Prevalence Of Hypertension In Indonesia Research Articles

Relationship of Fiber Intake, Stress Level, Physical Activity with Blood Pressure of Pre Elderly and Elderly in Lubang Buaya and Kampung Tengah

High blood pressure is defined as systolic blood pressure that is equal to or above 140 mm Hg or diastolic blood pressure equal to or above 90 mm Hg (JNC VIII, 2013). In 2018, the prevalence of hypertension in Indonesia is based on the characteristics of the age 45-75 years and above with an average of 58.33% (Riskesdas, 2018). The aimed of this study was to determine of fiber intake, stress levels, and physical activity with blood pressure in pre elderly and elderly at RW 03 Lubang Buaya and RW 09 Kampung Tengah, East Jakarta. This research method is observational with cross sectional approach followed by 80 respondents with simple random sampling technique Data collection was taken, namely blood pressure measurement using a Sphygmomanometer, fiber intake using the Food Recall form 2 x 24 hours (Weekend and Weekday), stress levels with the DASS-14 questionnaire, and physical activity with the Baecke questionnaire. Data processing was analyzed by univariate and bivariate using Chi-Square test. The results of bivariate analysis with chi-square test showed a significant relationship between fiber intake (p value = 0.007), stress level (p value = 0,000), and physical activity (p value = 0.022) with blood pressure. There is a relationship between fiber intake, stress level, and physical activity with blood pressure in the elderly and elderly in Lubang Buaya and Kampung Tengah.

Hipertensi Effect of Therapy Classic Music Mozart and Murotal Ar Rahman on Decreasing Systolic Blood Pressure in Women Hypertension

The prevalence of hypertension in Indonesia still high. Safe and effective non-pharmacological therapy needed, namely Mozart music and Ar Rahman murotal. The research design was a Quasi Experimental with a Pretest-Posttest Control Group Design approach. The sample consisted of 40. Data were analyzed using t test and unpaired t test. The results : there was a decrease systolic blood pressure before and after treatment and a significant difference in the mean reduction systolic blood pressure between the murotal group and mozart group. Conclusion : listening murotal Ar Rahman more effective to reducing systolic blood pressure hypertensive women than Mozart's music.

Literature Review: Efek Kandungan Lada Hitam (Piper Nigrum) terhadap Penurunan Tekanan Darah pada Tikus Hipertensi

Introduction: One of the most common noncommunicable disease is hypertension. Based of RISKESDAS RI 2013, the prevalence of hypertension in Indonesia is 26,5%. Chronic hypertension cause blodd vessels stiffness such as aortic. The endothelium of aortic that become thickness could lead to dangerous health problems. Hypertensive people need life-time period to treatment the disease. Farmacology therapy for long time had side effect for human body so it needs to be complied with another treatment. There is substance in black pepper called Piperine that could decrease blodd pressure. Piperine could be another therapy for hypertension treatment. Purpose: The purpose from this article was to review effect of black pepper on decreasing blood pressure in hypertension rats. Method: These articles was searched by using electronic database such as PubMed, Springer, Google scholar and ERIC with publication year around 2007-2017. The keywords that used is “Piperine/lada hitam/black pepper”, “blood pressure”, “hypertension/hipertensi”; and finally got three article to be reviewed. Result: Piperine had vasodilator effect that could help to decrease blood pressure in hypertension rats. Discussion: The benefit of piperine in black pepper was need further research to combine it in suplement. Additionally, we can add black pepper to dietary food especially for hypertension people. Conclusion: Piperine could decrease blood pressure in hypertension rats.

Effectiveness of Back Massage Therapy to Reduce Acute Pain in Hypertension in the Working Area of Health Center Kading Bone Regency

Background Background : The World Health Organization (WHO) explained that the prevalence of hypertension in the world amounted to 1.13 billion . The prevalence of hypertension in Indonesia amounted to 8 , 36 % of some provinces in Indonesia. The increasing number of people with hypertension can be caused by several factors , including: environment , behavior , and offspring that can , causing the patient a patient experiencing pain head . Purpose : This study aims to assess the effectiveness of back massage therapy in reducing pain in hypertensive patients .
 Methods : This study was a Quasy experiment with a pretest-posttest control gro up . A sample of 30 respondents who were divided into 2 groups . Group intervention (n = 15) who received treatment massage the back and the group control received treatment techniques of relaxation breath in (n = 15). Results : analysis of research that is conducted on a group of interventions by using a test of independent samples t-test showed a value significantly decrease scale of pain in patients with hypertension with a value of p = 0.000 , while the group of control showed the value of p = 0.082 by administration of therapeutic relaxation breath in . CONCLUSIONS in research is massage the back of effectively lowering of pain in patients with hypertension.

