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Prevalence of Hypertension and Its Associated Factors among Primary School Children in Kuching, Sarawak

Hypertension is an emerging public health concern among children due to its rise in prevalence and association obesity epidemic. Blood pressure is determined in childhood and associated with cardiovascular disease in later life. Nevertheless, screening for hypertension is uncommon and data related t...

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Main Author: Roslinda, Kangan
Format: Thesis
Language:English
Published: Universiti Malaysia Sarawak 2023
Subjects:
RJ101 Child Health. Child health services
Online Access:http://ir.unimas.my/id/eprint/41825/1/Roslinda%20Zakiah%20ft.pdf
http://ir.unimas.my/id/eprint/41825/
https://doi.org/10.51866/oa.211
https://doi.org/10.51866/oa.211
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spelling my.unimas.ir.418252023-06-27T06:44:11Z http://ir.unimas.my/id/eprint/41825/ Prevalence of Hypertension and Its Associated Factors among Primary School Children in Kuching, Sarawak Roslinda, Kangan RJ101 Child Health. Child health services Hypertension is an emerging public health concern among children due to its rise in prevalence and association obesity epidemic. Blood pressure is determined in childhood and associated with cardiovascular disease in later life. Nevertheless, screening for hypertension is uncommon and data related to childhood hypertension is limited. This cross sectional study aimed to determine the prevalence of hypertension (defined as systolic or/and diastolic blood pressure of > 95th percentile for age, gender and height) and its associated factors among primary school children in Kuching, Sarawak. Standard procedures and validated equipment used to measure the respondents’ anthropometric indicators, percentage of body fat and blood pressure. Body mass index and waist to height ratio (WHtR) were calculated accordingly. Questionnaires was used to obtained data on family social demography and health history. A total of 1,314 children aged 6 - 12 years old (girls 51.5 percent) enrolled in this study. 107 hypertensive (8.1 percent) and 178 (13.5 percent) pre-hypertension children were identified. Chi square test indicate that hypertension is significantly associated with being male (p<0.05), parent work in clerical, service, sales & skilled group (p<0.05), overweight or obese parent (p<0.05), parent with cardiovascular disease (p<0.01), BMI-for-age >+1SD (p<0.001), overfat and obese (p<0.001), height percentile > 5th to < 95th (p<0.001), waist circumference > 90th percentile (p<0.001) and waist to height ratio > 90th percentile (p<0.001). Multivariate logistic regression analysis showed that percentage of body fat and waist circumference were significantly related to the risk of hypertension with odds ratios of 4.84 (95% CI:2.01, 11.66) and 2.33 (95% CI:1.15, 4.72), respectively, after adjusted for sex and age. The prevalence of hypertension in this study was high compared to global hypertensive children. Routine screening of blood pressure is crucial for early detection and enable early intervention to reduce future morbidity burden. Universiti Malaysia Sarawak 2023 Thesis PeerReviewed text en http://ir.unimas.my/id/eprint/41825/1/Roslinda%20Zakiah%20ft.pdf Roslinda, Kangan (2023) Prevalence of Hypertension and Its Associated Factors among Primary School Children in Kuching, Sarawak. Masters thesis, Universiti Malaysia Sarawak. https://doi.org/10.51866/oa.211 https://doi.org/10.51866/oa.211
institution Universiti Malaysia Sarawak
building Centre for Academic Information Services (CAIS)
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaysia Sarawak
content_source UNIMAS Institutional Repository
url_provider http://ir.unimas.my/
language English
topic RJ101 Child Health. Child health services
spellingShingle RJ101 Child Health. Child health services
Roslinda, Kangan
Prevalence of Hypertension and Its Associated Factors among Primary School Children in Kuching, Sarawak
description Hypertension is an emerging public health concern among children due to its rise in prevalence and association obesity epidemic. Blood pressure is determined in childhood and associated with cardiovascular disease in later life. Nevertheless, screening for hypertension is uncommon and data related to childhood hypertension is limited. This cross sectional study aimed to determine the prevalence of hypertension (defined as systolic or/and diastolic blood pressure of > 95th percentile for age, gender and height) and its associated factors among primary school children in Kuching, Sarawak. Standard procedures and validated equipment used to measure the respondents’ anthropometric indicators, percentage of body fat and blood pressure. Body mass index and waist to height ratio (WHtR) were calculated accordingly. Questionnaires was used to obtained data on family social demography and health history. A total of 1,314 children aged 6 - 12 years old (girls 51.5 percent) enrolled in this study. 107 hypertensive (8.1 percent) and 178 (13.5 percent) pre-hypertension children were identified. Chi square test indicate that hypertension is significantly associated with being male (p<0.05), parent work in clerical, service, sales & skilled group (p<0.05), overweight or obese parent (p<0.05), parent with cardiovascular disease (p<0.01), BMI-for-age >+1SD (p<0.001), overfat and obese (p<0.001), height percentile > 5th to < 95th (p<0.001), waist circumference > 90th percentile (p<0.001) and waist to height ratio > 90th percentile (p<0.001). Multivariate logistic regression analysis showed that percentage of body fat and waist circumference were significantly related to the risk of hypertension with odds ratios of 4.84 (95% CI:2.01, 11.66) and 2.33 (95% CI:1.15, 4.72), respectively, after adjusted for sex and age. The prevalence of hypertension in this study was high compared to global hypertensive children. Routine screening of blood pressure is crucial for early detection and enable early intervention to reduce future morbidity burden.
format Thesis
author Roslinda, Kangan
author_facet Roslinda, Kangan
author_sort Roslinda, Kangan
title Prevalence of Hypertension and Its Associated Factors among Primary School Children in Kuching, Sarawak
title_short Prevalence of Hypertension and Its Associated Factors among Primary School Children in Kuching, Sarawak
title_full Prevalence of Hypertension and Its Associated Factors among Primary School Children in Kuching, Sarawak
title_fullStr Prevalence of Hypertension and Its Associated Factors among Primary School Children in Kuching, Sarawak
title_full_unstemmed Prevalence of Hypertension and Its Associated Factors among Primary School Children in Kuching, Sarawak
title_sort prevalence of hypertension and its associated factors among primary school children in kuching, sarawak
publisher Universiti Malaysia Sarawak
publishDate 2023
url http://ir.unimas.my/id/eprint/41825/1/Roslinda%20Zakiah%20ft.pdf
http://ir.unimas.my/id/eprint/41825/
https://doi.org/10.51866/oa.211
https://doi.org/10.51866/oa.211
_version_ 1769847686672941056
score 13.211869

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