TY - JOUR
T1 - A cross-sectional study
T2 - a hypertension screening model using digital tensimeter as the gold standard at public health centre in Gianyar Regency, Bali Province, Indonesia
AU - Purnawan, I. Nyoman
AU - Widati, Sri
AU - Wahyuni, Chatarina Umbul
N1 - Funding Information:
Acknowledgments: we are thankful to LPPM (Lembaga Penelitian dan Pengabdian Masyarakat) Universitas Dhyana Pura for funding support.
Publisher Copyright:
© the Author(s), 2023.
PY - 2023/5/25
Y1 - 2023/5/25
N2 - The number of patients with hypertension in Gianyar Regency tent to increase in recent years. Hypertension is the first among the tenth rank from the most common diseases, with 23% cases according to the priority scale. Hypertension treatment and management include prevention, early diagnosis, diagnosis with thera-py, and screening to detect early hypertension disease. This screening includes elderly >40 years old who come to Public Health Centre in September 2021. The screening uses a questionnaire to uphold the diagnosis of hypertension disease by using a digital ten-simeter as the gold standard. Based on World Health Organisation in 2018, which said it would be confirmed as hypertension if sys-tolic ≥140 mmHg or diastolic ≥90 mmHg. 86% of 255 respondents were diagnosed with hypertension, that’s 40% were >65 years old, 75% were female, and 31% worked as housewives. The screening tool with a question list of dizziness has a sensitivity value of 99%, a specificity value of 73% with a Positive Predictive Value (PPV), and each value of Negative Predictive Value (NPV) is 96% and 89%, respectively. Headache contains a sensitivity value of 90%, a specificity of 100%, with PPV value of 100% and NPV value of 61%. The combination of symptoms of dizziness and headache has a sensitivity value of 76%, and a specificity value of 82%, with PPV of 96% and NPV of 36%. Clinical symptoms are considered an early diagnosis of hypertension. If people who experience com-plaints of dizziness, headaches, or a combination of the two should immediately check their blood pressure as early as possible. l use onl.
AB - The number of patients with hypertension in Gianyar Regency tent to increase in recent years. Hypertension is the first among the tenth rank from the most common diseases, with 23% cases according to the priority scale. Hypertension treatment and management include prevention, early diagnosis, diagnosis with thera-py, and screening to detect early hypertension disease. This screening includes elderly >40 years old who come to Public Health Centre in September 2021. The screening uses a questionnaire to uphold the diagnosis of hypertension disease by using a digital ten-simeter as the gold standard. Based on World Health Organisation in 2018, which said it would be confirmed as hypertension if sys-tolic ≥140 mmHg or diastolic ≥90 mmHg. 86% of 255 respondents were diagnosed with hypertension, that’s 40% were >65 years old, 75% were female, and 31% worked as housewives. The screening tool with a question list of dizziness has a sensitivity value of 99%, a specificity value of 73% with a Positive Predictive Value (PPV), and each value of Negative Predictive Value (NPV) is 96% and 89%, respectively. Headache contains a sensitivity value of 90%, a specificity of 100%, with PPV value of 100% and NPV value of 61%. The combination of symptoms of dizziness and headache has a sensitivity value of 76%, and a specificity value of 82%, with PPV of 96% and NPV of 36%. Clinical symptoms are considered an early diagnosis of hypertension. If people who experience com-plaints of dizziness, headaches, or a combination of the two should immediately check their blood pressure as early as possible. l use onl.
KW - Gianyar regency Indonesia
KW - digital tensimeter
KW - hypertension screening model
KW - public health center
UR - http://www.scopus.com/inward/record.url?scp=85160816856&partnerID=8YFLogxK
U2 - 10.4081/jphia.2023.2550
DO - 10.4081/jphia.2023.2550
M3 - Article
AN - SCOPUS:85160816856
SN - 2038-9922
VL - 14
JO - Journal of Public Health in Africa
JF - Journal of Public Health in Africa
IS - S2
M1 - 2550
ER -