2023-09-28 14:46:10 +00:00
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abstract: 'Cardiovascular disease is a leading cause of death in the Kingdom of
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Bhutan, and early detection of hypertension is critical for preventing
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cardiovascular disease. However, health-seeking behavior, including
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blood pressure measurement, is infrequently investigated in Bhutan.
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Therefore, this study investigated factors related to blood pressure
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measurement in Bhutan. We performed a secondary data analysis of a
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target population of 1,962 individuals using data from the ``2014 Bhutan
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STEPS survey data{''''}as a cross-sectional study. Approximately 26\% of
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those with hypertension who were detected during the STEPS survey had
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never had their blood pressure measured. Previous blood pressure
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measurement was significantly associated with age and working status in
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men (self-employed {[}odds ratio (OR): 0.219, 95\% CI: 0.133-0.361],
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non-working {[}OR: 0.114, 95\% CI: 0.050-0.263], employee {[}OR:
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1.000]). Previous blood pressure measurement was significantly
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associated with higher income in women (Quartile-2 {[}OR: 1.984, 95\%
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CI: 1.209-3.255], Quartile-1 {[}OR: 2.161, 95\% CI: 1.415-3.299],
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Quartile-4 {[}OR: 1.000]). A family history of hypertension (OR: 2.019,
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95\% CI: 1.549-2.243) increased the likelihood of having experienced a
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blood pressure measurement in both men and women. Multivariate logistic
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regression showed that people with unhealthy lifestyles (high salt
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intake {[}adjusted odds ratio (AOR): 0.247, 95\% confidence interval
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(CI): 0.068-0.893], tobacco use {[}AOR: 0.538, 95\% CI: 0.380-0.761])
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had a decreased likelihood of previous blood pressure measurement. To
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promote the early detection of hypertension in Bhutan, we suggest that
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more attention be paid to low-income women, non-working, self-employed,
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and low-income men, and a reduction of barriers to blood pressure
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measurement. Before the STEPS survey, a substantial number of
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hypertensive people had never had their blood pressure measured or were
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unconcerned about their health. As a result, we propose that early blood
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pressure monitoring and treatment for people with hypertension or at
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higher risk of hypertension be given increased emphasis.'
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affiliation: 'Imanaka, Y (Corresponding Author), Kyoto Univ, Grad Sch Med, Dept Healthcare
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Econ \& Qual Management, Kyoto, Japan.
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Segawa, Hiromi Kohori; Uematsu, Hironori; Kunisawa, Susumu; Imanaka, Yuichi, Kyoto
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Univ, Grad Sch Med, Dept Healthcare Econ \& Qual Management, Kyoto, Japan.
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Segawa, Hiromi Kohori, Kyoto Univ, Kokoro Res Ctr, Kyoto, Japan.
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Dorji, Nidup; Wangdi, Ugyen; Dorjee, Chencho, Khesar Gyalpo Univ Med Sci Bhutan,
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Fac Nursing \& Publ Hlth, Thimphu, Bhutan.
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Yangchen, Pemba, Minist Hlth Bhutan, Noncommunicable Dis Div, Thimphu, Bhutan.
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Sakamoto, Ryota, Kyoto Univ, Ctr Southeast Asian Studies, Kyoto, Japan.'
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article-number: e0271914
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author: Segawa, Hiromi Kohori and Uematsu, Hironori and Dorji, Nidup and Wangdi, Ugyen
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and Dorjee, Chencho and Yangchen, Pemba and Kunisawa, Susumu and Sakamoto, Ryota
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and Imanaka, Yuichi
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author-email: imanaka-y@umin.net
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author_list:
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- family: Segawa
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given: Hiromi Kohori
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- family: Uematsu
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given: Hironori
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- family: Dorji
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given: Nidup
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- family: Wangdi
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given: Ugyen
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- family: Dorjee
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given: Chencho
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- family: Yangchen
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given: Pemba
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- family: Kunisawa
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given: Susumu
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- family: Sakamoto
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given: Ryota
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- family: Imanaka
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given: Yuichi
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da: '2023-09-28'
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doi: 10.1371/journal.pone.0271914
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files: []
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issn: 1932-6203
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journal: PLOS ONE
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keywords-plus: HEALTH-SEEKING BEHAVIOR; HYPERTENSION; PREVALENCE; MIDDLE; TESTS; CARE
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language: English
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month: AUG 17
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number: '8'
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number-of-cited-references: '50'
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orcid-numbers: 'Yuichi, Imanaka/0000-0003-4613-2159
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Dorji, Nidup/0000-0001-6243-0020
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Segawa, Hiromi/0000-0003-4038-1189'
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papis_id: ff12ed5519819d51ab6b6fbcc22e23df
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ref: Segawa2022socialbehavioral
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researcherid-numbers: 'KUNISAWA, Susumu/HCH-1094-2022
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Yuichi, Imanaka/GYR-2098-2022
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'
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times-cited: '0'
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title: 'Social and behavioral factors related to blood pressure measurement: A cross-sectional
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study in Bhutan'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000847227000018
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usage-count-last-180-days: '0'
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usage-count-since-2013: '1'
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volume: '17'
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web-of-science-categories: Multidisciplinary Sciences
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year: '2022'
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