Please use this identifier to cite or link to this item:
https://scholarbank.nus.edu.sg/handle/10635/108960
DC Field | Value | |
---|---|---|
dc.title | Hypertension management and lifestyle changes following screening for hypertension in an Asian low socioeconomic status community: A prospective study | |
dc.contributor.author | Wee, L.E. | |
dc.contributor.author | Wong, J. | |
dc.contributor.author | Chin, R.T. | |
dc.contributor.author | Lin, Z.Y. | |
dc.contributor.author | Goh, D.E.Q. | |
dc.contributor.author | Vijakumar, K. | |
dc.contributor.author | Vong, K.Y. | |
dc.contributor.author | Tay, W.L. | |
dc.contributor.author | Lim, H.T. | |
dc.contributor.author | Koh, G.C.H. | |
dc.date.accessioned | 2014-11-26T05:03:44Z | |
dc.date.available | 2014-11-26T05:03:44Z | |
dc.date.issued | 2013 | |
dc.identifier.citation | Wee, L.E.,Wong, J.,Chin, R.T.,Lin, Z.Y.,Goh, D.E.Q.,Vijakumar, K.,Vong, K.Y.,Tay, W.L.,Lim, H.T.,Koh, G.C.H. (2013). Hypertension management and lifestyle changes following screening for hypertension in an Asian low socioeconomic status community: A prospective study. Annals of the Academy of Medicine Singapore 42 (9) : 451-465. ScholarBank@NUS Repository. | |
dc.identifier.issn | 03044602 | |
dc.identifier.uri | http://scholarbank.nus.edu.sg/handle/10635/108960 | |
dc.description.abstract | Introduction: This study investigated the effect of an access-enhanced intervention on hypertension screening and management, as well as on health behaviours among newly diagnosed hypertensives, in a multi-ethnic low socioeconomic status (SES) community. Factors associated with hypertension screening, treatment, and control in the community were also determined. Materials and Methods: The study involved all residents aged>40years in 2 public rental housing precincts (low SES), between 2009 and 2011, who were followed-up prospectively for 1 year after a 6-month community-based intervention comprising a 3-month access-enhanced screening component and a 3-month follow-up (outreach) component. Blood pressure was measured at baseline and follow-up. Multivariate Cox regression determined predictors of hypertension management at follow-up. Results: The follow-up rate was 80.9% (467/577). At baseline, 60.4% (282/467) were hypertensive; 53.5% (151/282) were untreated; 54.2% (71/131) uncontrolled. One year later, postintervention, 51.6% (78/151) of untreated hypertensives were treated; combined with treated hypertensives previously uncontrolled, 53.0% (79/149) achieved control. Older age independently predicted treatment (adjusted relative risk, aRR= 1.98, CI, 1.08 to 3.65); majority ethnicity (aRR= 1.76, CI, 1.05 to 2.96), employment (aRR = 1.85, CI, 1.26 to 2.80) and newly treated hypertension (aRR=1.52, CI, 1.01 to 2.32) predicted control. A total of 52.4% (97/185) were irregularly screened at baseline; at follow-up 61.9% (60/97) were regularly screened. Cost and misperceptions were common barriers to screening and treatment. Newly diagnosed hypertensives were also less likely to go for additional cardiovascular screening (aRR = 0.54, CI, 0.29 to 0.99). Conclusion: An access-enhanced intervention had some success in improving hypertension management within low SES communities; however, it was less successful in improving cardiovascular risk management, especially in encouraging lifestyle changes and additional cardiovascular screening amongst newly diagnosed hypertensives. | |
dc.source | Scopus | |
dc.subject | Cardiovascular screening | |
dc.subject | Control | |
dc.subject | Treatment | |
dc.type | Article | |
dc.contributor.department | SAW SWEE HOCK SCHOOL OF PUBLIC HEALTH | |
dc.description.sourcetitle | Annals of the Academy of Medicine Singapore | |
dc.description.volume | 42 | |
dc.description.issue | 9 | |
dc.description.page | 451-465 | |
dc.description.coden | AAMSC | |
dc.identifier.isiut | NOT_IN_WOS | |
Appears in Collections: | Staff Publications |
Show simple item record
Files in This Item:
There are no files associated with this item.
Google ScholarTM
Check
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.