132 lines
4.2 KiB
YAML
132 lines
4.2 KiB
YAML
|
abstract: 'Cardiovascular disease is a leading cause of death in the Kingdom of
|
||
|
|
|
||
|
|
Bhutan, and early detection of hypertension is critical for preventing
|
||
|
|
|
||
|
|
cardiovascular disease. However, health-seeking behavior, including
|
||
|
|
|
||
|
|
blood pressure measurement, is infrequently investigated in Bhutan.
|
||
|
|
|
||
|
|
Therefore, this study investigated factors related to blood pressure
|
||
|
|
|
||
|
|
measurement in Bhutan. We performed a secondary data analysis of a
|
||
|
|
|
||
|
|
target population of 1,962 individuals using data from the ``2014 Bhutan
|
||
|
|
|
||
|
|
STEPS survey data{''''}as a cross-sectional study. Approximately 26\% of
|
||
|
|
|
||
|
|
those with hypertension who were detected during the STEPS survey had
|
||
|
|
|
||
|
|
never had their blood pressure measured. Previous blood pressure
|
||
|
|
|
||
|
|
measurement was significantly associated with age and working status in
|
||
|
|
|
||
|
|
men (self-employed {[}odds ratio (OR): 0.219, 95\% CI: 0.133-0.361],
|
||
|
|
|
||
|
|
non-working {[}OR: 0.114, 95\% CI: 0.050-0.263], employee {[}OR:
|
||
|
|
|
||
|
|
1.000]). Previous blood pressure measurement was significantly
|
||
|
|
|
||
|
|
associated with higher income in women (Quartile-2 {[}OR: 1.984, 95\%
|
||
|
|
|
||
|
|
CI: 1.209-3.255], Quartile-1 {[}OR: 2.161, 95\% CI: 1.415-3.299],
|
||
|
|
|
||
|
|
Quartile-4 {[}OR: 1.000]). A family history of hypertension (OR: 2.019,
|
||
|
|
|
||
|
|
95\% CI: 1.549-2.243) increased the likelihood of having experienced a
|
||
|
|
|
||
|
|
blood pressure measurement in both men and women. Multivariate logistic
|
||
|
|
|
||
|
|
regression showed that people with unhealthy lifestyles (high salt
|
||
|
|
|
||
|
|
intake {[}adjusted odds ratio (AOR): 0.247, 95\% confidence interval
|
||
|
|
|
||
|
|
(CI): 0.068-0.893], tobacco use {[}AOR: 0.538, 95\% CI: 0.380-0.761])
|
||
|
|
|
||
|
|
had a decreased likelihood of previous blood pressure measurement. To
|
||
|
|
|
||
|
|
promote the early detection of hypertension in Bhutan, we suggest that
|
||
|
|
|
||
|
|
more attention be paid to low-income women, non-working, self-employed,
|
||
|
|
|
||
|
|
and low-income men, and a reduction of barriers to blood pressure
|
||
|
|
|
||
|
|
measurement. Before the STEPS survey, a substantial number of
|
||
|
|
|
||
|
|
hypertensive people had never had their blood pressure measured or were
|
||
|
|
|
||
|
|
unconcerned about their health. As a result, we propose that early blood
|
||
|
|
|
||
|
|
pressure monitoring and treatment for people with hypertension or at
|
||
|
|
|
||
|
|
higher risk of hypertension be given increased emphasis.'
|
||
|
|
affiliation: 'Imanaka, Y (Corresponding Author), Kyoto Univ, Grad Sch Med, Dept Healthcare
|
||
|
|
Econ \& Qual Management, Kyoto, Japan.
|
||
|
|
|
||
|
|
Segawa, Hiromi Kohori; Uematsu, Hironori; Kunisawa, Susumu; Imanaka, Yuichi, Kyoto
|
||
|
|
Univ, Grad Sch Med, Dept Healthcare Econ \& Qual Management, Kyoto, Japan.
|
||
|
|
|
||
|
|
Segawa, Hiromi Kohori, Kyoto Univ, Kokoro Res Ctr, Kyoto, Japan.
|
||
|
|
|
||
|
|
Dorji, Nidup; Wangdi, Ugyen; Dorjee, Chencho, Khesar Gyalpo Univ Med Sci Bhutan,
|
||
|
|
Fac Nursing \& Publ Hlth, Thimphu, Bhutan.
|
||
|
|
|
||
|
|
Yangchen, Pemba, Minist Hlth Bhutan, Noncommunicable Dis Div, Thimphu, Bhutan.
|
||
|
|
|
||
|
|
Sakamoto, Ryota, Kyoto Univ, Ctr Southeast Asian Studies, Kyoto, Japan.'
|
||
|
|
article-number: e0271914
|
||
|
|
author: Segawa, Hiromi Kohori and Uematsu, Hironori and Dorji, Nidup and Wangdi, Ugyen
|
||
|
|
and Dorjee, Chencho and Yangchen, Pemba and Kunisawa, Susumu and Sakamoto, Ryota
|
||
|
|
and Imanaka, Yuichi
|
||
|
|
author-email: imanaka-y@umin.net
|
||
|
|
author_list:
|
||
|
|
- family: Segawa
|
||
|
|
given: Hiromi Kohori
|
||
|
|
- family: Uematsu
|
||
|
|
given: Hironori
|
||
|
|
- family: Dorji
|
||
|
|
given: Nidup
|
||
|
|
- family: Wangdi
|
||
|
|
given: Ugyen
|
||
|
|
- family: Dorjee
|
||
|
|
given: Chencho
|
||
|
|
- family: Yangchen
|
||
|
|
given: Pemba
|
||
|
|
- family: Kunisawa
|
||
|
|
given: Susumu
|
||
|
|
- family: Sakamoto
|
||
|
|
given: Ryota
|
||
|
|
- family: Imanaka
|
||
|
|
given: Yuichi
|
||
|
|
da: '2023-09-28'
|
||
|
|
doi: 10.1371/journal.pone.0271914
|
||
|
|
files: []
|
||
|
|
issn: 1932-6203
|
||
|
|
journal: PLOS ONE
|
||
|
|
keywords-plus: HEALTH-SEEKING BEHAVIOR; HYPERTENSION; PREVALENCE; MIDDLE; TESTS; CARE
|
||
|
|
language: English
|
||
|
|
month: AUG 17
|
||
|
|
number: '8'
|
||
|
|
number-of-cited-references: '50'
|
||
|
|
orcid-numbers: 'Yuichi, Imanaka/0000-0003-4613-2159
|
||
|
|
|
||
|
|
Dorji, Nidup/0000-0001-6243-0020
|
||
|
|
|
||
|
|
Segawa, Hiromi/0000-0003-4038-1189'
|
||
|
|
papis_id: ff12ed5519819d51ab6b6fbcc22e23df
|
||
|
|
ref: Segawa2022socialbehavioral
|
||
|
|
researcherid-numbers: 'KUNISAWA, Susumu/HCH-1094-2022
|
||
|
|
|
||
|
|
Yuichi, Imanaka/GYR-2098-2022
|
||
|
|
|
||
|
|
'
|
||
|
|
times-cited: '0'
|
||
|
|
title: 'Social and behavioral factors related to blood pressure measurement: A cross-sectional
|
||
|
|
study in Bhutan'
|
||
|
|
type: Article
|
||
|
|
unique-id: WOS:000847227000018
|
||
|
|
usage-count-last-180-days: '0'
|
||
|
|
usage-count-since-2013: '1'
|
||
|
|
volume: '17'
|
||
|
|
web-of-science-categories: Multidisciplinary Sciences
|
||
|
|
year: '2022'
|