Myanmar Health Sciences Research Journal
Volume 28, Number 3
TITLE: Care-seeking Behavior and Detection of Target Organ Involvement among Hypertensive Patients in Yangon Region (2014-2015)
AUTHOR: Nwe Nwe, Ko Ko Zaw & Sein Hlaing
SOURCE: Myanmar Health Sciences Research Journal, Vol. 28, No. 3, 2016
ABSTRACT: Hypertension is a major risk factor for cardiovascular diseases (CVDs) and hemorrhagic stroke due to hypertension is one of the leading causes of death in Myanmar. The aim of the study was for assessing knowledge, attitude, and practice related to hypertension among people with known history of hypertension who seek care in CVD clinics with public health care facilities in Yangon Region. A cross-sectional study was conducted from December 2014 to March 2015 among 622 hypertensive patients seeking care at 12 CVD clinics in Yangon Region. Data collection was done by the trained interviewers by using a pretested standard questionnaire and weight, height, ECG, blood pressure (BP) were measured. Capillary blood sampling was done with calibrated standardized machines. After cleaning of data, it was entered using Epidata software and analyzed using STATA. Over 90% of respondents were ≥40 years, female-male ratio was about 2:1, majority were married, had education of middle school or lower while annual household income varied from 200,000 to 300,000 kyats per month. At least 60% of the study population has the knowledge on ways of controlling BP and some common complications of hypertension such as stroke and heart attack. The respondents’ household usually added salt in cooking or preparing food despite knowing the health risk of salty food. Most of the respondents had limited consumption of processed food. The majority of the respondents had lower than 5 servings of fruits and vegetables daily and were physically inactive. Over half of the respondents were overweight and their total blood cholesterol levels were high. About 7 in 10 respondents had uncontrolled BP although they were taking anti-hypertensive drugs regularly. The study showed that about 6 in 10 respondents had at least one target organ involvement due to hypertension (renal impairment or abnormal ECG changes). This study indicates the need for strong behavior change communication programs for hypertensive patients focusing on regular monitoring of blood pressure, reduction of dietary salt consumption, more consumption of fruits and vegetables, adoption of physically active life and control of body weight.
SUBJECT HEADINGS: Hypertension, CVD risk, Target organ involvement