Abstract
This study aims to describe the prevalence of raised blood pressure and the situation of management for raised blood pressure among the adult population in Vietnam. It also aims to examine the association between diversified socioeconomic and behavioral factors of raised blood pressure and awareness of raised blood pressure. Data were obtained from the STEPS survey conducted in Vietnam in 2015. Survey sample was nationally representative with a total of 3,856 people aged 18–69 years old. The study outcomes included raised blood pressure and awareness of and control of raised blood pressure. Multiple logistic regression was used to examine the association of socioeconomic and behavior risk factors with the outcome variables. The overall prevalence of raised blood pressure in Vietnam in 2015 was 18.9% (95% CI: 17.4%–20.6%). The prevalence of raised blood pressure was higher among men. Significantly correlated factors with raised blood pressure were age, sex, body mass index, and diabetes status. Levels of awareness of raised blood pressure were higher among the older age group and overweight people and lower among ethnic minority groups. Raised blood pressure in Vietnam is a serious problem due to its magnitude and the unacceptably high unawareness rate in the population. Public health actions dealing with the problems of raised blood pressure are urgent, while taking into account its relationship with sex and socioeconomic status. It is clear that the interventions should address all people in society, with a focus on disadvantaged groups which are the rural and ethnic minority peoples.
Highlights
High blood pressure, known as a “silent killer,” is associated with approximately 9.4 million cases of death a year worldwide [1]
In 2013, the World Health Assembly adopted the global noncommunicable diseases (NCD) monitoring framework in which raised blood pressure is defined as systolic blood pressure ≥140 mmHg and/or diastolic ≥90 mmHg, regardless of whether the individual is on medication for high blood pressure
Erefore, in this paper, we will use the traditional definition of raised blood pressure which will include those who are currently on medication. e increase in prevalence of raised blood pressure is associated with population ageing and the rise in occurrence of behavioral risk factors, such as tobacco use, unhealthy diet, harmful use of alcohol, physical inactivity, overweight, and persistent stress [4]
Summary
High blood pressure (or raised blood pressure), known as a “silent killer,” is associated with approximately 9.4 million cases of death a year worldwide [1]. In 2013, the World Health Assembly adopted the global noncommunicable diseases (NCD) monitoring framework in which raised blood pressure is defined as systolic blood pressure ≥140 mmHg and/or diastolic ≥90 mmHg, regardless of whether the individual is on medication for high blood pressure. International Journal of Hypertension of the new definition is that each country will be able to reduce the prevalence of raised blood pressure if it can effectively control blood pressure in hypertensive patients. This indicator will not tell the size of the problem which includes those who are currently on medication. Many people with high blood pressure in low-and middle-income countries are not aware of their hypertensive status, and lack access to treatment, and management services [4]
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