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Hypertension and hypertension-related disease in mongolia; findings of a national knowledge, attitudes and practices
Alessandro R Demaio1, Dugee Otgontuya, Maximilian de Courten
1Copenhagen School of Global Health, University of Copenhagen, Øster Farimagsgade 5, DK-1014 Copenhagen, Denmark. demaio@sund.ku.dk
Insights
Many Mongolians lack basic knowledge about blood pressure and its risks, especially younger men and rural populations. This highlights significant health knowledge gaps regarding hypertension in Mongolia.
Area of Science:
- Public Health
- Epidemiology
- Health Knowledge
Background:
- Hypertension poses a significant and growing health challenge in Mongolia.
- Cardiovascular diseases are a leading cause of mortality in the country.
- Limited understanding exists regarding the Mongolian population's knowledge, attitudes, and practices concerning blood pressure.
Purpose of the Study:
- To assess the knowledge, attitudes, and practices related to blood pressure in Mongolia.
- To identify specific population subgroups with lower awareness of hypertension risks.
Main Methods:
- A national survey on Non-Communicable Diseases (NCDs) focusing on blood pressure was conducted in late 2010.
- A multi-stage, random cluster sampling method included 3450 households across Mongolia.
- Interviewer-administered questionnaires collected demographic, socio-economic, and health-related data, aligning with WHO STEPS survey methodologies.
Main Results:
- One-fifth of participants had never heard of 'blood pressure', with higher rates among men, particularly younger men.
- Most recognized high blood pressure as a health threat, with greater risk awareness in urban areas.
- Awareness of the salt-blood pressure link was around 70%; perceived barriers to screening included 'lack of perceived importance', and only medication and exercise were seen as moderately effective prevention methods.
Conclusions:
- Significant health knowledge gaps concerning hypertension risks exist in specific Mongolian subpopulations, including rural, younger, male, and less educated individuals.
- These groups are most vulnerable to hypertension and its associated health outcomes.
- The findings underscore the need for targeted health education initiatives to address these knowledge deficits.
Background:
Mongolia has a high and increasing burden of hypertension and related disease, with cardiovascular diseases among the leading causes of death. Yet little is known about the knowledge, attitudes and practices of the Mongolian population with regards to blood pressure. With this in mind, a national Non-Communicable Diseases knowledge, attitudes and practices survey on blood pressure was implemented in late 2010. This paper reports on the findings of this research.
Methods:
Using a multi-stage, random cluster sampling method 3450 participant households were selected from across Mongolia. This survey was interviewer-administered and included demographic and socio-economic questions. Sample size was calculated using methods aligned with the World Health Organization STEPS surveys.
Results:
One fifth of participants reported having never heard the term 'blood pressure'. This absence of health knowledge was significantly higher in men, and particularly younger men. The majority of participants recognised high blood pressure to be a threat to health, with a higher level of risk awareness among urban individuals. Education level and older age were generally associated with a heightened knowledge and risk perception. Roughly seven in ten participants were aware of the relationship between salt and blood pressure. Exploring barriers to screening, participants rated a 'lack of perceived importance' as the main deterring factor among fellow Mongolians and overall, participants perceived medication and exercise as the only interventions to be moderately effective at preventing high blood pressure.
Conclusion:
Rural populations; younger populations; men; and less educated populations, all with lower levels of knowledge and risk perception regarding hypertension, present those most vulnerable to it and the related health outcomes. This research intimates major health knowledge gaps in sub-populations within Mongolia, regarding health-risks related to hypertension.
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Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart beats)...