Antihypertensive Treatment Patterns and Factors Associated with Blood Pressure Control Across Türkiye: A Multicenter Cross-Sectional Study
ANATOLIAN JOURNAL OF CARDIOLOGY, 2026 (SCI-Expanded, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Basım Tarihi: 2026
- Doi Numarası: 10.14744/anatoljcardiol.2026.6887
- Dergi Adı: ANATOLIAN JOURNAL OF CARDIOLOGY
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, MEDLINE, Directory of Open Access Journals, TR DİZİN (ULAKBİM), Academic Search Ultimate (EBSCO), Biomedical Reference Collection: Corporate Edition (EBSCO), Health Research Premium Collection (ProQuest)
- Dokuz Eylül Üniversitesi Adresli: Evet
Özet
Background: This study aimed to evaluate office blood pressure control, antihypertensive treatment patterns, and factors associated with uncontrolled office blood pressure among adults attending family health centers across T & uuml;rkiye. Methods: This multicenter cross-sectional study was conducted across the 7 geographical regions of T & uuml;rkiye from February to December 2025. Adults aged >= 18 years with previous hypertension, antihypertensive treatment, and/or elevated office blood pressure atthe study visit were included. Controlled office blood pressure was defined as <140/90 mm Hg for the primary analysis; achievement of <130/80 mmHg was assessed descriptively. Antihypertensive agents, drug classes, clinical characteristics, and laboratory parameters were recorded. Multiple binary logistic regression analysis identified factors independently associated with uncontrolled office blood pressure. Results: Among 1483 participants, median age was 63.0 years and 60.2% were female. Of 1456 participants with classifiable blood pressure, 902 (62.0%) had office blood pressure < 140/90 mm Hg. At the lower threshold, 438 of 1458 participants (30.0%) had office blood pressure < 130/80 mm Hg. Two-drug therapy was most common (38.7%), followed by monotherapy (27.1%) and 3-drugtherapy (18.5%). Older age and higher body mass index were associated with greater odds of uncontrolled office blood pressure, whereasfemale sex was associated with lower odds; geographical region and antihypertensive treatment category were also independently associated with office blood pressure control. Conclusion: Office blood pressure was <140/90 mm Hg in nearly two-thirds of participants, whereas 30.0% met the descriptive <130/80 mm Hg threshold. Combination therapy predominated, and office blood pressure control was associated with demographic, clinical, regional, and treatment-related factors.