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KMID : 0371020000330040513
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Journal of Preventive Medicine and Public Health
2000 Volume.33 No. 4 p.513 ~ p.520
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The Prevalence, Awareness, Treatment, and Control of Hypertension, and Related Factors´ in Rural Korea
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Ha Yong-Chan
Chun Hyun-Ju
Hwang Hae-Kyoung
Kim Byung-Sung
Kim Jang-Rak
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Abstract
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Objectives : To estimate the prevalence of hypertension, rates of awareness, treatment modalities, and control of hypertension, and also to identify factors in rural Korea that are related to these aspects of hypertension.
Methods : A cross-sectional survey, including blood pressure(BP) measurements and interviews, investigating the variables in the health belief model was performed from August to November, 1999 on 1.426 (79.4%) study subjects out of 1,797 registered residents over 30 years old in lbansong-Myun. Chinju City. A second survey was performed from January to March. 2000 on 376 (80.0%) subjects out of 470 hypertensive (or suspected hypertensive) subjects found in the first survey. Two BP readings were taken in each survey using a standard mercury s phygmomanometer. Hypertension was defined as either a BP reading 140/90 mmHg in both surveys, or as subjects on oral hypertensive medication.
Results : Estimated hypertension prevalence was 24.9% for men, and 30.40o for women. Rates of hypertension awareness, treatment (the regular use of oral hypertensives), and control (reduction of BP to <140/90 mmHg) were S2..~%, 24.4%, end 12.9%. respectively. The factors related to lower hypertension awareness in the logistic regression analysis were male gender, farming occupation, and higher perceived barrier to medical treatment (those for whom visiting health professionals is a burden).
Conclusions : To improve the low awareness, treatment, and control of hypertension, a more active and out-reaching hypertension control program, including routine BP measurements for every visitor to primary care facilities, is needed in rural Korea.
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KEYWORD
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Hypertension, Prevalence, Awareness, Treatment, Control
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