ArticleBMC public health2026
Hypertension screening in adults attending family health centers: prevalence and awareness in those with and without a prior hypertension diagnosis.
Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveThis study aimed to assess the prevalence and awareness of hypertension among adults with and without a prior hypertension diagnosis.
methodsThis was a cross-sectional study. The study included adults who presented to the Family Health Centers (FHCs) and was completed with 1,360 participants. Data were collected with a sociodemographic and descriptive characteristics form, a blood pressure measurement and hypertension awareness form, and the Medication Adherence Self-Efficacy Scale–Short Form. Blood pressure measurements were performed in accordance with the guidelines. If the measured blood pressure was in the hypertensive range, the participant was invited for a follow-up.
resultsMean age was 57.5 ± 13.6 years; 61.5% were women. Percent 44.6 of the participants had diagnosed hypertension. Among those with hypertension, 93.7% were taking antihypertensive medication. Approximately half of the participants perceived their blood pressure as lower. High blood pressure was observed with and without diagnosis of hypertension, respectively, 41.5% and 21.5%. These participants were invited for a follow-up blood pressure measurement, and 46.6% returned for the follow-up. At follow-up, a decrease in blood pressure was observed in 80.8% of those with a diagnosis of hypertension and in 57.0% of those without a diagnosis of hypertension, and medication adherence improved. Additionally, at follow-up, 9.8% received a new diagnosis of hypertension and 17.0% were modified their antihypertensive treatment regimen.
conclusionsFollow-up and counselling-based interventions implemented in FHCs are effective in improving blood pressure control and increasing treatment adherence. There is a clear need for FHC-based screening and awareness programs, as well as longer-term interventions and follow-up studies.
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