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Jurnal Keperawatan Indonesia
Articles
VIEWS: 1118
10.7454/jki.v26i1.2527
Submitted: 2023-05-24
Published: 2023-03-31

Risk Factors for Hypertension Among Adults Living in A Rural Area, Minahasa

Faculty of Nursing, Universitas Pelita Harapan, Tangerang 15811
Faculty of Nursing, Universitas Pelita Harapan, Tangerang 15811
Faculty of Nursing, Universitas Pelita Harapan, Tangerang 15811
Faculty of Nursing, Universitas Pelita Harapan, Tangerang 15811
Faculty of Nursing, Universitas Pelita Harapan, Tangerang 15811
adults blood pressure healthy lifestyle hypertension

Abstract

Hypertension is a major public health issue in Indonesia due to its high prevalence and the fact that it is a risk factor for heart disease, kidney failure, and stroke. Age, gender, family history, alcohol consumption, smoking, iodine consumption, physical activity, and obesity are all risk factors for hypertension. Adults with undiagnosed hypertension can face an increased risk of morbidity and mortality if it is left untreated. Early detection and knowledge about the risk factors for hypertension in adults are important. This cross-sectional study aimed to investigate the risk factors for hypertension in adults in Mapanget Village, North Minahasa. The sample size was 384 respondents, and the sample was obtained using convenience sampling. Data were collected using an online questionnaire and analyzed using a Chi-square test. The study found a relationship between hypertension and family history (p = 0.01), obesity (p = 0.03), smoking (p = 0.01), physical activity (p = 0.01), and alcohol consumption (p = 0.01). This study recommends people live a healthy lifestyle by controlling their blood pressure and weight, not drinking alcohol, not smoking, and engaging in physical activities that are appropriate given their abilities.

 

Abstrak

Faktor Risiko Hipertensi pada orang Dewasa yang Tinggal di Pedesaan Minahasa. Hipertensi merupakan masalah kesehatan yang utama di Indonesia karena prevalensinya yang tinggi dan menyebabkan komplikasi seperti penyakit jantung, gagal ginjal, dan stroke. Faktor risiko yang berhubungan dengan kejadian hipertensi yaitu usia, jenis kelamin, riwayat keluarga, asupan alkohol, merokok, asupan konsumsi yodium, aktivitas fisik, dan obesitas. Tujuan dari penelitian ini adalah untuk menganalisis faktor risiko yang berhubungan dengan kejadian hipertensi pada usia dewasa di Desa Mapanget, Minahasa Utara. Jenis penelitian ini adalah kuantitatif korelasional dengan desain cross sectional. Sampel dalam penelitian ini berjumlah 384 orang. Instrumen penelitian menggunakan kuesioner. Analisis data menggunakan Chi square. Hasil penelitian didapatkan bahwa riwayat keluarga (p = 0,001), obesitas (p = 0,033), merokok (p = 0,005), aktivitas fisik (p = 0,004), dan konsumsi alkohol (p = 0,009) Mimouna hubungan yang signifikan terhadap kejadian hipertensi di Desa Mapanget, Minahasa Utara. Sedangkan jenis kelamin (p = 0,334) tidak berhubungan dengan kejadian hipertensi di Desa Mapanget. Rekomendasi dari penelitian ini adalah agar masyarakat melakukan gaya hidup sehat dengan mengontrol tekanan darah dan berat badan, tidak mengonsumsi alkohol, menghindari rokok, dan melakukan aktivitas fisik sesuai dengan kemampuan fisik.

