THE SPECIFICS OF HYPERTENSION PREVALENCE IN TYUMENSKAYA REGION AND ITS TREATMENT EFFICACY AMONG INHABITANTS OF 25-64 YEAR OLD

Abstract

Aim . To study prevalence of arterial hypertension (AH), mean values of systolic (SBP) and diastolic (DBP) levels of blood pressure, awareness of patients on this, antihypertension drugs (AD) intake and treatment efficacy among inhabitants of Tyumen Region, age 25-64 year old. Material and methods . A cohort of Tyumen Region inhabitants, 25-64 y.o., investigated under the framework of multicenter observational study ESSE-RF. Number of participants — 1762, of those men 34,4% (n=607), women 65,6% (n=1155), mean age 48,9±11,4 y.o. Results. In Tyumen Region the prevalence of AH was 48,9%, which is 4,9% higher than general population in ESSE-RF (by 9 regions). The same high pressure was found in general population of men and women, however statistically significantly predominated in men aged <55 y.o. The prevalence of AH increased with age — from 17,1% in group 25-34 y.o. to 70,6% in group 55-64 y.o., significantly more frequently registered in rural inhabitants — 58,1% vs 46,8% (р<0,05) and those with lower educational level — 57,4% vs 47,9% (p<0,05). The specifics of Tyumen Region was low level of awareness about having AH. In difference with the general ESSE-RF selection, with this value 73,1%, awareness on their AH in Tyumen Region was 57,6%. Naturally, this value was higher in women — 60,5% vs 50,6% (р=0,03), city inhabitants — 59,3% vs 51,7% (p<0,05) and persons with middlelevel or higher education — 58,4% vs 47,9% (p<0,05). Not high was the portion of those regularly taking AD — 39,5%, of those effectively treated 39,1%. Women with AH significantly more commonly took AD — 43,9% vs 23,0%, and were doing this more effectively — 43,2% vs 24,3% (р<0,01). Efficacy of AD was higher among those with higher education — 44,7% vs 35,9% (р<0,01), decreased with the age and did not relate on the type of settlement. Of the specifics of Tyumen Region was not high portion of those with AH reached target values of BP — 15,4% vs 22,7% in general population of ESSE-RF. This value did not have significant differences depending on the age and type of settlement, but was significantly higher among women in the age group >35 y.o., citizens, as rurals. Correlation of effective BP control with educational level was found only in male population. Among hypertensive males with middle and higher education, BP control was significantly better comparing to AH patients with low educational level. Conclusion . The results determined the aims of prevention work with AH taking the specifics of this factor prevalence in Tyumen Region.