title: Hypertension: diagnosis, control status and its predictors in general population aged between 15 and 75 years: a community-based study in southeastern Iran.
abstract: OBJECTIVE
  Hypertension (HTN) is an important cause of cardiovascular related morbidity and mortality. This study aimed at providing the prevalence of pre-HTN, diagnosed and undiagnosed HTN, along with its control and associated factors in an adult population.
  
  
  METHODS
  5,900 participants aged 15-75 years took part in the study. HTN was verified by examination, self-reported history or using anti-hypertensive drug(s). Pre-hypertension and hypertension were defined as 120-139/80-89 mmHg and >140/>90 mmHg for systolic/diastolic BP, respectively.
  
  
  RESULTS
  The prevalence of hypertension was 18.4 % from which 10.5 %were diagnosed and 7.9 % were undiagnosed. The prevalence of pre-HTN was 35.5 %. HTN increased by age (2.4 % in 15-24 to 49 % in 55-64 years). The men had higher pre-HTN (42.7 vs. 28.1 %) and undiagnosed HTN (11.3 vs. 4.6 %). Of those diagnosed, 56.3 % had uncontrolled BP levels. Smoking, anxiety, obesity, and positive family history of HTN were the most significant predictors for HTN.
  
  
  CONCLUSIONS
  Hypertension affected almost one-fifth of the population. Given the poor control in diagnosed hypertensive patients, it is alarming that the current health system in urban areas in Iran is not effective enough to control the epidemic spread of non-communicable diseases.
authors.affiliation: Physiology Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran.
authors.forename: Hamid
authors.initials: H
authors.lastname: Najafipour
authors.forename: Hamid Reza
authors.initials: HR
authors.lastname: Nasri
authors.forename: Mahdi
authors.initials: M
authors.lastname: Afshari
authors.forename: Mansoor
authors.initials: M
authors.lastname: Moazenzadeh
authors.forename: Mostafa
authors.initials: M
authors.lastname: Shokoohi
authors.forename: Afsaneh
authors.initials: A
authors.lastname: Foroud
authors.forename: Koorosh
authors.initials: K
authors.lastname: Etemad
authors.forename: Behnam
authors.initials: B
authors.lastname: Sadeghi
authors.forename: Ali
authors.initials: A
authors.lastname: Mirzazadeh
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000959:Antihypertensive Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D001786:Blood Glucose; D001794:Blood Pressure; D001837:Body Weights and Measures; D015897:Comorbidity; D004522:Educational Status; D005260:Female; D015438:Health Behavior; D006801:Humans; D006973:Hypertension / Q000175:diagnosis* / Q000188:drug therapy* / Q000453:epidemiology; D007492:Iran / Q000453:epidemiology; D008055:Lipids / Q000097:blood; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012307:Risk Factors; D017678:Sex Distribution; D055815:Young Adult
chemical_list: D000959:Antihypertensive Agents; D001786:Blood Glucose; D008055:Lipids