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Characterizing Patients with Uncontrolled Blood Pressure at an Urban Hospital in Hanoi, Vietnam

Hoang Thanh Nguyen1, Nam Hoang Thi Phuong1,2, Ngoc Tran Nguyen1,3

  • 1Hanoi Medical University, Hanoi, Vietnam.

International Journal of Hypertension
|October 2, 2020
PubMed

Insights

Uncontrolled hypertension affects 40.5% of patients in Vietnam. Factors like male sex, longer disease duration, and higher BMI increase risk, while self-care and healthy behaviors improve blood pressure control.

Area of Science:

  • Cardiology
  • Public Health
  • Epidemiology

Background:

  • Despite advances in hypertension diagnosis and treatment, high rates of uncontrolled blood pressure persist globally.
  • Effective hypertension management is crucial for preventing cardiovascular complications.

Purpose of the Study:

  • To determine the prevalence of uncontrolled hypertension among patients managed in an urban Vietnamese hospital.
  • To identify demographic, clinical, and behavioral factors associated with uncontrolled hypertension in this population.

Main Methods:

  • A cross-sectional survey was conducted from August to October 2019 in Hanoi, Vietnam.
  • Data on blood pressure, demographics, clinical history, and behaviors were collected from 220 hypertensive patients.
  • Multivariate logistic regression analysis was employed to identify factors associated with uncontrolled hypertension.

Main Results:

  • The prevalence of uncontrolled hypertension was 40.5% among the study participants.
  • Male sex (adjusted OR = 0.33), longer disease duration (adjusted OR = 1.07), and higher body mass index (adjusted OR = 1.23) were significantly associated with uncontrolled hypertension.
  • Factors such as self-care, stress reduction, regular exercise, and smoking cessation were linked to better blood pressure control.

Conclusions:

  • Uncontrolled hypertension is a significant public health issue in Vietnam.
  • Interventions focused on enhancing self-care capabilities and promoting healthy lifestyle behaviors are essential for improving blood pressure control, especially for high-risk groups including males, individuals with longer disease duration, and those with higher BMI.

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