title: Impact of literacy on the prevalence, awareness, treatment and control of hypertension in adults in Golestan Province (northern Iran).
abstract: Background : Hypertension is considered as a major health problem in our society. The association between educational level with hypertension and its control in the Golestan Province (northern Iran) were the main objectives of this study.
  
  
  METHODS
  This was a population-based cross-sectional study that enrolled 3497 subjects aged 15-65 years using stratified and cluster sampling. The interviewers recorded the data using a multidimensional questionnaire, including blood pressure level. Blood pressure was measured three times with 5 minutes interval and defined based on Join National Committee (JNC-7).
  
  
  RESULTS
  Totally, 741 (21.2 %) cases suffered from hypertension and illiterate people were significantly more aware of their disease (p=0.011). In the aware group, 435 (89.6%) cases used one method to control their disease and it was not statistically significant as far as educational levels was concerned. The control of hypertension was significantly greater in college educated group than the illiterate one (32.4% vs 68.8%) (p=0.001). Logistic regression analysis revealed that illiteracy is a risk factor for hypertension (p<0.001).
  
  
  CONCLUSIONS
  In spite of awareness in the illiterate people was high, the rate of hypertension control was low in this group. Prevention, detection, treatment, and control of hypertension especially the illiterate people should be given high priority.
authors.affiliation: Department of Nutrition, Golestan University of Medical Sciences, Gorgan, Iran.
authors.forename: Gholamreza
authors.initials: G
authors.lastname: Veghari
authors.forename: Mehdi
authors.initials: M
authors.lastname: Sedaghat
authors.forename: Siavash
authors.initials: S
authors.lastname: Maghsodlo
authors.forename: Samieh
authors.initials: S
authors.lastname: Banihashem
authors.forename: Pooneh
authors.initials: P
authors.lastname: Moharloei
authors.forename: Abdolhamid
authors.initials: A
authors.lastname: Angizeh
authors.forename: Ebrahim
authors.initials: E
authors.lastname: Tazik
authors.forename: Abbas
authors.initials: A
authors.lastname: Moghaddami
keywords: Awareness; Control; Hypertension; Iran; Literacy; Treatment