Review Article

The Prevalence and Risk Factors of Hypertension among the Urban Population in Southeast Asian Countries: A Systematic Review and Meta-Analysis

Table 2

Study characteristic, the prevalence of hypertension.

No.Author (year)Type of studyCountry/state/region of studyStudy settingSample population/ageSample sizeSubgroup of population (if any)No. of positive cases of HPTOverall prevalence of HPT, % (with 96% CI)Subgroup prevalence, % (with 96% CI)Diagnostic criteria of HPT

(1)Abdul-Razak et al. (2016) [14]Prospective cohort studySelangor, Negeri Sembilan, Pahang, Kelantan, Sarawak and Sabah, and the Federal territory of Kuala Lumpur (Malaysia)CommunityAdults aged ≥30 yearsOverall N = 11267, urban N = 5857 (51.9%), and rural N = 5410 (48.1%)There was an overall subgroup (age, sex, race, education level, smoking status, and obesity); however, it was unable to specify the urban subgroupOverall 5409, urban: 2630, ruralOverall 47.9 (47.0–49.0), urban: 44.9 (43.6–46.2), rural 51.2 (49.8–52.4)NA(1) Systolic BP ≥ 140 mmHg and/or diastolic BP ≥ 90 mmHg (measured twice using an automatic digital blood pressure monitor); (2) the participants reported a history of hypertension; or (3) the participants reported taking antihypertensive medications in the past two weeks
(2)Bjertness et al. (2016) [15]Cross sectionalMyanmarCommunityAdults 15–64 yearsOverall N = 7319, urban N = 2162 (29.5%), rural N = 5157 (70.5%)(Urban only) male N = 851, Female N = 1311. Another subgroup was overall and not specific to the urban populationOverall 2171, urban 737, rural 1434Overall 29.9 (28.8–31.0), urban 34.1 (32.1–36.1), rural 27.8 (26.6–29.0)(Urban only) male 30.1 (27.0–33.2) Female 29.8 (27.3–32.3)(1) Systolic BP ≥ 140 mmHg and/or average diastolic BP ≥ 90 mmHg (measured three times using an automatic digital blood pressure monitor); (2) or participants reported taking antihypertensive medications
(3)Christiani et al. (2016) [16]Cross sectionalIndonesiaCommunity in urbanAdults > 15 years15,802 urban population (7543 males and 8259 females)Male-female, by age5064, male-2429; female 263532.1 (31.32–32.77)Male: 32.2 (31.47–32.93); Female: 31.9 (31.53–32.27)Systolic BP > 140 mmHg or mean diastolic BP was >90 mmHg on 3 blood pressure measurements (did not mention the tool used for BP measurement)
(4)Htet et al. (2017) [15]Cross-sectionalYangon, MyanmarCommunityAdults (25–74 years old)Total subjects in urban and rural: 2004 (N = 4448), 2014 (N = 1486). For the year 2014, the sample size for urban was 2231Urban rural, male-female. For the year 2014, the male urban was 745 and the female urban was 14862004: male-556, female-680; 2014: male-288, female-256. In 2014, 801 out of 2231 urban population had HPT2004: 27.6 (24.3–31.1) 2014: 34.5 (31.5–37.6). In 2014, the prevalence of HPT in urban was 35.9HPT for male in 2004: 27.9 (23.9–32.4), HPT of male in 2014: 38.7 (33.9–43.7), HPT for female in 2004:27.7 (24.4–31.3) HPT for female in 2004 34.5 (28.9–40.6). In 2014, urban men and women had 38.7 and 34.5 of HPT, respectively(1) Systolic BP ≥ 140 mmHg and/or average diastolic BP ≥ 90 mmHg (measured three times using an automatic digital blood pressure monitor); (2) participants reported taking antihypertensive medications in the past two weeks
(5)Kho et al. (2018) [16]Cross sectionalSarawak, MalaysiaSchool basedAdolescents (12–17 years old)N = 2461 (total), n = 633 (urban).n = 218 (urban), n = 523 (rural).30.1 (29.84–30.64) (total)34.4 (34.14–34.66) (urban).Hypertension was defined as an average systolic BP and/or diastolic BP above or equal to the 95th percentile for sex, age, and height (measured three times using an automatic digital blood pressure monitor)
(6)Liew et al. (2019) [17]Cross sectionalJohor Bahru, MalaysiaSchool basedAdolescents (mean 14.6 years of age)N = 273NAn = 6724.5 (19.40–29.60)NAHypertension was defined as a systolic BP or diastolic BP above the 9th percentile (measured three times using an automatic digital blood pressure monitor)
(7)Liew et al. (2019) [18]Cross sectionalSingaporeCommunityAdults ≥21 yearsN = 10215NA317731.1 (30.20–32.00)NA1) Systolic BP ≥ 140 mmHg and/or diastolic BP ≥ 90 mmHg (measured twice using an automatic digital blood pressure monitor); (2) the participants reported a history of hypertension
(8)Visanuyothin et al. (2018) [19]Cross sectionalThailandCommunity in urbanAdults (median 63 years old)125All hypertensive patients are divided into a controlled and uncontrolled group73 (well controlled)58.4 (58.31–58.47)Uncontrolled hypertension: 41.6 (41.51–41.67)BP ≥ 140/90 mmHg in last three visits, measured using an automatic digital blood pressure monitor
(9)Sison et al. (2019) [20]Cross sectionalThe PhilippinesCommunity healthcare workersAdults (mean 49.3 years of age)457Urban rural, male-female14832.4 (32.34–32.44)Urban: 33.3 (33.24–33.36)(1) Systolic BP ≥ 140 mmHg and/or diastolic BP ≥ 90 mmHg (measured three times using an automatic digital blood pressure monitor); (2) participants reported taking antihypertensive medications