Cover Image

Poor blood pressure control and its associated factors among older people with hypertension: a cross-sectional study in six public primary care clinics in Malaysia

Introduction: Hypertension is highly prevalent in the older people. Chronic disease care is a major burden in the public primary care clinics in Malaysia. Good blood pressure (BP) control is needed to reduce the morbidity and mortality of cardiovascular disease (CVD). This study aimed to determine t...

Full description

Saved in:
Bibliographic Details
Main Authors: Cheong, Ai Theng, Ghazali, Sazlina Shariff, Tong, Seng Fah, Abdul Samad, Azah, Sharif, Salmiah
Format: Article
Language:English
Published: Academy of Family Physicians of Malaysia 2015
Online Access:http://psasir.upm.edu.my/id/eprint/45894/1/BP.pdf
http://psasir.upm.edu.my/id/eprint/45894/
https://pubmed.ncbi.nlm.nih.gov/26425291/
Tags: Add Tag
No Tags, Be the first to tag this record!
id my.upm.eprints.45894
record_format eprints
spelling my.upm.eprints.458942021-01-20T17:22:18Z http://psasir.upm.edu.my/id/eprint/45894/ Poor blood pressure control and its associated factors among older people with hypertension: a cross-sectional study in six public primary care clinics in Malaysia Cheong, Ai Theng Ghazali, Sazlina Shariff Tong, Seng Fah Abdul Samad, Azah Sharif, Salmiah Introduction: Hypertension is highly prevalent in the older people. Chronic disease care is a major burden in the public primary care clinics in Malaysia. Good blood pressure (BP) control is needed to reduce the morbidity and mortality of cardiovascular disease (CVD). This study aimed to determine the status of BP control and its associated factors among older people with hypertension in public primary care clinics. Materials and methods: A cross-sectional study on hypertensive patients aged 18 years and above was conducted in six public primary care clinics in Federal Territory, Malaysia. A total of 1107 patients were selected via systematic random sampling. Data from 441 (39.8%) patients aged 60 years and more were used in this analysis. BP control was determined from the average of two BP readings measured twice at an interval of 5 min. For patients without diabetes, poor BP control was defined as BP of ≥140/90 mm Hg and ≥150/90 for the patients aged 80 years and more. For patients with diabetes, poor control was defined as BP of ≥140/80 mm Hg. Results: A total of 51.7% (n = 228) of older patients had poor BP control. The factors associated with BP control were education level (p = 0.003), presence of comorbidities (p = 0.015), number of antihypertensive agents (p = 0.001) and number of total medications used (p = 0.002). Patients with lower education (less than secondary education) (OR = 1.7, p = 0.008) and the use of three or more antihypertensive agents (OR = 2.0, p = 0.020) were associated with poor BP control. Conclusion: Among older people with hypertension, those having lower education level, or using three or more antihypertensive agents would require more attention on their BP control. Academy of Family Physicians of Malaysia 2015 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/45894/1/BP.pdf Cheong, Ai Theng and Ghazali, Sazlina Shariff and Tong, Seng Fah and Abdul Samad, Azah and Sharif, Salmiah (2015) Poor blood pressure control and its associated factors among older people with hypertension: a cross-sectional study in six public primary care clinics in Malaysia. Malaysian Family Physician, 10 (1). pp. 19-25. ISSN 1985-207X https://pubmed.ncbi.nlm.nih.gov/26425291/
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
description Introduction: Hypertension is highly prevalent in the older people. Chronic disease care is a major burden in the public primary care clinics in Malaysia. Good blood pressure (BP) control is needed to reduce the morbidity and mortality of cardiovascular disease (CVD). This study aimed to determine the status of BP control and its associated factors among older people with hypertension in public primary care clinics. Materials and methods: A cross-sectional study on hypertensive patients aged 18 years and above was conducted in six public primary care clinics in Federal Territory, Malaysia. A total of 1107 patients were selected via systematic random sampling. Data from 441 (39.8%) patients aged 60 years and more were used in this analysis. BP control was determined from the average of two BP readings measured twice at an interval of 5 min. For patients without diabetes, poor BP control was defined as BP of ≥140/90 mm Hg and ≥150/90 for the patients aged 80 years and more. For patients with diabetes, poor control was defined as BP of ≥140/80 mm Hg. Results: A total of 51.7% (n = 228) of older patients had poor BP control. The factors associated with BP control were education level (p = 0.003), presence of comorbidities (p = 0.015), number of antihypertensive agents (p = 0.001) and number of total medications used (p = 0.002). Patients with lower education (less than secondary education) (OR = 1.7, p = 0.008) and the use of three or more antihypertensive agents (OR = 2.0, p = 0.020) were associated with poor BP control. Conclusion: Among older people with hypertension, those having lower education level, or using three or more antihypertensive agents would require more attention on their BP control.
format Article
author Cheong, Ai Theng
Ghazali, Sazlina Shariff
Tong, Seng Fah
Abdul Samad, Azah
Sharif, Salmiah
spellingShingle Cheong, Ai Theng
Ghazali, Sazlina Shariff
Tong, Seng Fah
Abdul Samad, Azah
Sharif, Salmiah
Poor blood pressure control and its associated factors among older people with hypertension: a cross-sectional study in six public primary care clinics in Malaysia
author_facet Cheong, Ai Theng
Ghazali, Sazlina Shariff
Tong, Seng Fah
Abdul Samad, Azah
Sharif, Salmiah
author_sort Cheong, Ai Theng
title Poor blood pressure control and its associated factors among older people with hypertension: a cross-sectional study in six public primary care clinics in Malaysia
title_short Poor blood pressure control and its associated factors among older people with hypertension: a cross-sectional study in six public primary care clinics in Malaysia
title_full Poor blood pressure control and its associated factors among older people with hypertension: a cross-sectional study in six public primary care clinics in Malaysia
title_fullStr Poor blood pressure control and its associated factors among older people with hypertension: a cross-sectional study in six public primary care clinics in Malaysia
title_full_unstemmed Poor blood pressure control and its associated factors among older people with hypertension: a cross-sectional study in six public primary care clinics in Malaysia
title_sort poor blood pressure control and its associated factors among older people with hypertension: a cross-sectional study in six public primary care clinics in malaysia
publisher Academy of Family Physicians of Malaysia
publishDate 2015
url http://psasir.upm.edu.my/id/eprint/45894/1/BP.pdf
http://psasir.upm.edu.my/id/eprint/45894/
https://pubmed.ncbi.nlm.nih.gov/26425291/
_version_ 1690372562516705280
score 13.211869

Similar Items