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Factors associated with the severity of hypertension among Malaysian adults

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dc.contributor.authorBalkish Mahadir Naidu
dc.contributor.authorMuhammad Fadhli Mohd Yusoff
dc.contributor.authorSarimah Abdullah
dc.contributor.authorKamarul Imran Musa
dc.contributor.authorNajib Majdi Yaacob
dc.contributor.authorMaria Safura Mohamad
dc.contributor.authorNorhafizah Sahril
dc.contributor.authorTahir Aris
dc.contributor.editorSonak D. Pastakia
dc.date.accessioned2024-07-30T02:46:45Z
dc.date.available2024-07-30T02:46:45Z
dc.date.issued2019
dc.description.abstractHigh blood pressure is a worldwide problem and major global health burden. Whether alone or combined with other metabolic diseases, high blood pressure increases the risk of cardiovascular disease. This study is a secondary data analysis from the National Health and Morbidity Survey 2015, a population-based study that was conducted nationwide in Malaysia using a multi-stage stratified cluster sampling design. A total of 15,738 adults ≥18-years-old were recruited into the study, which reports the prevalence of hypertension stages among adults in Malaysia using the JNC7 criteria and determinants of its severity. The overall prevalence of raised blood pressure was 66.8%, with 45.8% having prehypertension, 15.1% having Stage 1 hypertension, and 5.9% having Stage 2 hypertension. In the multivariate analysis, a higher likelihood of having prehypertension was observed among respondents with advancing age, males (OR = 2.74, 95% CI: 2.41–3.12), Malay ethnicity (OR = 1.21, 95% CI: 1.02–1.44), lower socioeconomic status, and excessive weight. The factors associated with clinical hypertension (Stages 1 and 2) were older age, rural residency (Stage 1 OR = 1.22, Stage 2 OR = 1.28), Malay ethnicity (Stage 2 OR = 1.64), diabetes (Stage 2 OR = 1.47), hypercholesterolemia (Stage 1 OR = 1.34, Stage 2 OR = 1.82), being overweight (Stage 1 OR = 2.86, Stage 2 OR = 3.44), obesity (Stage 1 OR = 9.01, Stage 2 OR = 13.72), and lower socioeconomic status. Almost 70% of Malaysian adults are at a risk of elevated blood pressure. The highest prevalence was in the prehypertension group, which clearly predicts a future incurable burden of the disease. Public health awareness, campaigns through mass and social media, and intervention in the work place should be a priority to control this epidemic.
dc.identifier.doihttps://doi.org/10.1371/journal.pone.0207472
dc.identifier.urihttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0207472
dc.identifier.urihttps://repository.nih.gov.my/handle/123456789/730
dc.language.isoen
dc.publisherPublic Library Science
dc.relation.ispartofPLOS ONE
dc.relation.issn1932-6203
dc.relation.journalPLOS ONE
dc.subjectHypertension
dc.subjectMalaysia
dc.subjectNHMS
dc.titleFactors associated with the severity of hypertension among Malaysian adults
dc.typejournal-article
dspace.entity.typePublication
oaire.citation.issue1
oaire.citation.volume14
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