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Hypertension is one of the public health problems in Indonesia with the highest prevalence in elderly. The purpose of this study was to determine the prevalence and factors associated with undiagnosed hypertension among elderly in Indonesia. The design of this study is cross-sectional using secondary data from the results of the 2018 basic health research survey. The sample in this study was the entire population aged ≥60 years in Indonesia who had not been diagnosed with hypertension, which was 70,127 people. Data were analyzed by simple logistic regression (bivariate) and multiple logistic regression (multivariate). The results showed that the prevalence of undiagnosed hypertension among elderly in Indonesia was 52.4%. Age, gender, education level, area of residence, consumption of salty food, smoking behavior, and physical activity are the factors associated with undiagnosed hypertension among elderly in Indonesia, with age as the most associated factor (AOR = 1.44, 95% CI: 1.36-1.52). To reduce the prevalence of undiagnosed hypertension among elderly, the government is expected to focus on strengthening promotion, screening, and health surveillance on elderly
Introduction: Hypertension is still as a main health problem in Indonesia. Lack of awareness, treatment and increasing of risk factors caused an increase of uncontrolled blood preassure in hypertensive subjects in Indonesia. Objective: the aims of this study was to know prevalence and determine of uncontrolled blood pressure in subjects with hypertension diagnosis based on analyses of secondary data from Indonesian Family LIife Survey in 2014. Methods: a cross sectional study design using secondary data analyses from Indonesian Family Life Survey in 2014, and recruited 2848 houshold members in 9 province Jawa and Sumatera. Hypertension was define as subject with hypertension diagnosed by phsycian and having high blood preassure after 3 time measurement based on JNC 8 guideline. Demography characteristics, antihypertension treatment, mental health, life style and comorbid as independen variables. Corrected weighting was measured in this study, there were 4566 of household members after weighting, and data analyses using chi-square and logistic regression determinant model. Results: This study results showed that prevalence of uncontrolled blood pressure in hypertensive subjects was 64,5%. Independently, Older age, women, no school/lower education, antihypertension treatment, smoking, depression, low physical activity, obesity and presence of diabetes and cholesterol associated with uncontrolled blood preassure in hypertensive subjects (p<0,05). Meanwhile, obesity was found as a dominant factor, where having obesity 1,8 more likely to increase uncontrolled blood pressure. PAR% analyses showed modification of obesity could eliminate uncontrolled blood pressure by 15% in hypertensive subjects. Conclussion: Demography characteristics, antihypertension treatment, mental health, life style and comorbid associated with uncontrolled blood pressure in hypertension subjects. Obesity found as a dominant factor and having measurement effect to uncontrolled blood pressure.
Tujuan: Untuk mengetahui Faktor-Faktor Yang Mempengaruhi Orang Dengan Hipertensi Terhadap Kejadian Diabetes Mellitus di Kota Depok.
Metode Penelitian: Penelitian ini menggunakan desain cross-sectional, dengan data sekunder yang diperoleh dari Badan Pusat Statistik dan Sistem Informasi Penyakit Tidak Menular (SIPTM) Dinas Kesehatan Kota Depok.
Hasil: Jumlah kasus Diabetes Mellitus di Kota Depok pada tahun 2017-2019 semakin fluktuatif. Pada tahun 2017 ditemukan kasus Diabetes Mellitus sebanyak 245 kasus, sedangkan pada tahun 2018 dan 2019 secara berturut-turut ditemukan sebanyak 282, dan 315 kasus. Jumlah kasus Diabetes Mellitus di Kota Depok lebih banyak ditemukan karena adanya pola gaya hidup yang tidak sehat, riwayat keluarga, dan kurangnya aktivitas fisik pada seseorang Selain itu tidak adanya korelasi antara jumlah fasilitas kesehatan dan tenaga kesehatan terhadap jumlah kasus Diabetes Mellitus.
Kata Kunci: Diabetes Mellitus, Faktor Risiko, Hipertensi, Penyakit Tidak Menular.
