National and regional prevalence rates of hypertension in Saudi Arabia: A descriptive analysis using the national survey data

Background Limited studies have examined the prevalence of hypertension (HTN) at the national and regional levels in Saudi Arabia. Therefore, this study aimed to examine the national and regional prevalence of HTN in the Saudi population. Methods This study used the data from household health survey carried out by the General Authority for Statistics in 2017. It included 24,012 households representing the Saudi population across all 13 administrative regions. The diagnosis of HTN was confirmed by a self-reported history of a physician diagnosed HTN. Results The prevalence of HTN was 9.2% among Saudi population aged 15 years and older. It was relatively higher in women (10.0%) than in men (8.5%). The prevalence of HTN increased with advancing age (aged 65 years and older), accounting for 55.3% in women and 48.0% in men; its prevalence was relatively low among the younger age group, accounting for 0.1% in those aged 15–19 years. A large difference was found in the prevalence of HTN between regions, ranging from 6.0% in Najran region to 10.0% in Makkah region. Conclusion This study reported the national and regional prevalence of HTN among Saudi adults using a representative sample with large variations in the prevalence rates according to age, sex, and regions. Older age, men, and Makkah region had higher prevalence of HTN. Our findings will help determine the etiological factors, identify the priorities for healthcare, and generate initiatives for policymakers, and develop preventive and therapeutic strategies for HTN.

[1]  Aqeel M. Alenazi,et al.  National and regional prevalence rates of diabetes in Saudi Arabia: analysis of national survey data , 2022, International Journal of Diabetes in Developing Countries.

[2]  L. Wang,et al.  [Prevalence and control of hypertension in adults in China, 2018]. , 2021, Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi.

[3]  Gretchen A. Stevens,et al.  Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: a pooled analysis of 1201 population-representative studies with 104 million participants , 2021, The Lancet.

[4]  F. Najafi,et al.  Visceral adiposity index and atherogenic index of plasma as useful predictors of risk of cardiovascular diseases: evidence from a cohort study in Iran , 2021, Lipids in health and disease.

[5]  X. Qin,et al.  Association between social capital and loneliness among older adults: a cross-sectional study in Anhui Province, China , 2020, BMC Geriatrics.

[6]  Jon Adams,et al.  Health care utilisation and out-of-pocket expenditure associated with hypertension: an analysis of Australian adults from the 45 and Up Study , 2020, Journal of Human Hypertension.

[7]  Aqeel M. Alenazi,et al.  The descriptive pattern of physical activity in Saudi Arabia: analysis of national survey data , 2020, International health.

[8]  Y. Ostchega,et al.  Hypertension Prevalence Among Adults Aged 18 and Over: United States, 2017-2018. , 2020, NCHS data brief.

[9]  Jiang He,et al.  The global epidemiology of hypertension , 2020, Nature Reviews Nephrology.

[10]  S. Vollmer,et al.  The state of hypertension care in 44 low-income and middle-income countries: a cross-sectional study of nationally representative individual-level data from 1·1 million adults , 2019, The Lancet.

[11]  Neena K Sharma,et al.  The prevalence of type 2 diabetes and associated risk factors with generalized osteoarthritis: a retrospective study using ICD codes for clinical data repository system , 2019, Clinical Rheumatology.

[12]  S. Bazargan-Hejazi,et al.  Validity of Self-reported Hypertension and Factors Related to Discordance Between Self-reported and Objectively Measured Hypertension: Evidence From a Cohort Study in Iran , 2019, Journal of preventive medicine and public health = Yebang Uihakhoe chi.

[13]  Seung-sik Hwang,et al.  Prevalence, Awareness, Treatment, and Control of Hypertension in Korea , 2013, Scientific Reports.

[14]  M. Shubair,et al.  Prevalence of hypertension and prehypertension and its associated cardioembolic risk factors; a population based cross-sectional study in Alkharj, Saudi Arabia , 2018, BMC Public Health.

[15]  M. Batais,et al.  Prevalence of Prediabetes, Diabetes, and Its Associated Risk Factors among Males in Saudi Arabia: A Population-Based Survey , 2018, Journal of diabetes research.

[16]  Robert Carey,et al.  Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Synopsis of the 2017 American College of Cardiology/American Heart Association Hypertension Guideline , 2018, Annals of Internal Medicine.

[17]  S. Kjeldsen,et al.  Hypertension and cardiovascular risk: General aspects , 2017, Pharmacological research.

[18]  Harlan M Krumholz,et al.  Prevalence, awareness, treatment, and control of hypertension in China: data from 1·7 million adults in a population-based screening study (China PEACE Million Persons Project) , 2017, The Lancet.

[19]  Jun Wang,et al.  Association between hypertension and risk of knee osteoarthritis , 2017, Medicine.

[20]  S. Baker,et al.  A Population-Based Survey , 2017 .

[21]  Z. Memish,et al.  Hypertension and Its Associated Risk Factors in the Kingdom of Saudi Arabia, 2013: A National Survey , 2014, International journal of hypertension.

[22]  Alan D. Lopez,et al.  Age-specific and sex-specific mortality in 187 countries, 1970–2010: a systematic analysis for the Global Burden of Disease Study 2010 , 2012, The Lancet.

[23]  Bernadette A. Thomas,et al.  Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010 , 2012, The Lancet.

[24]  Kozo Nakamura,et al.  Accumulation of metabolic risk factors such as overweight, hypertension, dyslipidaemia, and impaired glucose tolerance raises the risk of occurrence and progression of knee osteoarthritis: a 3-year follow-up of the ROAD study. , 2012, Osteoarthritis and cartilage.

[25]  W. J. Elliott,et al.  National, regional, and global trends in systolic blood pressure since 1980: systematic analysis of health examination surveys and epidemiological studies with 786 country-years and 5·4 million participants , 2012 .

[26]  D. Greenwood,et al.  Meta-analysis of Observational Studies , 2012 .

[27]  N. Al-Hamdan,et al.  Prevalence, Awareness, Treatment, and Control of Hypertension among Saudi Adult Population: A National Survey , 2011, International journal of hypertension.

[28]  Gretchen A. Stevens,et al.  National, regional, and global trends in systolic blood pressure since 1980: systematic analysis of health examination surveys and epidemiological studies with 786 country-years and 5·4 million participants , 2011, The Lancet.

[29]  N. Owen,et al.  Evidence of physical activity participation among men and women in the countries of the Gulf Cooperation Council: a review , 2009, Obesity reviews : an official journal of the International Association for the Study of Obesity.

[30]  Pedagógia,et al.  Cross Sectional Study , 2019 .

[31]  Maleka Serour,et al.  Cultural factors and patients' adherence to lifestyle measures. , 2007, The British journal of general practice : the journal of the Royal College of General Practitioners.

[32]  T. Leisinger,et al.  GENERAL ASPECTS , 1961, Experientia.

[33]  W. Elliott,et al.  The Economic Impact of Hypertension , 2003, Journal of clinical hypertension.

[34]  M. El-Hazmi,et al.  Hypertension in saudi arabia. , 1999, Saudi journal of kidney diseases and transplantation : an official publication of the Saudi Center for Organ Transplantation, Saudi Arabia.

[35]  M M Al-Nozha,et al.  The prevalence of hypertension in different geographical regions of Saudi Arabia. , 1998, Annals of Saudi medicine.

[36]  R. Gillum,et al.  Validity of self-reported hypertension in the National Health and Nutrition Examination Survey III, 1988-1991. , 1997, Preventive medicine.

[37]  Thomas G. Whiston,et al.  A National Survey , 1992 .

[38]  Robert C. Wolpert,et al.  A Review of the , 1985 .