[PP.11.16] ETHNIC DIFFERENCES IN HYPERTENSION PREVALENCE, AWARENESS, TREATMENT AND CONTROL IN THE THREE COUNTRIES: RUSSIA, KYRGYZSTAN, KAZAKHSTAN. (September 2017)

• Record Type: Journal Article
• Authors: Myrzamatova, A.; Kontsevaya, A.; Polupanov, A.; Halmatov, A.; Iskakov, Y.; Kashirin, A.; Alikhanova, K.; Altymysheva, A.; Balanova, Y.
• Is Part Of: Journal of hypertension. Volume 35(2017)Supplement 2
• Publication Date: 2017-09
• Subjects: Hypertension -- Periodicals; Hypertension -- Periodicals; 616.132005
• DOI: 10.1097/01.hjh.0000523502.18631.e0
• Languages: English
• ISSNs: 1473-5598

Abstract

Abstract : Objective: Many of countries include large Russian populations from the soviet time which leave in the environment of other cultures for several generations.High hypertension prevalence and low control is the common problem for most The Commonwealth of Independent States countries. Design and method: This study is cross-sectional epidemiology survey of chronic non-communicable diseases and its risk factors in rural areas of three countries performed in 2012–2014. Data on representative samples of the rural population of the Samara region of the Russian Federation (n = 1050), Chui region of the Kyrgyz Republic (n = 1341)and Karaganda region of Kazakhstan (n = 1807). All results were age-standardized.The share of Russian population in Kyrgyz and Kazakh samples were 36, 8% and 32, 9%. Results: Age-standardized hypertension prevalence in Russia was 40, 1%, in Kyrgyzstan-37, 1%, in Kazakhstan-31, 8%.It was significantly higher among women than men (p < 0, 01). In Russian region, average SBP was 127, 1 ± 12, 8 mmHg, DBP was 79, 6 ± 13, 7 mmHg, without gender differences.In Kyrgyzstan we found significant differences in SBP between the Russian and Kyrgyz women (129, 3 and 123, 3 mmHg, p < 0, 05), in Kazakhstan there were significant differences in SBP were observed among Russian and Kazakh men (127, 7 vs. 122, 2 mmHg, p < 0, 05). Hypertension awareness was 59, 1% in Russia, 53, 3% in Kyrgyzstan, 54, 8% in Kazakhstan (p > 0, 05).The women were aware of hypertension more than men in Samara (63, 3% vs 55, 3%, p < 0, 05) and Kyrgyzstan (60, 9% and 42, 1%, p < 0, 01), in Kazakhstan were no gender differences (50, 6% and 51, 1%, p > 0, 05). Among hypertensive participants, the percentage of treated hypertension in Samara was significantly higher than in Kyrgyzstan and Kazakhstan (41, 2% vs.26, 7%, 25, 3%, p < 0, 01).In Kyrgyzstan we found ethnic differences among both genders: in native population (23, 8% women and 13, 1% men) hypertension treatment was significantly lower than in Russian population (36, 5% vs.23, 7%), p < 0, 01.In Kazakhstan there was the similar picture:(18, 8%vs.23, 3%, p < 0, 05). In Samara 37, 1% of adults with hypertension had controlled BP levels what was significantly higher compared with residents in Kyrgyzstan and Kazakhstan (23, 7% and 22, 9%, (p < 0, 01)). In Kyrgyzstan and Kazakhstan were no ethnic differences in hypertension control (p > 0, 05). Conclusions: Highest hypertension prevalence among the three countries was in the Russia and in Russian population in Kyrgyzstan.Hypertension awareness in Russia was higher.In Kyrgyzstan, hypertension awareness was lower among Russian women.Among hypertensive participants, the percentage of treated hypertension in Samara was most. In Kyrgyzstan and Kazakhstan hypertension treatment was lower among native population.Most higher percentage of controlled BP was in Samara.