Frontiers in Biomedical Sciences
Articles Information
Frontiers in Biomedical Sciences, Vol.2, No.4, Jul. 2017, Pub. Date: Aug. 1, 2017
Hypertension: Discrepancy between Enquiry and Measurement, Understanding Blood Pressure Readings
Pages: 18-22 Views: 117 Downloads: 52
Authors
[01] Waleed Al Faisal, Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates.
[02] Hamid Hussein, Health Affairs Department, Primary Health Care Services Sector, Dubai Health Authority, Dubai, United Arab Emirates.
Abstract
Long-term hypertension is a risk factor for many diseases, including heart disease, stroke and kidney failure. Long term hypertension is more common than long term hypotension. Long-term hypertension often goes undetected because of infrequent monitoring and the absence of symptoms. The objectives will be to study prevalence of hypertension among Dubai adult population by joining both the results of enquiry and the results of measurement. Dubai Household Health Survey 2014 was conducted in 2014 as a Cross-sectional, multistage, stratified, Cluster survey. Houses were visited to obtain detailed information on the different health-related issues. Individuals aged ≥18 years were investigated for the history of hypertension. Hypertension questions of the questionnaire were asked to 3716 persons. In addition, participants went through three times of blood pressure measurement by calibrated mercury sphygmomanometer conducted by well trained nurses on blood pressure measurement skills. Data were entered to the computer using Excel sheet and analyzed using SPSS 21. Results of both approaches were joined to obtain the result of prevalence. The combined results of both positive answering question (Having hypertension), and measuring blood pressure the study showed that the prevalence of hypertension among total Dubai population was 24.6% and pre hypertension stage is about 49.7%. Regarding Emirati population, 20.1% were hypertensive, and 43.4% were pre hypertensive. Regarding Non-Emirati population, 25% were hypertensive, and 50.1% were pre hypertensive. The study concluded that about one quarter of total Dubai population have had hypertension, and half of the population are having prehypertension. Estimations explained that there are discrepancy in prevalence of hypertension as per answering a question of having hypertension compared to measuring blood pressure by sphygmomanometer, which reflect more hidden hypertension cases detected only by measuring. Accurate and standardized measuring of blood pressure should be always considered as golden standard in detection of hypertension. Population-based hypertension screening program has to be activated and consequently adequate prevention and control strategy has to be vitalized.
Keywords
Hypertension, History, Measurement, Discrepancy, Population Based, Dubai
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