Enkhtuya Palam
Public Health Institute of Mongolia, Mongolia
Title: Hypertension of Mongolian adults
Biography
Biography: Enkhtuya Palam
Abstract
Mean systolic blood pressure (SBP) was 125.6 mmHg (95% CI 124.3-127.0) in the study population in general, and 129.8 mmHg (95% CI 128.4-131.1) in men and 121.4 mmHg (95% CI 120.0-122.9) in women. Mean SBP was higher in men compared to women. Mean diastolic blood pressure (DBP) was 78.9 mmHg (95% CI 78.1-79.6) in the study population in general, and 79.6 mmHg (95% CI 78.7-80.5) in men and 78.1 mmHg (95% CI 77.3-78.9) in women. No significant difference was detected between genders. SBP ≥140 and/or DBP ≥ 90 mmHg or currently on medication for raised blood pressure: Prevalence of hypertension was 27.3% (95% CI 24.9-29.8) in the study population, 31.5% (95% CI 28.3-34.7) in men and 23.2% (95% CI 20.7-25.7) in women (Annex 1.40-43). Prevalence of hypertension in men was higher than in women. Prevalence of hypertension was 25.3% (95% CI 21.8-28.8) in urban and 29.3% (95% CI 26.1-32.6) in rural settings with no significant differences between genders when stratified by locality. Of those with hypertension, 63.7% (95% CI 59.8-67.6) were diagnosed newly. Men accounted for 74.3% (95% CI 69.7-78.9) and women – for 48.7% (95% CI 44.0-53.4) of newly diagnosed cases. Almost half (40.9%) of the newly diagnosed cases had never had their blood pressure measured, 37.3% had not been diagnosed with hypertension although had blood pressure measurements in the past, and 21.8% discovered they had hypertension in the past 12 months, but did not take anti-hypertensive drugs. The above finding demonstrated that self-monitoring of blood pressure in the population was not sufficient.