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dc.contributor.authorPetersen, Jakob
dc.contributor.authorKontsevaya, Anna V
dc.contributor.authorMcKee, Martin
dc.contributor.authorKudryavtsev, Alexander V
dc.contributor.authorMalyutina, Sofia
dc.contributor.authorCook, Sarah Anne
dc.contributor.authorLeon, David Adrew
dc.date.accessioned2021-01-06T12:44:01Z
dc.date.available2021-01-06T12:44:01Z
dc.date.issued2020-05-29
dc.description.abstract<i>Background</i> - The Russian Federation has among the highest rates of cardiovascular disease (CVD) in the world and a high rate of untreated hypertension remains an important risk factor. Understanding who is at greatest risk is important to inform approaches to primary prevention.<p> <p><i>Methods</i> - 2,353 hypertensive 35–69 year olds were selected from a population-based study, Know Your Heart, conducted in Arkhangelsk and Novosibirsk, Russian Federation, 2015–2018. The associations between untreated hypertension and a range of co-variates related to socio-demographics, health, and health behaviours were examined.<p> <p><i>Results</i> - The age-standardised prevalence of untreated hypertension was 51.1% (95% CI 47.8–54.5) in males, 28.8% (25.4–32.5) in females, and 40.0% (37.5–42.5) overall. The factors associated with untreated hypertension relative to treated hypertension were younger ages, self-rated general health as very good-excellent, not being obese, no history of CVD events, no evidence of diabetes or chronic kidney disease, and not seeing a primary care doctor in the past year as well as problem drinking for women and working full time, lower education, and smoking for men.<p> <p><i>Conclusion</i> - The study found relatively high prevalence of untreated hypertension, especially, in men. Recent initiatives to strengthen primary care provision and implementation of a general health check programme (dispansarisation) are promising, although further studies should evaluate other, potentially more effective strategies tailored to the particular circumstances of this population.en_US
dc.identifier.citationPetersen J, Kontsevaya AV, McKee M, Kudryavtsev AV, Malyutina S, Cook SA, Leon DA. Untreated hypertension in Russian 35-69 year olds – a cross-sectional study. PLOS ONE. 2020;15(5)en_US
dc.identifier.cristinIDFRIDAID 1843931
dc.identifier.doihttps://doi.org/10.1371/journal.pone.0233801
dc.identifier.issn1932-6203
dc.identifier.urihttps://hdl.handle.net/10037/20179
dc.language.isoengen_US
dc.publisherPublic Library of Scienceen_US
dc.relation.journalPLOS ONE
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2020 The Author(s)en_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Community medicine, Social medicine: 801en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin, sosialmedisin: 801en_US
dc.titleUntreated hypertension in Russian 35-69 year olds – a cross-sectional studyen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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