The Survey of Food Consumption Among Traders with Hypertension at Bantul Traditional Market

Hypertension is a non-communicable disease which ranks in the top 3. Untreated hypertension will have an impact on increasing the incidence of stroke and coronary heart disease. The prevalence of hypertension in Indonesia is 25, 8%, while the incidenceof hypertension in Special Region of Yogyakarta is 25,7%. In Indonesia in 2017, 77% of people with a history of hypertension had a stroke. Therefore, in 2025 it is projected that 29% of the world's population or as many as 1.56 billion adults will experience hypertension. This is influenced by several factors, one of which is an unhealthy lifestyle. Efforts that have been made by Indonesia in the prevention and control of hypertension with "CERDIK" behavior. This study aims to determine the types of food consumed by traditional market traders in Bantul who have hypertension. The study used a simple quantitative descriptive design with cross sectional approach. The population in this study were 87 traders. Samples were taken by purposive sampling method, namely all traders who have hypertension and are willing to be respondents as many as 50 traders. This research is expected to increase public awareness independently and research data can be used as basic health data for traders and follow-up for health workers for appropriate hypertension management in the community.

Literature Study Overview of C-Reactive Protein in Hypertensive Patients

Hypertension is called the silent killer, often known after complications occur. Based on the results of Riskesdas in 2018, the prevalence of hypertension in Indonesia at age ≥18 years increased to 34.1% in 2018. Endothelial injury caused by hypertension triggers inflammation or chronic inflammation of the arterial wall. Evidence of an inflammatory process is the discovery of C-Reactive Protein (CRP) which is a marker of inflammation from non-bacterial infections.The purpose of this study to knowing the description of C-Reactive Protein in patients with hypertension through research by Fadhliani (2016), Dolly (2018), Harahap (2019). This paper is a summary of research result, with the criteria for systematic study research through a systematic review approach. In patients with hypertension according to research Fadhliani (2016) obtained as much as 23% C-Reactive Protein positive and 77% C-Reactive Protein negative. In the Harahap study (2019) of 30 people with hypertension, 12 people (40%) had positive C-Reactive Protein and 18 people (60%) had negative C-Reactive Protein. Whereas in the study of Dolly (2018) the average level of hs-CRP in hypertensive patients is 4, 85 mg / L. According to Dolly's research (2018) in patients with hypertension for 1 year have higher levels of hs-CRP compared to patients with hypertension for a period of ≤1 years. Examination of C-Reactive Protein (CRP) in patients with hypertension in the Harahap study (2019) showed positive CRP results dominated by subjects with age ≥ 50 years as many as 8 people (27%).

The Effect of Leaflet on Hypertension Knowledge in Hypertensive Patients in Community Health Center in Surabaya City

BACKGROUND: The prevalence of hypertension in Indonesia based on the results of a population survey up to 2018, it is known that the age of ≥18 years diagnosed by doctors is 34.1%. Increased knowledge in this study by providing educational interventions in hypertensive patients.
 AIM: This study aims to determine the effect of giving leaflets on the level of knowledge in hypertensive patients..
 METHODS: This study is a quasi-experimental study of leaflets for hypertensive patients conducted at 5 Community Health Centers in Surabaya City. The primary outcome observed was the level of knowledge between 2 groups which are the intervention group (given leaflets) and the control group (baseline). In the intervention group measuring the level of knowledge before and after 2 weeks were given the leaflet intervention. The level of knowledge was measured using the Indonesian version of the hypertension knowledge-level scale questionnaire. The leaflet used contains the definition, limits of blood pressure in hypertension, diet and lifestyle advice, and the importance of adherence to medication consumption according to the regimen recommended by doctors to control blood pressure.
 RESULTS: The majority of knowledge levels in the control group (32.64%) and the intervention group increased the percentage of the high level of knowledge from 13.4% to 62.89% after being given a leaflet. Based on statistical analysis, it is known that there is an effect of giving leaflets to the level of knowledge between the control and post-intervention group, and pre-post intervention gave significant changes (p < 0.001). The effect of leaflets on changes in systolic and diastolic blood pressure was known not to provide significant changes in the control and post-intervention groups (p > 0.05), but between the pre- and post-intervention groups gave significant changes (p < 0.001).
 CONCLUSION: The leaflet provides a better change based on 5 indicators performance of hypertension.

Family, Social, and Health Workers Support with Complience Behaviour to Patients with Hypertension in Bogor, Indonesia

Background: Abnormalities of the heart and blood vessels marked by an increase in blood pressure are known as hypertension. Worldwide, high blood pressure is estimated to affect more than one in three adults aged 25 years and over, or about one billion people. Overall, high-income countries have a lower prevalence of hypertension (35% of adults) than low and middle-income groups (40% of adults). The prevalence of hypertension in Indonesia based on the Basic Health Research (Riskesdas) data in 2018 was 34.1%. Objective: This study determines the relationship of family support, social support, and health worker support with compliance of hypertensive patients. Methods: This research was conducted at the Tegal Gundil Community Health Center, North Bogor District, Bogor City, Indonesia, which was conducted from May to December 2017. The design of this study was cross-sectional. Sampling was carried out with a purposive sampling method with inclusion and exclusion criteria. The former consisted of all hypertensive patients aged 25-65 years who routinely control during the last six months who are present and willing to be interviewed during the study. The later includes hypertensive patients who have memory disorders with the number of samples of 110 respondents. Results: The results showed the respondents were dominated by the age of under 59 (75.5%), female (86.4%), junior high school as the highest education (68.2%), have no job (81.8%), and the prevalence of their sufferers’ compliance was 47.3%. The results of the Chi-square test showed that family support, social environment, and health workers were associated with compliance in hypertensive patients (OR = 2.461; CI 95% 1.140 to 5.310; P Value = 0.034). Conclusion: In order to improve compliance of patients with hypertension, it is necessary to pursue a program of activities focused on health promotion activities not only for patients but also involving family and social members.

Macro Nutrition Intake, Physical Activity and Level of Stress with Event of Hypertension for Adults (18-60 Years)

Based on the results of Health Research in 2013, the prevalence of hypertension in Indonesia at the adults of >18 years were 25,8%. West java is the fifth largest province with the highest prevalence of hypertension of 29,4%. Based on data from Departement of Health of Depok City (2016), hypertension is a disease that many people in Depok City experience. This research aimed to Analyze the correlation between macro nutrition intake, physical activity and levels of stress with event of hypertension in the Depok City. The research with cross sectional study design in 80 people by using purposive sampling. Macro nutrition intake was obtained from interview of food recall 1x24 hours, physical activity was obtained using International Physical Activity Questionnare (IPAQ), and stress level was obtained using Perceived Stress Scale (PSS). The correlation test of this study used spearman ordinal. The result showed that there was no significant relationship between carbohydrate intake. There were significant correlations between protein intake, fat intake, physical activity and stress level with event of hypertension. The older a person is, the higher the risk of suffering from hypertension.

<p>Measurement of the Quality of Life of Prolanis Hypertension Patients in Sixteen Primary Healthcare Centers in Pandeglang District, Banten Province, Indonesia, Using EQ-5D-5L Instrument</p>

