The Determinants of and Barriers to Awareness and Treatment of Hypertension in the Korean Population

Asia Pac J Public Health. 2019 Mar;31(2):121-135. doi: 10.1177/1010539518825006. Epub 2019 Jan 24.

Abstract

This study investigated whether sociodemographic, health behavioral, biomedical, and health status factors are associated with the awareness and treatment status of hypertension. Data were analyzed from 13 180 adults with hypertension in a nationally representative sample collected from 2007 to 2015 through the Korean National Health and Nutrition Examination Survey. Among hypertensive Korean adults, only 65.2% were aware of their condition and being treated with antihypertensive medications. Younger age was identified as an important barrier to diagnosis and treatment of hypertension. Although there were slight differences between participants aged <65 and ≥65 years, higher risks of being untreated or being unaware of having hypertension were also associated with male gender, lower education levels, unhealthy behaviors, and a better health conditions. We suggest that aggressive interventions to improve the awareness, treatment, and/or control of hypertension should be applied to young and middle-aged people who are vulnerable to hypertension management.

Keywords: Korean; awareness; barriers; compliance/adherence; disease management; drug therapy; hypertension.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Antihypertensive Agents / therapeutic use*
  • Cross-Sectional Studies
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Health Services Accessibility*
  • Humans
  • Hypertension / drug therapy*
  • Male
  • Middle Aged
  • Nutrition Surveys
  • Republic of Korea

Substances

  • Antihypertensive Agents