Determinants of Hypertension in Adolescents and Adults (18-44 years) at the Karang Panjang Health Center, Ambon City

Abstract

The prevalence of hypertension in Indonesia in the young age group based on the 2018 Basic Health Research has increased significantly to 13.2% in the 18-24 year age group, 20.1% in the 25-34 year age group and 31.6% in the 25-44 year age group compared to 2013. The purpose of this study was to determine the risk factors for family genetic history, obesity, physical activity and psychological stress with the incidence of hypertension. The research method used is Case Control. The number of samples in this study were 146 respondents with details of 73 cases and 73 controls. The data analysis performed was univariate and bivariate with the chi-square test. The results of the analysis showed that family genetic history was a determinant of hypertension with an Odds Ratio (OR) = 72,696 confidence level 95% CI value LL and UL = 22,692 – 232,890; Obesity is a determinant of hypertension with Odds Ratio (OR) = 5.056 confidence level 95% CI value LL and UL = 2.112 – 12.101; Physical activity is not a determinant of hypertension with Odds Ratio (OR) = 1.059 confidence level 95% CI value LL and UL = 0.545 – 2.060; The psychological condition of stress is a determinant of the incidence of hypertension with an Odds Ratio (OR) value = 10,815, 95% CI confidence level, LL and UL values = 4,377 – 26,726. In conclusion, family genetic history, obesity and psychological stress conditions are determinants of the incidence of hypertension. It is recommended for adolescents and adults aged 18-44 years to be able to control eating patterns, carry out regular physical activity and control stress levels and carry out routine blood pressure control every month at health services closest.