IntroductionThe prevalence of hypertension in Indonesia is increasing, not least in some peripheral areas, including in Pandeglang District, Banten Province. The government of Indonesia, through the Social Health Insurance Administration Body (BPJS Kesehatan) has launched a chronic disease management program (Prolanis) to achieve more optimal results in treating patients with chronic diseases, including hypertension.ObjectiveThis study aimed to measure the quality of life of Prolanis hypertension patients at the primary healthcare centers (PHCs) using EuroQol-5 Dimensions-5 Levels (EQ-5D-5L) instrument and taking pharmacists' counseling intervention into account. This study was conducted in 96 Prolanis patients, consisting of 48 patients from 8 PHCs who did not receive pharmacists' counseling intervention (control group) and 48 other patients from 8 different PHCs who received 4 times intervention (intervention group). This study was conducted in a period of 3 months (June–August 2019) in 16 sub-districts of Pandeglang District.MethodsAn experimental study design was applied by considering a purposive sampling method. Patients' quality of life were measured by using EQ-5D-5L instrument and its Indonesian value set. For data analysis, we applied the Kruskal–Wallis, Mann–Whitney, Wilcoxon, and Binomial tests to investigate the differences of patients' quality of life in both groups of control and intervention.Results and ConclusionsThe results showed that the average utility value of the intervention group experienced an improvement at each meeting (m1 = 51.25%; m2 = 66.25%; m3 = 84.17%; and m4 = 91.67%), while the control group experienced a lower and more fluctuative improvement than the intervention group (m1 = 65.42%; m2 = 70.42%; m3 = 80.42%; and m4 = 76.67%). The same results also occurred in the average value of visual analogue scale (VAS). There was a better improvement in the intervention group than in the control group.Clinical Trial Registration Number62/UN6.KEP/EC/2019.

1-3HYPERTENSION IN PATIENTS WHO ADMITTED TO THE EMERGENCY UNIT OF THE INDONESIAN CHRISTIAN UNIVERSITY GENERAL HOSPITAL 2017

Hypertension is a common risk factor for cardiovascular disease. Based on JNC VII, hypertension is defined as the condition of systolic blood pressure greater than or equal to 140 mmHg or diastolic blood pressure greater than or equal to 90 mmHg. In developed countries, the prevalence of hypertension in man 35.9%, woman 37.2%. According to Riskesdas 2013, the prevalence of hypertension in Indonesia at age ≥18 year equal to 25,8%. Only 36.8% detected by health workers, 63.2% of cases of hypertension in the community are undiagnosed. The prevalence of DM, hyperthyroidism and hypertension in women tends to be higher than in men.1 This research was conducted retrospectively. Based on the results of our research on patients entered the UKI General Hospital during January-November 2017, patients diagnosed with hypertension were 81 people. Patient with only hypertension-diagnosed were 49 people. Hypertension and CKD 7 people. Hypertension and DM 12 people. Hypertension with CHD 5 people, and Hypertension with Stroke 1 person. Patient with hypertension and CKD and DM were found 5 people. Hypertension with CKD and CHD 1 person, Hypertension with CKD and Stroke not founded. Hypertension and DM and CHD 1 person, Hypertension and DM and Stroke not founded. Hypertension with CHD and Stroke is also not founded.

4-4PREVALENCE AND ASSOCIATED RISK FACTORS OF HYPERTENSION: A CROSS-SECTIONAL STUDY IN NORTH JAKARTA PUBLIC HEALTH CENTER

Introduction: Hypertension remains an important public health challenge around the world because it could increase the incidence of cardiovascular disease, stroke, kidney damage, and other health problem, even death. An estimated 1.13 billion people worldwide have hypertension. Most of them are living in low and middle-income countries. The prevalence of hypertension in Indonesia is increasing from 25.8% in 2013 to 34.1 % in 2018. Meanwhile, the prevalence of hypertension in Jakarta is 33.4%. With one of the global targets for the noncommunicable disease is to reduce the prevalence of hypertension 25% by 2025, it is important to know several factors that could increase the hypertension prevalence. The study's purpose was to acknowledge the prevalence and risk factors of hypertension. Method: This research was a cross-sectional study of 789 patients as primary data by measuring BMI and waist circumference with questionnaire encompassed identity and risk factor of hypertension. This research was held in the Public Health Center of Penjaringan District, North Jakarta. Result: Research outcome showed that out of 789 respondents, 260 (33%) had pre-hypertension, 265 (33,6%) had hypertension stage 1, and 142 respondents (18%) had hypertension stage 2—only 122 (15,5%) respondents who had normal tension. Based on statistical analysis, there were some factors associated with hypertension, which were smoking, body mass index, and waist circumference. Chi-square test showed p value 0.008 between hypertension and smoking. Kruskal Wallis test showed p value of 0.020 between hypertension and body mass index, and p-value 0.002 between hypertension and waist circumference. The conclusion of this research was most of the respondents had hypertension. It also revealed that smoking, an increase in body mass index, and waist circumference became the risk factors of hypertension. This could be happened due to an unhealthy lifestyle. Therefore, recommendations should be made to enhance the monitoring of blood pressure regularly and improve health promotion of hypertension risk factors.

