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Factors Associated with Hypertension Among Men in Darkhan-Uul Province, Mongolia: A Cross-Sectional Study
Naoko Hikita1, Megumi Haruna1, Masayo Matsuzaki2
1Department of Midwifery and Women's Health, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Japan.
Insights
Higher BMI increases hypertension risk in Mongolian men, while smoking appears protective. This study highlights the need for weight management education to combat high hypertension rates in Mongolia.
Area of Science:
- Public Health
- Cardiovascular Health
- Epidemiology
Background:
- Cardiovascular disease is the leading cause of death in Mongolia.
- Hypertension prevalence is notably high in the Mongolian population.
- Understanding hypertension risk factors in men is crucial for public health interventions.
Purpose of the Study:
- To investigate the association between hypertension and sociodemographic factors.
- To examine the link between hypertension and health-related behaviors among men.
- To provide insights for hypertension prevention strategies in Mongolia.
Main Methods:
- Cross-sectional study conducted in Darkhan-Uul Province, Mongolia.
- Recruitment of men whose partners were in early pregnancy (≤20 weeks gestation).
- Data collection via self-administered questionnaires, anthropometry, and urinary cotinine levels.
Main Results:
- Men with higher Body Mass Index (BMI) showed increased odds of hypertension (AOR: 1.14).
- Smokers (urinary cotinine >100 ng/ml) exhibited a lower risk of hypertension (AOR: 0.24).
- This is the first study of its kind in Mongolia.
Conclusions:
- Higher BMI is a significant risk factor for hypertension in Mongolian men.
- Public health initiatives should emphasize weight control for hypertension prevention.
- Further research may explore the complex relationship between smoking and hypertension in this population.
Abstract:
In Mongolia, cardiovascular disease is the leading cause of death, and prevalence of hypertension is very high. The aim of this study was to investigate the association between hypertension and sociodemographic factors and health-related behaviors among men in Darkhan-Uul Province, Mongolia. This cross-sectional study was conducted between November 2015 and January 2016. Men whose wives were pregnant with ≤ 20 weeks gestation and had attended antenatal health checkups at public health facilities were recruited in this study. The data were collected as part of a survey of pregnant women and their partners. Data were collected using self-administered questionnaires, anthropometry, and spot urine samples. A total of 224 men participated in the survey, and data from 209 participants were included in the analysis. Multiple logistic regression analysis showed that men with higher BMI had higher odds of hypertension than those with lower BMI (adjusted odds ratio [AOR]: 1.14, 95% CI: 1.03-1.26). Those with urinary cotinine > 100 ng/ml (smokers) had a lower risk of hypertension (AOR: 0.24, 95% CI: 0.09-0.67) compared to participants with urinary cotinine/ml (nonsmokers). This is the first study to investigate the association between hypertension and sociodemographic factors and health-related behaviors among men in Mongolia. Based on the findings of this study, clinicians responsible for public health in Mongolia should provide health education regarding the importance of weight control in preventing hypertension.
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Physiological Factors:
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Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Assessment of blood pressure in brachial artery(one-step method)
Prepare for the Procedure:

