Document Type : Original Article
Authors
1 Department of Epidemiology, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
2 Department of Epidemiology, School of Health, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
Abstract
Background: Hypertension and diabetes mellitus are major risk factors for cardiovascular diseases, the leading cause of premature death worldwide. In Iran, screening programs for these conditions have been integrated into the health system, but a comprehensive evaluation is lacking. This study aimed to analyze the results of the national diabetes and hypertension screening survey in Iran, with a focus on the Mashhad metropolis.
Methods: We conducted a cross-sectional, descriptiveanalytical study using data from the 2023 National Diabetes and Hypertension Screening Program in Iran. The study population included 2,445,151 individuals aged 18 and above. Demographic information, medical history, and screening results were collected. Univariate and multivariate logistic regression analyses were performed to determine the factors associated with hypertension and diabetes.
Results: Of the participants, 8.15% had previously known hypertension, and 1.35% were newly identified as suspected hypertensive people. For diabetes, 3.36% had a previous diagnosis, and 0.72% were newly identified as suspected diabetics. Age was the strongest predictor for both conditions (AOR for 61+ age group: 79.34, 95% CI: 73.06-86.16 for both conditions). BMI over 25 was also a significant risk factor (AOR: 2.31, 95% CI: 2.23- 2.40 for suspected hypertension and diabetes). Higher education levels showed a protective effect against both conditions.
Conclusion: This large-scale screening program revealed substantial rates of undiagnosed hypertension and diabetes in Iran. The study highlights the complex interplay of demographic, socioeconomic, and lifestyle factors in the development of these conditions. These findings underscore the importance of targeted screening and prevention strategies, particularly focusing on older adults, those with higher BMI, and populations with lower educational attainment.
Highlights
Khadijeh Ghasemi (Google Scholar)
Ehsan Mosafarkhani (Google Scholar)
Keywords
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