Prevalence and risk factors of hypertension in the young patients at Bangkhla hospital, Bangkhla district, Chachoengsao province and Sanam Chai Khet hospital, Sanam Chai Khet district, Chachoengsao province

Hypertension has a long course of action and has high mortality and rate of morbidity from associated hypertension complications such as cardiovascular disease, stroke, and renal failure. In 2015, the Ministry of Public Health in Thailand reported 18,922 deaths from cardiovascular events and 27,884 deaths from stroke, indicating the danger of hypertension. It was also found that hypertension in the young causes a poor prognosis if not treated early. On the contrary, if treated from the beginning to control appropriate blood pressure, it will make the future good health and reduce the rate of hospitalization. A cross-sectional study was conducted from the health registry of hypertension in young patients in Bangkhla hospital and Sanam Chai Khet hospital, Chachoengsao province, during 2015-2021 to investigate the prevalence and associated factors of hypertension in the young. Adjusted odds ratio and 95% confidential intervals were calculated to determine associated factors. In 39,366 diabetic patients who participated in this study, the prevalence of hypertension in the young was 2.22%. The factors associated with hypertension in the young were male sex (are: 2.69, 95% CI: 1.673-4.290), Age more than 30 years old(aOR = 2.248 95% CI = 1.220-4.414), BMI ≥23 kg/m2 (aOR = 6.874 95% CI = 1.233- 38.335), history of smoking (are: 4.46, 95% CI: 1.710-11.648), diabetes (aOR = 6.056 95% CI = 2.728-13.445) and cardiovascular disease (aOR = 10.445 95% CI = 1.22-89.447). The prevalence of hypertension in the young patients in Bangkhla hospital and Sanam Chai Khet hospital was lower than the prevalence in Thai patients. The associated factors were male sex, overweight, smoking history, alcohol drinking, diabetes mellitus, myocardial infarction, heart failure and stroke, and abnormal laboratory results, including FBS( Fasting Blood Sugar) and Cr ( Serum Creatinine). Our findings may help raise awareness of hypertension in young patients in healthcare providers and awareness in patient self. The proper management and reasonable plan for the chronic disease may help reduce the prevalence of hypertension in the young and following complications. Regular follow-up, proper advice, and encouraging patients to be behavioral changing, especially modifiable factors, which are smoking and weight controlling, would give better disease control and reduce the risk of vascular complications.