Defi Pamelasari, Vinna Ayu Wulandari, Laluna Rahma Putri, Mahalul Azam, Arulita Ika Fibriana, Arief Rahadian, Muhamad Zakki Saefurrohim, Syed Mohamed Aljunid
Hypertension is one of the major risk factors for stroke. Isolated systolic hypertension (ISH) is a common subtype of hypertension in the elderly. Yet, studies of stroke risk factors in subjects with ISH in Indonesia are limited. This cross-sectional survey was conducted using RISKESDAS 2018 database. We used subject criteria of those aged ≥55 years who had a systolic blood pressure ≥140 mmHg and diastolic <90 mmHg. All study variables were measured using household and individual questionnaires. The data were analyzed using the chi-square test and Fisher's test. We found that out of 3159 subjects with ISH, 8.3% had been diagnose with stroke, the risk factors that had a significant relationship with the prevalence of stroke (p<0.005) were gender (prevalence ratio (PR): 1,790; 1,420-2,256), smoking habits (PR: 1,645; 1,291-2,096), physical and mental stress (PR: 2,080; 1,618-2,673), residential area (PR: 1,720; 1,331-2,222), and education level (PR: 0.656; 0.515-0.835). Prevalence of stroke among ISH in Indonesia was 8.3%. Female smoking habits, mental and physical stress, living in an urban area, and low-level education were associated with the incidence of stroke in subjects with ISH in Indonesia. © 2025 Author(s).
Department of Public Health, Faculty of Medicine, Universitas Negeri Semarang, Semarang, 50229, Indonesia; Department of Public Health, Faculty of Public Health, Universitas Mulawarman, Samarinda, 75119, Indonesia; Department of Biochemistry, Faculty of Medicine, Sultan Agung Islamic University, Semarang, 50112, Indonesia; Department of Health Policy and Management, Faculty of Public Health, Kuwait University, 71953, Kuwait