HUBUNGAN TINGKAT PENGETAHUAN DENGAN KEPATUHAN BEROBAT PENDERITA HIPERTENSI DI PUSKESMAS BALOI PERMAI KOTA BATAM

Hypertension or commonly called high blood pressure is a global health problem, including in Indonesia because of its high prevalence, although it varies in various countries based on data from the Indonesian Ministry of Health shows the prevalence of hypertension in Indonesia reaches 31.7% of the population from the age of 18 years and up. About 60% of people with hypertension end in stroke and this disease affects almost 25% of the adult world population. The purpose of this study is to know the relationship between the level of knowledge and compliance with hypertension treatment at Baloi Permai Public Health Center, Batam City in 2018. research The design of this study was observational analytic with a cross-sectional study approach conducted in this study conducted at the Baloi Permai health center, in Batam City District. The population in this study were all patients with hypertension and samples taken using non-probability sampling techniques with a total of 64 respondents. Data analysis in this study uses chi-square analysis. The results of a study conducted on 64 univariate analysis respondents: there were 38 (59.4%) respondents who lacked knowledge, while those with good knowledge were 26 (40.6%) respondents while Compliance with Medication obtained low compliance results of 43 (67, 2%), moderate as many as 15 (23.4 respondents) and high medication adherence as many as 6 (9.4%) respondents. Bivariate analysis; there is a significant relationship between the level of knowledge and hypertension treatment at Baloi Permai Public Health Center Batam City in 2018 with a value (p-Value = 0.012). There is a significant relationship between the level of knowledge and compliance with hypertension treatment at Baloi Permai Public Health Center, Batam City in 2018. Keywords: Knowledge, Treatment Compliance, Hypertension

HUBUNGAN TINGKAT PENGETAHUAN PASIEN HIPERTENSI DENGAN UPAYA PENGENDALIAN HIPERTENSI DI UPTD PUSKESMAS PEMBANTU BERNGAM BINJAI

WHO (World Health Organization) noted that in 2013 at least 839 million cases of hypertension occurred worldwide. In Indonesia there was an increase in the prevalence of hypertension. Overall the prevalence of hypertension in Indonesia in 2013 was 26.5% 1. And in North Sumatra, the prevalence of hypertension in 2013 was 24.7%. People with hypertension are increasing every year almost all over the world and cause global public health problems that contribute to the burden of heart disease, stroke, kidney failure, disability and premature death. This type of research is an analytical quantitative study with cross-sectional design, with a total sample of 56 people with hypertension and the sampling technique used is simple random sampling. Data analysis using chi square test. The results of the study were 45-54 years old (35.7%), female gender (53.6%), high school education (42.9%) and the work of farmers / fishermen / laborers 37.5%). Good level of knowledge (67.9%), adequate hypertension control efforts (64.3%) Chi square test results showed variables related to hypertension control efforts were education, occupation, knowledge of hypertensive patients (p <0.05). It is recommended for the puskesmas to improve health implementation programs, especially early detection of hypertension so that prevention programs can be done quickly to avoid more severe hypertension. It is hoped that the community will participate in the Healthy Living Movement (GERMAS) program, which focuses on three activities, namely: doing 30 minutes of exercise a day, eating fruits and vegetables; and check health regularly.

Effectivity of Indonesia Chronic Disease Management Program (PROLANIS) to Control Hypertension and its Comorbidities at Primary Health Care

BACKGROUND: National prevalence of hypertension in Indonesia is increasing in the past few years. One of the reasons is because of the weaknesses in health systems, particularly at the primary care level. To resolve this issue, Indonesian government launched a chronic disease care program (PROLANIS) designed to be done at primary health care with the aim to control hypertension. Wates primary health care routinely conducts the program from April 2018.
 AIM: This study aims to evaluate the effectivity of PROLANIS in controlling hypertension and its comorbidities at Wates primary health care.
 METHODS: This study was an observational retrospective cohort study using secondary data from PROLANIS report at Wates primary health care in Mojokerto city, Indonesia. The study population was hypertensive patients that voluntarily joined the program on April 2018 and routinely attend evaluation follow-up every 6 months. Follow-up evaluation including blood pressure (BP), body mass index (BMI), total cholesterol (TC), high-density lipid (HDL), low-density lipid (LDL), triglyceride, and estimated glomerular filtration rate (eGFR).
 RESULTS: There were 44 participants included for the analysis. Median systolic and diastolic BP were always within normal range. Triglyceride serum level showed an improvement in every follow-up evaluation. BMI and LDL showed an improvement in the first follow-up but deteriorated afterward. TC only showed a remarkable improvement in the last follow-up evaluation, while HDL and eGFR result were fluctuate.
 CONCLUSION: PROLANIS was effective to control BP at Wates primary health care, but not effective to control all comorbidities. Future study needs to be done to elucidate the effectivity of this program countrywide.

