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Determinants of Hypertension among Females in the Community Health Centre of Talawaan, North Minahasa
Adisti Rumayar, Nancy Malonda, Ardiansa Tucunan

Last modified: 2018-08-29

Abstract


Determinants of Hypertension among Females in the Community Health Centre of Talawaan, North Minahasa

 

Adisti Rumayar1, Nancy Malonda1, Ardiansa Tucunan1

1 Faculty of Public Health, Sam Ratulangi University, Manado, Indonesia

 

 

* Corresponding Author: Adisti, E-mail: adisti.rumayar@yahoo.com

 

 

Background: Hypertension remains a public health concern in Indonesia. It has the highest prevalence among cardiovascular disorders, which as a group of chronic diseases is attributed as the primary cause of mortality within the country.  The decades-long intervention through the community health centers nationwide appears failed to substantially reduce the cases, particularly on rural areas where research on sociodemographic determinants is lacking. Of particular interest is adult women, a population that is frequently under-served in health programs but may be pivotal in hypertension control and prevention measures due to their roles within the family. The objective of this study is to investigate the determinants of hypertension among women in rural area of Indonesia.

Materials and methods: The study is conducted in Talawaan, District of North Minahasa using case-control design. Seventy women age 20-45 visiting the community health center of the area are sampled evenly for the case and control groups. The binary logistic regression is used to model the determinants of hypertension, defined as systolic blood pressure > 120 mmHg, among these females.

 

Results: Twenty eight (37%) women have hypertension. After controlling the effect of other factors, age > 40 years (odds ratio, OR 8.4, 95% CI 2.0 – 34.2, p = 0.003), family history (OR 8.1, 95% CI 2.1 – 30.6, p = 0.002), and body mass index (OR 1.2, 95% CI 1.0 – 1.3, p = 0.019) seem to be related to hypertension. A relatively higher score of stress also marginally increase the odds of hypertension (p = 0.071). Women's education, family income, religion, use of contraception, alcohol consumption, and smoking are not included in the multivariate model since their relationship with hypertension is not significant even at bivariate level.

 

Conclusions: Age, family history, and body mass index appear to determine the existence of hypertension among studied women. Stress is also a potential factor, but further study is needed to confirm its contribution.

 

Acknowledgements: This study is supported by funding from LPPM Unsrat. The author is grateful to dr. Fredrik Langi, MMedStats, PhD for technical assistance and constructive comments on the preliminary draft.

 

 

Keywords:  hypertension, women, determinants, Indonesia

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