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Unmet needs for hypertension diagnosis among older adults in Myanmar: secondary analysis of a multistage sampling

Ikuma Nozaki1, Yugo Shobugawa2, Yuri Sasaki3

  • 1Bureau of International Health Cooperation, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-Ku, Tokyo, Japan. i-nozaki@it.ncgm.go.jp.

Health Research Policy and Systems
|November 29, 2022
PubMed

Insights

Many older adults in Myanmar have undiagnosed hypertension, particularly men and those in the Bago region. Addressing barriers to hypertension diagnosis is crucial for improving health outcomes in this population.

Area of Science:

  • Gerontology
  • Public Health
  • Epidemiology

Background:

  • Hypertension significantly impacts morbidity in older adults.
  • Access to health services for hypertension diagnosis in Myanmar remains under-researched.
  • Identifying unmet needs in hypertension diagnosis is critical for targeted interventions.

Purpose of the Study:

  • To investigate unmet needs in hypertension diagnosis among older adults in Myanmar.
  • To identify factors associated with the lack of hypertension diagnosis in the study population.

Main Methods:

  • Secondary data analysis of a cross-sectional survey of adults aged 60 and above in Myanmar.
  • Objective health indicators, including blood pressure, were collected.
  • Logistic regression analysis was used to determine factors associated with unmet needs for hypertension diagnosis.

Main Results:

  • A high prevalence of hypertension (71.4%) was observed in 1200 participants.
  • 20% of participants with hypertension remained undiagnosed.
  • Unmet needs for diagnosis were linked to male sex, residing in the Bago region, and better self-rated health.

Conclusions:

  • Significant barriers exist in accessing hypertension diagnostic services in Myanmar, indicated by regional disparities.
  • Male sex, Bago region residence, and better self-rated health are associated with unmet needs for hypertension diagnosis.
  • Charitable clinics may play a role in reducing financial barriers to hypertension diagnosis.
Abstract

Keywords:
Healthcare accessJapan Gerontological Evaluation Study (JAGES)Older adultsSelf-rated health status

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