HUBUNGAN PENGGUNAAN KONTRASEPSI HORMONAL DENGAN KEJADIAN HIPERTENSI PADA WANITA USIA REPRODUKTIF (15-49 TAHUN) DI WILAYAH KERJA PUSKESMAS TELADAN KOTA MEDAN TAHUN 2019

Background: The prevalence of hypertension in Indonesia continues to increase, especially in women. The incidence rate reached 28.8% higher than the incidence of hypertension in men which is 22.8%. There are factors that make women more at risk of hypertension than men. Namely the use of hormonal contraception in women whose users reach 47.54%. Purpose: to analysis Correlational hormonal contraceptive use and hypertension. Methods: This research is an observational survey research, case-control design. Held in the Work Area of the Medan City Primary Health Center. Conducted from March-June 2019. The population were all women of productive age (15-49 years) totaling 572 people. The size of the case sample was 35 people and 35 controls. Case samples were taken by means of consecutive sampling, control samples were taken by convenient sampling. Data analysis was performed univariately and bivariately using the Chi Square statistical test (?2) with a significance level of 0.05. Results: In the hypertension group, 77.1% used hormonal contraception and 22.9% did not use hormonal contraception. Whereas in the non hypertensive group 62.9% did not use hormonal contraception only 37.1% used hormonal contraception. There is a relationship between hormonal contraceptive use and hypertension in women of reproductive age. A value (OR = 5.7; 95% CI 2,008-16,244) means that women of reproductive age are at risk of experiencing hypertension 5.7 times greater if women of reproductive age use hormonal contraception than those who do not use hormonal contraception. Conclusion: Women of reproductive age are at risk of developing hypertension when using hormonal contraception. Therefore, it is recommended that women of reproductive age prefer non-hormonal contraception or natural contraception. If using hormonal contraception to keep monitoring blood pressure regularly at least 3 months after using hormonal contraception and immediately stop using hormonal contraception if there is a hypertension Keyword: Hormonal contraception; Hypertension; Women at Reproductive age

PENGARUH ALARM MINUM OBAT (AMINO) UNTUK MENINGKATKAN KEPATUHAN MINUM OBAT PASIEN HIPERTENSI

According to data from Riskesdas 2018 there was an increase in the prevalence of hypertension in Indonesia from 25.8% in 2013 to 34.1% in 2018. Inadequacy in taking medicine is one of the factor contributed. This research discusses the importance of the application of taking medication alarms for consultation taking medication and hypertension patients' blood pressure. The study was conducted using a quasi-experimental two group pretest posttest design. Observed data are the level of adherence and blood pressure. The study was conducted at 2 Banjarmasin Puskesmas. Data collection collected in the period August - October 2019. Research data were obtained by filling in the MARS questionnaire, while blood pressure data was taken from medical records. This study involved 25 samples each in the control and intervention groups. The intervention given was in the form of installing medication alarm in sample smartphone. The Wilcoxon Test to determine differences in the average category of level of adherence, and blood pressure samples at the beginning and end of the study. In the pre study 100% of the sample intervention group were at moderate medication adherence rates and in the post study it changed to 40% at moderate medication adherence levels and 60% at high medication adherence levels. Statistical test results show a significant increase in medication adherence. Systolic and diastolic blood pressure in the intervention group also experienced a significant decrease (p <0.05). The results of the study in the control group showed no increase in medication adherence and no significant decrease in blood pressure.