Kata Kunci: dewasa, healthy lifestyle, hipertensi, tekanan darah

References

  1. Abrignani, M.G. (2018). Physical exercise and risk of arterial hypertension and diabetes mellitus. Let’s move, it is never too late. European Journal of Preventive Cardiology, 25 (10), 1063–1064. doi: 10.1177/2047487318781116.
  2. Ajayi, I.O., Sowemimo, I.O., Akpa, O.M., & Ossai, N.E. (2016). Prevalence of hypertension and associated factors among residents of Ibadan-North Local Government Area of Nigeria. Nigerian Journal of Cardiology, 13(1), 67–75. doi: 10.4103/0189-7969.165168.
  3. Aladin, A., Chevli, P., Ahmad, M.I., Rasool, S., & Herrington, D. (2019). Alcohol consumption and risk of hypertension. Journal of the American College of Cardiology, 73 (9 Suppl 2), 12. doi: 10.1016/s0735-1097(19)33774-x.
  4. Alsmadi, O., Melhem, M., Hebbar, P., Channanath, A., Thareja, G., John, S.E., Alkayal, F., Behbehani, K., & Thanaraj, T.A. (2014). Response to leptin and nitric oxide in blood pressure regulation in humans. American Journal of Hypertension, 27 (11), 1429–1430. doi: 10.1093/ajh/hpu178.
  5. Badan Litbangkes Kementerian Kesehatan RI. (2019). Hasil utama Riskesdas 2018. Badan Penelitian dan Pengembangan Kesehatan. https://www.litbang.kemkes.go.id/hasil-utama-riskesdas-2018/
  6. Badan Pusat Statistik Kabupaten Minahasa Utara. (2016). Jumlah kasus 10 penyakit terbanyak di Kabupaten Minahasa Utara, 2015. https://sulut.bps.go.id/indicator/30/912/1/kasus-penyakit-menurut-kabupaten-kota-dan-jenis-penyakit-di-provinsi-sulawesi-utara.html
  7. Brooks, J.H.M., & Ferro, A. (2012). The physician’s role in prescribing physical activity for the prevention and treatment of essential hypertension. JRSM Cardio-vascular Disease, 1 (4), 1–9. doi: 10.1258/cvd.2012.012012.
  8. Bruno, C.M., Amaradio, M.D., Pricoco, G., Marino, E., & Bruno, F. (2018). Lifestyle and hypertension: An evidence-based review. Journal of Hypertension and Management, 4 (1), 030. doi: 10.23937/2474-3690/1510030.
  9. Centers for Disease Control and Prevention. (2005). Family history and high blood pressure. Centers for Disease Control and Prevention
  10. Channanath, A.M., Farran, B., Behbehani, K., & Thanaraj, T.A. (2015). Association between body mass index and onset of hypertension in men and women with and without diabetes: A cross-sectional study using national health data from the State of Kuwait in the Arabian Peninsula. BMJ Open, 5 (6), e007043. doi: 10.1136/bmjopen-2014-007043.
  11. Choi, H.M., Kim, H.C., & Kang, D.R. (2017). Sex differences in hypertension prevalence and control: Analysis of the 2010-2014 Korea National Health and Nutrition Examination Survey. PLoS ONE, 12 (5), e0178334. doi: 10.1371/journal.pone.0178334.
  12. Cuong, T.Q., Van Bao, L., Anh Tuan, N., Van Thang, V., Minh Quan, N., Yang, S.H., & Duong, T.V. (2019). Associated factors of hypertension in women and men in Vietnam: A cross-sectional study. International Journal of Environmental Research and Public Health, 16 (23), 4714. doi: 10.3390/ijerph16234714.
  13. Desai, N., Unni, G., Agarwala, R., Salagre, S., Godbole, S., Dengra, A., Abhyankar, M.V., & Revankar, S. (2021). Risk factors and comorbidities in young indian patients with hypertension: REAL YOUNG (Hypertension) Study. Integrated Blood Pressure Control, 14, 31–41. doi: 10.2147/IBPC.S272548.
  14. Dhungana, R.R., Pandey, A.R., Bista, B., Joshi, S., & Devkota, S. (2016). Prevalence and associated factors of hypertension: A community-based cross-sectional study in municipalities of Kathmandu, Nepal. International Journal of Hypertension, 2016, 1656938. doi: 10.1155/2016/1656938.
