{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T05:50:23Z","timestamp":1784872223731,"version":"3.55.0"},"reference-count":30,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2023,1,10]],"date-time":"2023-01-10T00:00:00Z","timestamp":1673308800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Arterial hypertension (AH), one of the most common diseases of civilization, is an independent risk factor for cardiovascular morbidity and mortality. This disease is the second, after lipid disorders, the most common cardiovascular risk factor and a significant cause of premature death. In Poland, one in three adults (approximately 11 million people) suffers from it. The aim of our survey was to determine patients\u2019 knowledge of the factors (e.g., age, smoking cigarettes, drinking coffee, shift work) that may influence the development of hypertension. The survey was conducted among 205 adult primary care patients living in urban areas. There was a high correlation between patients\u2019 education and risk factors of AH, such: as excess salt in the diet (p = 0.038), smoking electronic cigarettes (p = 0.005), moderate alcohol consumption (p = 0.028), moderate daily physical activity (p = 0.011), female and male sex (p = 0.032 and p = 0.012), air pollution (p &lt; 0.001) and others. In addition, a statistically significant factor shaping patients\u2019 attitudes toward hypertension prevention was the correlation between the respondents\u2019 education and their parents\u2019 prevalence of hypertension (p = 0.40). This study increases the knowledge of patients\u2019 awareness of hypertension. It may serve as guidance for primary care providers to pay special attention to environmental interviews with patients and the patient\u2019s family history for the prevention of hypertension incidence.<\/jats:p>","DOI":"10.3390\/ijerph20021250","type":"journal-article","created":{"date-parts":[[2023,1,11]],"date-time":"2023-01-11T01:33:12Z","timestamp":1673400792000},"page":"1250","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Knowledge of Primary Care Patients Living in the Urban Areas about Risk Factors of Arterial Hypertension"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6853-9358","authenticated-orcid":false,"given":"Tomasz","family":"Sobierajski","sequence":"first","affiliation":[{"name":"Faculty of Applied Social Sciences and Resocialization, University of Warsaw, 00-927 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8073-6664","authenticated-orcid":false,"given":"Stanis\u0142aw","family":"Surma","sequence":"additional","affiliation":[{"name":"Faculty of Medical Sciences in Katowice, Medical University of Silesia, 40-752 Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monika","family":"Roma\u0144czyk","sequence":"additional","affiliation":[{"name":"Faculty of Medical Sciences in Katowice, Medical University of Silesia, 40-752 Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6690-6874","authenticated-orcid":false,"given":"Maciej","family":"Banach","sequence":"additional","affiliation":[{"name":"Department of Preventive Cardiology and Lipidology, Medical University of Lodz, 93-338 Lodz, Poland"},{"name":"Cardiovascular Research Centre, University of Zielona Gora, 65-417 Zielona Gora, Poland"},{"name":"Department of Cardiology and Adult Congenital Heart Diseases, Polish Mother\u2019s Memorial Hospital Research Institute (PMMHRI), 93-338 Lodz, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7505-2599","authenticated-orcid":false,"given":"Suzanne","family":"Oparil","sequence":"additional","affiliation":[{"name":"Department of Medicine, School of Medicine, University of Alabama at Brimingham, Brimingham, AL 35294, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,1,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2982","DOI":"10.1016\/j.jacc.2020.11.010","article-title":"Global Burden of Cardiovascular Diseases and Risk Factors, 1990\u20132019: Update from the GBD 2019 Study","volume":"76","author":"Roth","year":"2020","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1016\/S0140-6736(21)01330-1","article-title":"Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: A pooled analysis of 1201 population-representative studies with 104 million participants","volume":"398","author":"Zhou","year":"2021","journal-title":"Lancet"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"m3222","DOI":"10.1136\/bmj.m3222","article-title":"Association between high blood pressure and long term cardiovascular events in young adults: Systematic review and meta-analysis","volume":"370","author":"Luo","year":"2020","journal-title":"BMJ"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1093\/eurheartj\/suz067","article-title":"Do we know more about hypertension in Poland after the May Measurement Month 2017?\u2014Europe","volume":"21","author":"Mastej","year":"2019","journal-title":"Eur. Heart J. Suppl."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1016\/S0828-282X(06)70275-6","article-title":"Worldwide epidemic of hypertension","volume":"22","author":"Chockalingam","year":"2006","journal-title":"Can. J. Cardiol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1038\/s41581-019-0244-2","article-title":"The global epidemiology of hypertension","volume":"16","author":"Mills","year":"2020","journal-title":"Nat. Rev. Nephrol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1001\/jama.2016.19043","article-title":"Global Burden of Hypertension and Systolic Blood Pressure of at Least 110 to 115 mm Hg, 1990\u20132015","volume":"317","author":"Forouzanfar","year":"2017","journal-title":"JAMA"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"785","DOI":"10.1038\/s41569-021-00559-8","article-title":"Global epidemiology, health burden and effective interventions for elevated blood pressure and hypertension","volume":"18","author":"Zhou","year":"2021","journal-title":"Nat. Rev. Cardiol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1651","DOI":"10.1161\/CIRCULATIONAHA.104.490599","article-title":"Epidemiology of uncontrolled hypertension in the United States","volume":"112","author":"Wang","year":"2005","journal-title":"Circulation"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1161\/01.HYP.0000158261.86674.8e","article-title":"Impact of obesity on 24-h ambulatory blood pressure and hypertension","volume":"45","author":"Kotsis","year":"2005","journal-title":"Hypertension"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1039","DOI":"10.1089\/acm.2009.0577","article-title":"Effect of slow abdominal breathing combined with biofeedback on blood pressure and heart rate variability in prehypertension","volume":"16","author":"Wang","year":"2010","journal-title":"J. Altern. Complement. Med."