01-14T01:51:49Z Abstract Background Hypertension is responsible for many premature deaths worldwide. However, many individuals with hypertension remain undiagnosed. Tonga is one of the countries that has had a steep increase in hypertension, thus undiagnosed hypertension could also be increasing. Purpose of this study was to assess the prevalence and factors associated with undiagnosed hypertension among Tongan adults. Methods This cross-sectional study used data collected from conveniently sampled 473 participants using electronic questionnaire and digital sphygmomanometer through household visits between February and March 2023. Inclusion criteria were age of 18–65 years, residence in the villages for at least six months, and not being pregnant. Fisher’s exact test and mixed-effect logistic regression were performed using the EZR software to assess the association between undiagnosed hypertension and predictor variables. Results The prevalence of undiagnosed hypertension was 22.4% (106/473). Five variables that were significantly associated with undiagnosed hypertension in Fisher’s exact test were included in the multivariate logistic regression. Overall, only three variables remained significant. First, participants who never had their blood pressure measured had higher prevalence compared to those who had it checked recently (33.3% vs. 19.1%); odds ratio: 2.24). Secondly, participants who were not aware of the risk of developing hypertension were significantly more likely to have undiagnosed hypertension compared to those who were aware (27.9% vs. 16.7%; odds ratio: 1.81). Lastly, middle-aged participants (30–49 years) and older (50–65 years), were significantly more likely to have undiagnosed hypertension compared to those who were 18–29 years old (30.0% and 23.7% vs. 11.8%; odds ratio: 3.58 and 3.38 vs. 1.00). Conclusion The prevalence of undiagnosed hypertension could be substantial among Tongan adults, implicating a need to address this issue by doing further research and review current public health work to address ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Tonga ENVELOPE(7.990,7.990,63.065,63.065) Tropical Medicine and Health 52 1 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Undiagnosed hypertension Prevalence Risk factor Tonga Community-based survey Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
Undiagnosed hypertension Prevalence Risk factor Tonga Community-based survey Arctic medicine. Tropical medicine RC955-962 Seini Siahi Talanoafoou Fifita Daisuke Nonaka Mele Tilema Cama Mele Inu Filise Factors associated with undiagnosed hypertension among Tongan adults: a cross-sectional study |
topic_facet |
Undiagnosed hypertension Prevalence Risk factor Tonga Community-based survey Arctic medicine. Tropical medicine RC955-962 |
description |
Abstract Background Hypertension is responsible for many premature deaths worldwide. However, many individuals with hypertension remain undiagnosed. Tonga is one of the countries that has had a steep increase in hypertension, thus undiagnosed hypertension could also be increasing. Purpose of this study was to assess the prevalence and factors associated with undiagnosed hypertension among Tongan adults. Methods This cross-sectional study used data collected from conveniently sampled 473 participants using electronic questionnaire and digital sphygmomanometer through household visits between February and March 2023. Inclusion criteria were age of 18–65 years, residence in the villages for at least six months, and not being pregnant. Fisher’s exact test and mixed-effect logistic regression were performed using the EZR software to assess the association between undiagnosed hypertension and predictor variables. Results The prevalence of undiagnosed hypertension was 22.4% (106/473). Five variables that were significantly associated with undiagnosed hypertension in Fisher’s exact test were included in the multivariate logistic regression. Overall, only three variables remained significant. First, participants who never had their blood pressure measured had higher prevalence compared to those who had it checked recently (33.3% vs. 19.1%); odds ratio: 2.24). Secondly, participants who were not aware of the risk of developing hypertension were significantly more likely to have undiagnosed hypertension compared to those who were aware (27.9% vs. 16.7%; odds ratio: 1.81). Lastly, middle-aged participants (30–49 years) and older (50–65 years), were significantly more likely to have undiagnosed hypertension compared to those who were 18–29 years old (30.0% and 23.7% vs. 11.8%; odds ratio: 3.58 and 3.38 vs. 1.00). Conclusion The prevalence of undiagnosed hypertension could be substantial among Tongan adults, implicating a need to address this issue by doing further research and review current public health work to address ... |
format |
Article in Journal/Newspaper |
author |
Seini Siahi Talanoafoou Fifita Daisuke Nonaka Mele Tilema Cama Mele Inu Filise |
author_facet |
Seini Siahi Talanoafoou Fifita Daisuke Nonaka Mele Tilema Cama Mele Inu Filise |
author_sort |
Seini Siahi Talanoafoou Fifita |
title |
Factors associated with undiagnosed hypertension among Tongan adults: a cross-sectional study |
title_short |
Factors associated with undiagnosed hypertension among Tongan adults: a cross-sectional study |
title_full |
Factors associated with undiagnosed hypertension among Tongan adults: a cross-sectional study |
title_fullStr |
Factors associated with undiagnosed hypertension among Tongan adults: a cross-sectional study |
title_full_unstemmed |
Factors associated with undiagnosed hypertension among Tongan adults: a cross-sectional study |
title_sort |
factors associated with undiagnosed hypertension among tongan adults: a cross-sectional study |
publisher |
BMC |
publishDate |
2024 |
url |
https://doi.org/10.1186/s41182-023-00570-4 https://doaj.org/article/ac710072816b484bb7b950a478474c59 |
long_lat |
ENVELOPE(7.990,7.990,63.065,63.065) |
geographic |
Arctic Tonga |
geographic_facet |
Arctic Tonga |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Tropical Medicine and Health, Vol 52, Iss 1, Pp 1-15 (2024) |
op_relation |
https://doi.org/10.1186/s41182-023-00570-4 https://doaj.org/toc/1349-4147 doi:10.1186/s41182-023-00570-4 1349-4147 https://doaj.org/article/ac710072816b484bb7b950a478474c59 |
op_doi |
https://doi.org/10.1186/s41182-023-00570-4 |
container_title |
Tropical Medicine and Health |
container_volume |
52 |
container_issue |
1 |
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1790597559919575040 |