  15. Diaz, K.M., & Shimbo, D. (2013). Physical activity and the prevention of hypertension. Current Hypertension Reports, 15 (6), 659–668. doi: 10.1007/s11906-013-0386-8.
  16. Egan, B.M. (2017). Physical activity and hypertension: Knowing is not enough; We must apply. Willing is not enough; We must do-von Goethe. Hypertension, 69 (3), 404–406. doi: 10.1161/hypertensionaha.116.08508.
  17. Gumus, A., Kayhan, S., Cinarka, H., Sahin, U. (2013). The effect of cigarette smoking on blood pressure and hypertension. Advances in Bioscience and Clinical Medicine, 1 (1), 8–15. doi: 10.7575/aiac.abcmed.v.1n.1p.6.
  18. Hall, J.E., do Carmo, J.M., da Silva, A.A., Wang, Z., & Hall, M.E. (2015). Obesity-induced hypertension: Interaction of neurohumoral and renal mechanisms. Circulation Research, 116 (6), 991–1006. doi: 10.1161/CIRCRESAHA.116.305697.
  19. Ramya, K., Mukundan, A., & Maran A, L. (2016). Elevated blood pressure and obesity in young adults of hypertensive parent versus normotensive parent. International Journal of Research in Medical Sciences, 4 (5), 1475–1478. doi: 10.18203/2320-6012.ijrms20161213.
  20. Leone, A. (2015). Smoking and hypertension: Carbon monoxide or nicotine? A meta-analysis study. Journal of the American Society of Hypertension, 9 (4), e117–e118. doi: 10.1016/j.jash.2015.03.272.
  21. Loh, K.W., Rani, F., Chan, T.C., Loh, H.Y., Ng, C.W., & Moy, F.M. (2013). The association between risk factors and hypertension in perak, Malaysia. The Medical Journal of Malaysia, 68 (4), 291–296.
  22. Maulidina, F., Harmani, N., Suraya, I. (2019). Faktor-faktor yang berhubungan dengan kejadian hipertensi di Wilayah Kerja Puskesmas Jati Luhur Bekasi Tahun 2018. ARKESMAS, 4 (1), 149–155. doi: 10.22236/arkesmas.v4i1.3141.
  23. Ministry of Health Republic of Indonesia. (2011). Studi kohort penyakit tidak menular (PTM). https://labmandat.litbang.kemkes.go.id/riset-badan-litbangkes/menu-riskesnas/menu-rikus/388-rikus-kohort-ptm
  24. Ministry of Health Republic of Indonesia. (2016). Peraturan Menteri Kesehatan Republik Indonesia Nomor 25 Tahun 2016. http://hukor.kemkes.go.id/uploads/produk_hukum/PMK_No._25_ttg_Rencana_Aksi_Nasional_Kesehatan_Lanjut_Usia_Tahun_2016-2019_.pdf
  25. Ministry of Health Republic of Indonesia. (2021). Hipertensi penyebab utama penyakit jantung, gagal ginjal, dan stroke. P2PTM Kemenkes RI.
  26. Ondimu, D.O., Kikuvi, G.M., & Otieno, W.N. (2019). Risk factors for hypertension among young adults (18-35) years attending in Tenwek Mission Hospital, Bomet County, Kenya in 2018. Pan African Medical Journal, 33, 210. doi: 10.11604/pamj.2019.33.210.18407.
  27. Papathanasiou, G., Zerva, E., Zacharis, I., Papandreou, M., Papageorgiou, E., Tzima, C., Georgakopoulos, D., & Evangelou, A. (2015). Association of high blood pressure with body mass index, smoking and physical activity in healthy young adults. The Open Cardiovascular Medicine Journal, 9, 5–17. doi: 10.2174/1874192401509010005.
  28. Pereira, G., Wood, L., Foster, S., & Haggar, F. (2013). Access to alcohol outlets, alcohol consumption and mental health. PLoS ONE, 8 (1), e53461. doi: 10.1371/journal.pone.0053461.
  29. Pérez-López, F.R., Larrad-Mur, L., Kallen, A., Chedraui, P., & Taylor, H.S. (2010). Gender differences in cardiovascular disease: Hormonal and biochemical influences. Reproductive Sciences, 17 (6), 511–531. doi: 10.1177/1933719110367829.