Quality of Life of Patient with Hypertension in Primary Health Care in Bandar Lampung

The high prevalence of hypertension in Indonesia, encourages studies related to how the quality of life of patients with hypertension. The purpose of this study was to measure quality of life, identify and explain factors related to the quality of life of patients with hypertension. The study design was descriptive correlation using a cross sectional study approach. The study subjects were all outpatient hypertensive patients several health centers in Bandar Lampung. The instrument used in this study was the Indonesian SF-36. The data collected included the patient's demographic characteristics including gender, age, education, occupation, and marital status, and the fields related to the health history of the study subjects included the duration of hypertension, complications, and the number of antihypertensive drugs consumed. Data were analyzed using bivariate analysis to see the relationship between two variables with the level of significance used was 5% (α = 0.05) with the value of the confidence interval set was 95%. Multivariate analysis was conducted to study the relationship of several independent variables with one or several dependent variables. The results of univariate analysis showed that age, marital status, duration of illness, complications, and the number of drugs consumed had an effect on the quality of life of hypertensive patients (p <0.05). The results of multivariate analysis showed that the factors of age, marital status, and duration of hypertension are factors that influence the physical domain, while the factors of gender, marital status, duration of hypertension, complications, and the number of drugs are influential factors in the mental domain mental.

THE RELATIONSHIP OF HEALTHY LIFESTYLE INDEX (HLI) TO THE OCCURRENCE OF HYPERTENSION IN MOUNTAINS, COASTAL AND URBAN COMMUNITIES

Background: Epidemiological transitions cause changes in disease trends from transmitted diseases to non-communicable diseases. One disease that continues to increase in prevalence and have a high-risk complication, namely hypertension. This disease has key risk factor namely lifestyle. The role of lifestyle on the incidence of hypertension is very close, especially in the community city. Surabaya has the highest prevalence of hypertension in Indonesia but has a prevalence and the role of lifestyle to the coastal and mountainous regions has not been studied so has not it is known whether hypertension is only concentrated in urban areas or also has an impact for coastal and mountainous regions.Objective: The purpose of this study was to examine relationship between the Healthy Lifestyle Index score to the occurrence of hypertension in mountainous, coastal, and urban communities.Method: This study was a cross sectional observational study. The samples in this study were 30 people in the coastal community, 30 people in the mountain community and 30 people in the urban community. All of respondents visiting the Supporting Public Health Center of Gili Ketapang, Supporting Public Health Center of Wonotoro, and Public Health Center of Kebonsari. Lifestyle assessment use the Tube version of Healthy Lifestyle Index (HLI) (2015) which consists of domains quality of the diet, physical activity, smoking behavior, and BMI. Data analysis uses statistical tests chi square test to determine the relationship HLI scores with the incidence of hypertension.Result: The relationship of HLI scores with the incidence of hypertension in mountainous communities, hypertension caused by smoking, while hypertension in coastal communities is caused because of eating patterns and lack of activity, hypertension in urban communities is caused due to unhealthy eating patterns, smoking, lack of activity and obesity.Conclusion: There is a significant relationship between the Healthy Lifestyle Index score with the incidence of hypertension in mountainous, coastal and urban areas. Key words: Lifestyle, Hypertension, Mountains, Urban, Coastal.

The Effect of Psychosocial Stress on the Incidence of Hypertension in Rural and Urban Communities

The prevalence of hypertension in Indonesia increased to 34.1% in 2018. Hypertension incidence was higher in rural than urban. Psychosocial stress was hypertension risk factors. Individuals with psychosocial stress 3 times at risk get hypertension. The purpose was to determine effect of psychosocial stress on hypertension in rural and urban communities. A cross sectional study design with secondary data IFLS 5 in 2014. Sample was respondents of IFLS 5 who ≥15 years old and had blood pressure measurement data. The sample size was 10.008 in rural and 16,057 urban. Data analysis use complex sample as secondary data analysis technique by considering weighting when analyzing data. The results showed the hypertension was 29.7% in rural and 31.3% in urban. In rural, psychosocial stress increases the risk of hypertension after being controlled for age, sex, education, economic, marital status and BMI (PR = 1,108; 95% CI = 1,016-1,209). In urban, psychosocial stress increases the risk of hypertension after being controlled by age, sex, education, economic, marital status, BMI and tobacco consumption (PR=1,174; 95% CI=1,032-1,335). Psychosocial stress was a risk factor for hypertension. The importance of providing hypertension prevention education such as stress management techniques to prevent hypertension in integrated assistance post (Posbindu).