Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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Factors Associated with Hypertension Control and Antihypertensive Medication among Hypertensive Patients in a Community

지역사회 고혈압 환자에서 고혈압 조절 및 항고혈압제 복용에 관련된 요인

  • Lee, Dong-Han (Department of Preventive Medicine and Public Health, Yonsei University College of Medicine) ;
  • Choi, Youn-Hee (Department of Preventive Dentistry, Kyungpook National University College of Dentistry) ;
  • Lee, Kang-Hee (MSD Korea LTD) ;
  • Kang, Dae-Ryong (Department of Preventive Medicine and Public Health, Yonsei University College of Medicine) ;
  • Jee, Sun-Ha (Graduate School of Health Science and Management, Yonsei University) ;
  • Nam, Chung-Mo (Department of Preventive Medicine and Public Health, Yonsei University College of Medicine) ;
  • Suh, Il (Department of Preventive Medicine and Public Health, Yonsei University College of Medicine)
  • 이동한 (연세대학교 의과대학 예방의학교실) ;
  • 최연희 (경북대학교 치과대학 예방치과학교실) ;
  • 이강희 (한국엠에스디주식회사) ;
  • 강대룡 (연세대학교 의과대학 예방의학교실) ;
  • 지선하 (연세대학교 보건대학원) ;
  • 남정모 (연세대학교 의과대학 예방의학교실) ;
  • 서일 (연세대학교 의과대학 예방의학교실)
  • Published : 2003.09.01
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Abstract

Objectives : The main objectives of this study are to identify the factors associated with hypertension control and to determine the influencing factors associated with antihypertensive therapy. Methods : The study was conducted on 107 subjects who participated in the 1999 and 2002 Gwacheon Study and who had had uncontrolled hypertension (systolic$\geq$140 or diastolic$\geq$ 90mmHg) in 1999, We compared the characteristics of the controlled and uncontrolled hypertensive group and investigated the characteristics of those taking antihypertensive medication. Univariate associations between hypertension control and its characteristics and the association between antihypertension treatment and its characteristics were tested with $x^2$-test. We also peformed logistic regression analysis. Results : The participants who had their blood pressure checked within 6 months before their first measurement and those who had taken the antihypertensive medication showed significantly better hypertension control during the follow-up. The multivariate analysis showed that baseline antihypertensive therapy was the most important determinant factor of hypertension control during the follow-up. Socioeconomic level and life style did not affect hypertension control when controlled by the treatment variable in this study. The factors associated with antihypertensive therapy at follow-up were previous antihypertensive therapy, old age, and high educational level. Conclusions : Those who received antihypertensive therapy and those who had their blood pressure re-checked within 6 months both showed well controlled hypertension. The subjects with high educational level complied well with the antihypertensive regimen, but those in their forties did not.

Keywords

References

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