  30. Potter, P., Perry, A.G., Stockert, P., Hall, A.A. (2013). Fundamentals of Nursing (8th Ed.). Elsevier.
  31. Ranasinghe, P., Cooray, D.N., Jayawardena, R., & Katulanda, P. (2015). The influence of family history of hypertension on disease prevalence and associated metabolic risk factors among Sri Lankan adults. BMC Public Health, 15, 576. doi: 10.1186/s12889-015-1927-7.
  32. Reckelhoff, J.F. (2018). Gender differences in hypertension. Current Opinion in Nephrology and Hypertension, 27 (3), 176–181. doi: 10.1097/MNH.0000000000000404.
  33. Roerecke, M., Tobe, S.W., Kaczorowski, J., Bacon, S.L., Vafaei, A., Hasan, O.S.M., Krishnan, R. J., Raifu, A.O., & Rehm, J. (2018). Sex-specific associations between alcohol consumption and incidence of hypertension: A systematic review and meta-analysis of cohort studies. Journal of the American Heart Association, 7 (13), e008202. doi: 10.1161/JAHA.117.008202.
  34. Santana, N.M.T., Mill, J.G., Velasquez-Melendez, G., Moreira, A.D., Barreto, S.M., Viana, M.C., & Molina, M.D.B.C. (2018). Consumption of alcohol and blood pressure: Results of the ELSA-Brasil study. PLoS ONE, 13 (1), e0190239. doi: 10.1371/journal.pone.0190239.
  35. Shah, S.M., Loney, T., Sheek-Hussein, M., El Sadig, M., Al Dhaheri, S., El Barazi, I., Al Marzouqi, L., Aw, T.C., & Ali, R. (2015). Hypertension prevalence, awareness, treatment, and control, in male South Asian immigrants in the United Arab Emirates: A cross-sectional study. BMC Cardiovascular Disorders, 15, 30. doi: 10.1186/s12872-015-0024-2.
  36. Sihotang, M., & Elon, Y. (2020). Hubungan aktivitas fisik dengan tekanan darah pada orang dewasa. CHMK Nursing Scientific Journal, 4 (2), 199–204.
  37. Singh, S., Shankar, R., & Singh, G.P. (2017). Prevalence and associated risk factors of hypertension: A cross-sectional study in Urban Varanasi. International Journal of Hypertension, 2017, 5491838. doi: 10.1155/2017/5491838.
  38. Susiani. (2019). Analisis faktor-faktor yang berhubungan dengan resiko kejadian hipertensi pada usia dewasa muda di PKM Batang Beruh Kecamatan Sidikalang Kabupaten Dairi tahun 2019. Jurnal Ilmiah Simantek, 3 (3), 103–111.
  39. Toffolo, M.B.J., van den Hout, M.A., Engelhard, I.M., Hooge, I.T.C., & Cath, D.C. (2014). Uncertainty, checking, and intolerance of uncertainty in subclinical obsessive compulsive disorder: An extended replication. Journal of Obsessive-Compulsive and Related Disorders, 3 (4), 338–344. doi: 10.1016/j.jocrd.2014.08.004.
  40. Tumwesigye, N.M., Mutungi, G., Bahendeka, S., Wesonga, R., Katureebe, A., Biribawa, C., & Guwatudde, D. (2020). Alcohol consumption, hypertension and obesity: Relationship patterns along different age groups in Uganda. Preventive Medicine Reports, 19, 101141. doi: 10.1016/j.pmedr.2020.101141.
  41. World Health Organization. (2023). Hypertension. https://www.who.int/news-room/fact-sheets/detail/hypertension
  42. Wu, J., Li, T., Song, X., Sun, W., Zhang, Y., Liu, Y., Li, L., Yu, Y., Liu, Y., Qi, C., & Liu, B. (2018). Prevalence and distribution of hypertension and related risk factors in Jilin Province, China 2015: A cross-sectional study. BMJ Open, 8, e020126. doi: 10.1136/bmjopen-2017-020126.

How to Cite

Debora, C., Tolimba, C., Palunggi, S., Siregar, D., & Harefa, L. (2023). Risk Factors for Hypertension Among Adults Living in A Rural Area, Minahasa. Jurnal Keperawatan Indonesia, 26(1), 36–45. https://doi.org/10.7454/jki.v26i1.2527