PMID- 33113094 OWN - NLM STAT- MEDLINE DCOM- 20210217 LR - 20210217 IS - 1179-1985 (Electronic) IS - 1120-9879 (Linking) VI - 28 IP - 1 DP - 2021 Jan TI - Prevalence and Risk Factors of Hypertension Among Young Adults in Albania. PG - 35-48 LID - 10.1007/s40292-020-00419-5 [doi] AB - INTRODUCTION: Hypertension is one of the major risk factors for cardiovascular disease and the leading cause of death worldwide. Hypertension was defined as systolic or diastolic blood pressure according to Joint National Committee 7 (JNC7) and 2017 American College of Cardiology/American Hypertension Association (ACC/AHA) rules. AIM: The aims of this study was to determine the difference in hypertension prevalence and its risk factors using ACC/AHA rule, and compared its result with JNC7 rule. METHODS: Data were collected using two-stage stratified cluster sample of households from 2017/18 Albanian Demographic and Health Survey. Data were analyzed using the descriptive and multivariate logistic regression model. RESULTS: Among 15,003 respondents aged 15-49 years, the overall prevalence of hypertension was 63.48% and 16.24%, as per ACC/AHA and JNC7 rules, respectively with an absolute increase of prevalence by 47.3% (CI 46.4-48.2%). According to the ACC/AHA rule, in most of the categories of the respondents, the prevalence of hypertension was 40% higher compared with the JNC7 rule. In multivariate analysis, age, education, richest respondents, number of living children (>/= 3), health insurance and gender had significant (p < 0.05) impact on hypertension for both rules. Besides, the middle and richer wealth index, religion, and physically active work had also significant (p < 0.05) impact on hypertension for JNC7 rules. CONCLUSIONS: Newly established ACC/AHA rule led to a significant increase in the proportion of hypertension among the Albanian populations. Similarly, there was a significant difference in the impact of some socioeconomic factors on hypertension as per both rules. Implementation of the prevention and control programs of hypertension are required to increase the awareness of the bad impact of hypertension. FAU - Ahammed, Benojir AU - Ahammed B AUID- ORCID: 0000-0001-8208-9579 AD - Statistics Discipline, Khulna University, Khulna, 9208, Bangladesh. benojirstat@ku.ac.bd. FAU - Maniruzzaman, Md AU - Maniruzzaman M AD - Statistics Discipline, Khulna University, Khulna, 9208, Bangladesh. AD - Department of Statistics, Rajshahi University, Rajshahi, Bangladesh. FAU - Talukder, Ashis AU - Talukder A AD - Statistics Discipline, Khulna University, Khulna, 9208, Bangladesh. FAU - Ferdausi, Farzana AU - Ferdausi F AD - Jhikargacha Upazila Health Complex, Jashore, Bangladesh. LA - eng PT - Comparative Study PT - Journal Article DEP - 20201028 PL - New Zealand TA - High Blood Press Cardiovasc Prev JT - High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension JID - 9421087 SB - IM MH - Adolescent MH - Adult MH - Age Distribution MH - Age Factors MH - Albania/epidemiology MH - *Blood Pressure MH - Blood Pressure Determination/standards MH - Cross-Sectional Studies MH - Female MH - Humans MH - Hypertension/diagnosis/*epidemiology/physiopathology MH - Life Style MH - Male MH - Middle Aged MH - Practice Guidelines as Topic MH - Prevalence MH - Risk Assessment MH - Risk Factors MH - Social Determinants of Health MH - Socioeconomic Factors MH - Young Adult OTO - NOTNLM OT - Albania OT - Hypertension OT - Prevalence OT - Risk factors EDAT- 2020/10/29 06:00 MHDA- 2021/02/18 06:00 CRDT- 2020/10/28 17:18 PHST- 2020/08/19 00:00 [received] PHST- 2020/10/15 00:00 [accepted] PHST- 2020/10/29 06:00 [pubmed] PHST- 2021/02/18 06:00 [medline] PHST- 2020/10/28 17:18 [entrez] AID - 10.1007/s40292-020-00419-5 [pii] AID - 10.1007/s40292-020-00419-5 [doi] PST - ppublish SO - High Blood Press Cardiovasc Prev. 2021 Jan;28(1):35-48. doi: 10.1007/s40292-020-00419-5. Epub 2020 Oct 28.