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Regional differences in the prevalence of arterial hypertension in Croatia
Marijan Erceg1, Josipa Kern, Andrea Babić-Erceg
1Croatian National Institute of Public Health, Zagreb, Croatia. marijan.erceg@hzjz.hr
Insights
High blood pressure (hypertension) affects over 40% of Croatian men and 35% of women. Early detection and lifestyle changes are crucial for managing this public health issue.
Area of Science:
- Public Health
- Epidemiology
- Cardiovascular Health
Background:
- Hypertension is a significant global health concern.
- Understanding the prevalence of hypertension in specific populations is vital for targeted interventions.
- The Croatian Adult Health Survey provides valuable data on the health status of the adult population.
Purpose of the Study:
- To analyze the prevalence of hypertension in the adult Croatian population.
- To examine regional variations in hypertension prevalence among men and women.
- To highlight the public health implications of uncontrolled hypertension in Croatia.
Main Methods:
- Analysis of the 2003 Croatian Adult Health Survey data, including 9,070 respondents aged 18+.
- Hypertension defined as mean systolic arterial pressure >= 140 mmHg or mean diastolic pressure >= 90 mmHg, based on average of two measurements.
- Separate analysis of data for men and women, stratified by region.
Main Results:
- Overall hypertension prevalence was 40.5% in men and 34.9% in women.
- No significant regional differences in hypertension prevalence were observed in women.
- Men showed no significant regional variations except in the Northern and Eastern regions.
Conclusions:
- Non-controlled arterial hypertension represents a substantial public health challenge across all monitored regions of Croatia.
- Increased public awareness, early detection, and adherence to therapy are essential for hypertension control.
- Promoting healthy lifestyles is critical for successful hypertension management and harm reduction.
Abstract:
This paper analyzes the Croatian Adult Health Survey data, collected in 2003 with a total of 9,070 respondents aged 18+. Based on an average of two measurements, respondents with the mean systolic arterial pressure > or = 140 mmHg or mean diastolic pressure > or = 90 mmHg were classified as hypertensive. The data for men and women were analyzed separately, according to regions. Prevalence of hypertension in men was 40.5% (95% confidence interval CI 37.9-43.01; coefficient of variability CV = 3.2), women 34.9% (95% CI 33.2-36.7; CV 2.5). There were no significant differences in regional prevalence in men, except in the Northern and Eastern region. In women we did not detect any significant regional difference. Non-controlled arterial hypertension is an important public health problem in all monitored regions of Croatia. Raising awareness about the problem, early detection and encouraging the population to adhere to the therapy for elevated arterial pressure, in addition to a healthy life style, are important for successful control and harm reduction.
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