Turkiye Klinikleri Family Medicine - Special Topics

Hypertension in Primary Care Special Issue
.: REVIEW
Hipertansiyonun Ulusal ve Küresel Hastalık Yükü
National and Global Burden of Hypertension
Dr. Gül ERGÖRa
aHalk Sağlığı AD, Dokuz Eylül Üniversitesi Tıp Fakültesi, İzmir
Turkiye Klinikleri J Fam Med-Special Topics. 2010;1(1):69-73
Article Language: TR
ÖZET
Hipertansiyon hem tedavi gerektiren başlı başına bir hastalık, hem de kalp damar hastalıkları için en önemli risk faktörüdür. Ülkemizde erişkin populasyonda prevalansı %32'dir. Kadınlarda prevalans erkeklerden daha yüksektir (%36.1 ve %27.5). Otuz yaş altı nüfusta hipertansiyon prevalansı %12'dir ve yaş ilerledikçe bu oran her iki cinsiyette de giderek artmaktadır. Hipertansiyon dünyada tüm ölümlerin %13.5 inden sorumludur. Hipertansiyona bağlı hastalıklardan inmenin %54'ü, iskemik kalp hastalığının %47'si hipertansiyona atfedilmektedir. Bu hastalık yükünün %80'i düşük ve orta gelirli ülkelerde, yarıdan çoğu da 45-69 yaş grubunda görülmektedir. Dünyada her yıl antihipertansif tedaviye 50 milyar dolar harcanmaktadır; bu harcamanın %90'ı yüksek gelirli ülkelerde yapılmaktadır. Hipertansiyonun ve yol açtığı hastalıkların önlenmesi için sağlığın geliştirilmesine uygun sağlık politikaları oluşturulmalı, farklı disiplinler ve sağlık dışı sektörlerin de katılımıyla toplumdaki hastalık yükü azaltılmalıdır.

Anahtar Kelimeler: Hipertansiyon, hastalık giderleri; risk
ABSTRACT
Hypertension is a disease that needs treatment as well as the major risk factor for cardiovascular disease. The prevalance in the adult population in Turkey is 32%. The prevalance is higher in women than in man (36.1% ve 27.5%). The hypertension prevalance under the age of 30 is 12% and increases as the age gets older. 13.5% of deaths worldwide is attributable to hypertension. About 54% of stroke and 47% of ischemic heart disease are attributable to high blood pressure. Almost 80% of the burden is seen in low and middle income countries and more than half has occured among the people in 45-69 age group. Every year 50 billion dollars are spent for antihypertensive therapy, which more than 90% is spent by the high income countries. To prevent hypertension associated conditions, policy for heath promotion has to be developed and with a multidisciplinary approach and the participation of different sectors the burden of hypertension could be decreased.

Keywords: Hypertension, cost of illness; risk

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30.03.2014

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