Hypertension in a mountainous province of Vietnam: prevalence and risk factors

Khanh Do Nam; Nhon Bui Van; Long Vo Hoang; Toan Pham Duc; Thu Tran Thi Ha; Viet Tran Tuan; Phong Phan Dinh; Huong Trinh Thi Thu; Pau Loke Show; Vu Thi Nga; Le Bui Minh; Dinh-Toi Chu

doi:10.1016/j.heliyon.2020.e03383

Hypertension in a mountainous province of Vietnam: prevalence and risk factors

Heliyon. 2020 Feb 8;6(2):e03383. doi: 10.1016/j.heliyon.2020.e03383. eCollection 2020 Feb.

Authors

Khanh Do Nam¹, Nhon Bui Van^{2

3}, Long Vo Hoang¹, Toan Pham Duc⁴, Thu Tran Thi Ha¹, Viet Tran Tuan⁵, Phong Phan Dinh⁵, Huong Trinh Thi Thu^{6

7}, Pau Loke Show⁸, Vu Thi Nga⁹, Le Bui Minh¹⁰, Dinh-Toi Chu^{11

12}

Affiliations

¹ Institute of Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Viet Nam.
² Department of Science and Technology, Hanoi Medical University, Hanoi, Viet Nam.
³ Cardiovascular Center, Hanoi Medical University Hospital, Hanoi Medical University, Hanoi, Viet Nam.
⁴ Department of Nursing, Hanoi Medical University, Hanoi, Viet Nam.
⁵ Department of Cardiology, Hanoi Medical University, Hanoi, Viet Nam.
⁶ Dong A Hospital, Hanoi, Viet Nam.
⁷ Department of Traditional Medicine, Hanoi Medical University, Hanoi, Viet Nam.
⁸ University of Nottingham Malaysia Campus, Jalan Broga, 43500 Semenyih, Selangor Darul Ehsan, Malaysia.
⁹ Institute for Research and Development, Duy Tan University, Danang, Viet Nam.
¹⁰ NTT Hi-tech Institute, Nguyen Tat Thanh University, 300A Nguyen Tat Thanh St., Ward 13, District 4, Ho Chi Minh City, Viet Nam.
¹¹ Department of Human and Animal Physiology, Faculty of Biology, Hanoi National University of Education, Hanoi, Viet Nam.
¹² School of Odonto Stomatology, Hanoi Medical University, Hanoi, Viet Nam.

Abstract

Background: Hypertension (HTN) significantly contributes to global disease burden, and its prevalence varies amongst different countries and regions. This work is aimed to characterize the hypertensive prevalence and identify risk factors for HTN among the residents in five locations (four communes and one town) of Moc Chau district (Son La province, Vietnam).

Methods: A cross-sectional study with a cross-sectional methodology was done in selected places from August 2018 to December 2018. We interviewed 197 participants aged equal to or more than 18 years old and measured their blood pressure (BP). Univariate and multivariate logistic regression were applied.

Results: The overall HTN prevalence of 30.0% was recorded. The differences of HTN prevalence rates were seen by several characters including age groups (p <0.001), accompanying disease (p <0.001) and alcohol drinking (p <0.05). Factors independently associated with hypertension were age (ORs: 3.1 [1.1-9.1]; 6.1 [1.7-22.3]), much salty consumption (OR: 2.6 [1.1-6.6]), alcohol use (OR: 3.1 [1.2-8.1]), HTN familial history (OR: 4.2 [1.3-13.3]) and at least one suffering disease (OR: 5.2 [2.1-12.7]).

Conclusions: Thus, this study highlighted the high overall HTN prevalence in the Vietnam Northwestern region. Significant differences of HTN rate were observed among several characteristics such as age groups, accompanying disease and alcohol drinking. Age group, much salty consumption, alcohol use, hypertension familial history and at least one suffering disease were risk factors for HTN in study group.

Keywords: Alcohol use; Cardiology; Endocrinology; Health sciences; Hypertension; Hypertension familial history; Moc Chau district; Public health; Salty consumption.