Associated Factors of Hypertension in Women and Men in Vietnam: A Cross-Sectional Study

Int J Environ Res Public Health. 2019 Nov 26;16(23):4714. doi: 10.3390/ijerph16234714.

Abstract

Background: Hypertension is a direct cardiovascular disease risk. It causes a heavy burden on the healthcare system globally. We aim to assess hypertension occurrence and its associated factors among women and men in Vietnam.

Methods: A cross-sectional study was conducted from January to February 2019 on 2203 community-dwelling women and men aged 18 years or above. Participants' characteristics, comorbidity, behaviors, and physical measures were evaluated. Hypertension was classified as systolic/diastolic blood pressure ≥140/90 mmHg or using antihypertensive medication. We analyzed data using logistic regression models.

Results: The prevalence of hypertension was 24.3% (20.9% in women, 29.1% in men). For women, older age (odds ratio, OR, 6.80-12.41; p < 0.001), income above the poverty line (OR, 0.64; p = 0.008), diabetes comorbid (OR, 2.98; p < 0.001), added salts consumption (OR, 1.80; p < 0.001), overweight/obesity (OR, 1.64; p = 0.005), abdominal obesity (OR, 2.07; p < 0.001) were associated with hypertension. For men, older age (OR, 2.67-5.92; p < 0.001), diabetes comorbid (OR, 2.25; p = 0.010), smoking (OR, 1.38; p = 0.046), and overweight/obesity (OR, 2.18; p < 0.001) were associated with hypertension. Conclusions: Hypertension is prevalent in Vietnamese people. The associated factors of hypertension are varied by gender.

Keywords: Vietnam; abdominal obesity; added salts; diabetes; hypertension; obesity; older age; overweight; poverty; smoking.

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Antihypertensive Agents / therapeutic use
  • Cross-Sectional Studies
  • Diabetes Mellitus / epidemiology
  • Female
  • Humans
  • Hypertension / drug therapy
  • Hypertension / epidemiology*
  • Logistic Models
  • Male
  • Middle Aged
  • Odds Ratio
  • Overweight / epidemiology
  • Prevalence
  • Risk Factors
  • Sex Factors
  • Smoking / epidemiology
  • Socioeconomic Factors
  • Sodium Chloride, Dietary
  • Vietnam / epidemiology
  • Young Adult

Substances

  • Antihypertensive Agents
  • Sodium Chloride, Dietary