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Aung, T.N.N., Shirayama, Y., Moolphate, S., Lorga, T., Jamnongprasatporn, W., Yuasa, M., and Aung, M.N. (2022). Prevalence and Risk Factors for Hypertension among Myanmar Migrant Workers in Thailand. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19063511"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1097\/HJH.0b013e328317c8c3","article-title":"Risk factors associated with hypertension awareness, treatment, and control in a multi-ethnic Asian population","volume":"27","author":"Wu","year":"2009","journal-title":"J. Hypertens."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1912","DOI":"10.1016\/S0140-6736(14)60688-7","article-title":"Hypertension management in England: A serial cross-sectional study from 1994 to 2011","volume":"383","author":"Falaschetti","year":"2014","journal-title":"Lancet"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"5491838","DOI":"10.1155\/2017\/5491838","article-title":"Prevalence and Associated Risk Factors of Hypertension: A Cross-Sectional Study in Urban Varanasi","volume":"2017","author":"Singh","year":"2017","journal-title":"Int. J. Hypertens."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Wolde, M., Azale, T., Debalkie Demissie, G., and Addis, B. (2022). Knowledge about hypertension and associated factors among patients with hypertension in public health facilities of Gondar city, Northwest Ethiopia: Ordinal logistic regression analysis. PLoS ONE, 17.","DOI":"10.1371\/journal.pone.0270030"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"e187443462201060","DOI":"10.2174\/18744346-v16-e2201060","article-title":"Public\u2019s knowledge of hypertension and its associated factors: A cross-sectional study","volume":"16","author":"Almomani","year":"2022","journal-title":"Open Nurs. J."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Grad, I., Mastalerz-Migas, A., and Kili\u015b-Pstrusi\u0144ska, K. (2015). Factors associated with knowledge of hypertension among adolescents: Implications for preventive education programs in primary care. BMC Public Health, 15.","DOI":"10.1186\/s12889-015-1773-7"},{"key":"ref_19","first-page":"184","article-title":"Factors associated with the level of knowledge about hypertension in primary care patients","volume":"19","year":"2017","journal-title":"Med. Univ."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"j1949","DOI":"10.1136\/bmj.j1949","article-title":"Heritability and risks associated with early onset hypertension: Multigenerational, prospective analysis in the Framingham Heart Study","volume":"357","author":"Niiranen","year":"2017","journal-title":"BMJ"},{"key":"ref_21","first-page":"743","article-title":"A study of the basic and derived anthropometric indices among the healthy adults (20\u201330 years of age) of amritsar city (punjab) having family history of hypertension","volume":"2","author":"Khanna","year":"2011","journal-title":"Int. J. Biol. Med. Res."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1186\/s40557-017-0166-z","article-title":"Effect of shift work on hypertension: Cross sectional study","volume":"29","author":"Yeom","year":"2017","journal-title":"Ann. Occup. Environ. Med."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Sfreddo, C., Fuchs, S.C., Merlo, A.R., and Fuchs, F.D. (2010). Shift work is not associated with high blood pressure or prevalence of hypertension. PLoS ONE, 5.","DOI":"10.1371\/journal.pone.0015250"},{"key":"ref_24","first-page":"36","article-title":"Relationship between shift work and high blood pressure: A cross-sectional study","volume":"4","author":"Alshahrani","year":"2015","journal-title":"Bull. Environ. Pharmacol. Life Sci."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Gamboa Madeira, S., Fernandes, C., Paiva, T., Santos Moreira, C., and Caldeira, D. (2021). The Impact of Different Types of Shift Work on Blood Pressure and Hypertension: A Systematic Review and Meta-Analysis. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18136738"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1007\/s11906-021-01156-3","article-title":"Coffee and arterial hypertension","volume":"23","author":"Surma","year":"2021","journal-title":"Curr. Hypertens. Rep."},{"key":"ref_27","first-page":"186","article-title":"\u015awiadomo\u015b\u0107 wybranych czynnik\u00f3w ryzyka chor\u00f3b uk\u0142adu sercowo-naczyniowego w populacji m\u0142odych os\u00f3b","volume":"14","author":"Surma","year":"2017","journal-title":"Chor. Serca Naczy\u0144"},{"key":"ref_28","first-page":"14","article-title":"\u015awiadomo\u015b\u0107 nadci\u015bnienia t\u0119tniczego i innych czynnik\u00f3w ryzyka chor\u00f3b uk\u0142adu sercowo-naczyniowego w populacji os\u00f3b doros\u0142ych","volume":"15","author":"Surma","year":"2018","journal-title":"Chor. Serca Naczy\u0144"},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Sobierajski, T., Surma, S., Roma\u0144czyk, M., \u0141abuzek, K., Filipiak, K.J., and Oparil, S. (2022). What Is or What Is Not a Risk Factor for Arterial Hypertension? Not Hamlet, but Medical Students Answer That Question. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19138206"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1177\/0003319713489166","article-title":"The knowledge and awareness of hypertension among patients with hypertension in central Poland: A pilot registry","volume":"65","author":"Michalska","year":"2014","journal-title":"Angiology"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/2\/1250\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:05:38Z","timestamp":1760119538000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/2\/1250"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,10]]},"references-count":30,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2023,1]]}},"alternative-id":["ijerph20021250"],"URL":"https:\/\/doi.org\/10.3390\/ijerph20021250","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1,10]]}}}