Hypertension Prevalence, Awareness, and Control Among Parents of School-Aged Children in the United Arab Emirates

Syed M Shah; Layla M AlMarzouqi; Romona Devi Govender; Javaid Nauman; Moien A B Khan

doi:10.2147/PPA.S357046

Hypertension Prevalence, Awareness, and Control Among Parents of School-Aged Children in the United Arab Emirates

Patient Prefer Adherence. 2022 May 30:16:1381-1393. doi: 10.2147/PPA.S357046. eCollection 2022.

Authors

Syed M Shah^{1

2}, Layla M AlMarzouqi^{1

3}, Romona Devi Govender⁴, Javaid Nauman^{1

5}, Moien A B Khan^{4

6}

Affiliations

¹ Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates.
² Department of Family Medicine, Aga Khan University, Karachi, Pakistan.
³ Medical Tourism Centre, Dubai Health Authority, Dubai, United Arab Emirates.
⁴ Health and Wellness Research Group, Department of Family Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates.
⁵ Department of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway.
⁶ Primary Care, NHS Northwest London, London, TW3 3EB, UK .

Abstract

Background: Increased blood pressure (BP) is a major cardiovascular disease risk factor. The study aimed to determine the prevalence and predictors of hypertension and its awareness and control among parents of school-aged children in the United Arab Emirates (UAE).

Methods: A total of 605 parents participated in this cross-sectional study. Information on socio-demographics, lifestyle factors, and history of chronic disease were collected through an adapted version of the World Health Organization STEPS questionnaire. Fasting blood glucose samples, BP measurements, body mass index (BMI), and waist and hip circumference were obtained using standard measurement protocols. Prevalence of hypertension was identified in the cohorts by defining hypertension using the 2017 American College of Cardiology (ACC) and the American Heart Association (AHA) guidelines (BP≥130/80 mmHg) and the World Health Organization-International Society of Hypertension Guidelines Orchid (BP≥140/90 mmHg) in association with antihypertensive medication use.

Results: The mean age of participants was 42.9±7.9 years. The prevalence of hypertension was 37.2% (95% CI: 33.5-41.2) and 18.0% (95% CI: 15.2-21.3), using the 2017 and the previous WHO definitions, respectively. Little over half of the sample (51.5%) who were aware of having hypertension reported using antihypertensive medications. Of those reporting the use of antihypertensive medications in the past two days, 13 of 33 patients (39.4%) had their hypertension under control (<140/90 mmHg). The independent correlates of hypertension included age [(adjusted odds ratio (AOR): 1.09 (1.05-1.13], male sex [AOR: 2.48 (1.41-4.34], college or higher education [AOR: 0.22 (0.09-0.56)], family history of hypertension [AOR: 2.03 (1.17-3.53)], obesity [AOR: 3.15 (1.24-7.12)], and moderate or vigorous physical activity [AOR: 0.50 (0.26-0.98)].

Conclusion: Hypertension is prevalent among parents of school-going children. Improving lifestyle, health literacy, and introducing innovative models to raise awareness and education about hypertension are essential to achieve sustainable development goals (SDGs).

Keywords: Arabs; United Arab Emirates; blood pressure; medication adherence; native population; parents; primary care; sustainable development goals.