Prevalence and Determinants of Pre-Hypertension among Omani Adults Attending Non-Communicable Disease Screening Program in Primary Care Setting in Sohar City

Ali Abdullah Al-Maqbali; Meredith Temple-Smith; John Ferler; Irene Blackberry

doi:10. 5001/omj.2013.94

Article Details

Prevalence and Determinants of Pre-Hypertension among Omani Adults Attending Non-Communicable Disease Screening Program in Primary Care Setting in Sohar City

Authors:

Ali Abdullah Al-Maqbali | Meredith Temple-Smith | John Ferler | Irene Blackberry

Publisher:

Oman Medical Specialty Board

Main Topics:

Medicine

Journal:

Oman Medical Journal 2013 vol.28 Issue 5, pp.316-323

Document Type:

Article

Publication Date:

9/2013

Document Language:

English

Document ID (Org No.):

35801

Frequency:

Bi-Monthly

eISSN:

20705204

pISSN:

1999768X

DOI:

10. 5001/omj.2013.94

Descriptors:

Keywords:

Abstract:

 Objectives: To estimate the prevalence of pre-hypertension and itsassociation with some selected cardiovascular risk factors amongthe Omani adult population in the primary healthcare setting.Method: A cross-sectional study involving a sample taken from aNational Screening Program of chronic non-communicable diseasesin primary healthcare institutions, Sohar city, Sultanate of Oman( July 2006 - December 2007). Inclusion criteria included Omanisaged 40 years or above residents of Sohar city attending primaryhealthcare institutions not previously diagnosed with diabetesmellitus, hypertension, or chronic kidney diseases. Descriptivestatistics were used to describe the demographic, physical andmetabolic characteristics. Univariate analysis was used to identifythe significant association between the characteristics and normalblood pressure, pre-hypertension and hypertension. Chi-squaredtest was used for categorical variables analysis and independentt-test was used for continuous variables analysis. In order toexamine the strength of significant associations, the multinomiallogistic regression analysis was used.Results: There were 1498 participants, 41% were males and 59%were females. Overall, pre-hypertension was observed in 45% of thetotal study population (95% CI: 0.422 - 0.473). There were moremales affected than females (46% versus 44%). About 34% of thetotal study population was hypertensive. The multinomial logisticregression analysis revealed that an increase of one unit of age, bodymass index, fasting blood glucose and total blood cholesterol, weresignificantly associated with higher risk in both pre-hypertensionand hypertension. High odds ratio of pre-hypertension andhypertension was found with the total blood cholesterol.Conclusion: The prevalence of pre-hypertension was high amongthe Omani adult population. The determinants of pre-hypertensionin this research age, body mass index, fasting blood glucose and totalblood cholesterol. A cost-effectiveness study about the managementof pre-hypertension within primary healthcare is significant in thefuture health system service strategies.

Article Details

Prevalence and Determinants of Pre-Hypertension among Omani Adults Attending Non-Communicable Disease Screening Program in Primary Care Setting in Sohar City

Authors:

Ali Abdullah Al-Maqbali | Meredith Temple-Smith | John Ferler | Irene Blackberry

Publisher:

Oman Medical Specialty Board

Main Topics:

Medicine

Journal:

Oman Medical Journal 2013 vol.28 Issue 5, pp.316-323

Document Type:

Article

Publication Date:

9/2013

Document Language:

English

Document ID (Org No.):

35801

Frequency:

Bi-Monthly

eISSN:

20705204

pISSN:

1999768X

DOI:

10. 5001/omj.2013.94

Descriptors:

CHRONIC DISEASES

CARDIOVASCULAR DISEASES

BLOOD PRESSURE

HYPERTENSION

PRIMARY HEALTH CARE

OVERWEIGHT

PATIENTS

THERAPY

Pre

hypertension

Diabetes

Hypertension

cardiovas

cular diseases

Issues

Article Details

Authors: Ali Abdullah Al-Maqbali | Meredith Temple-Smith | John Ferler | Irene Blackberry

Publisher: Oman Medical Specialty Board

Main Topics: Medicine

Journal: Oman Medical Journal 2013 vol.28 Issue 5, pp.316-323

Document Type: Article

Publication Date: 9/2013

Document Language: English

Document ID (Org No.): 35801

Frequency: Bi-Monthly

eISSN: 20705204

pISSN: 1999768X

DOI: 10. 5001/omj.2013.94

Descriptors:

Issues

Authors:

Ali Abdullah Al-Maqbali | Meredith Temple-Smith | John Ferler | Irene Blackberry

Publisher:

Oman Medical Specialty Board

Main Topics:

Medicine

Journal:

Oman Medical Journal 2013 vol.28 Issue 5, pp.316-323

Document Type:

Article

Publication Date:

9/2013

Document Language:

English

Document ID (Org No.):

35801

Frequency:

Bi-Monthly

eISSN:

20705204

pISSN:

1999768X

DOI:

10. 5001/omj.2013.94