Medical Journal of the Islamic Republic Of Iran

en Pattern of Healthcare Utilization Related to Hypertension and Associated Factors: A Survey Study in the Capital of Iran Health System Health System Original Research Original Research     Background: Updating hypertension-related healthcare services requires understanding of the utilization status and its associated factors. This study aimed to assess patterns of healthcare utilization related to hypertension and its associated factors in Tehran.    Methods: This population-based cross-sectional study was conducted on adult residents over 30 years of age using a multistage stratified random sampling from December 2024 to May 2025. The data were collected using telephone interviews via a researcher-made questionnaire that included demographic information and information on the utilization patterns of health services related to hypertension. Multiple logistic regression was used to evaluate factors associated with health service utilization at the 95% confidence level using STATA-Command Survey software version 18.    Results: Among the 4,500 participants, 14.6% (95% CI= 13.4–15.8) reported the utilization of healthcare services in healthcare facilities in Tehran during the past two years, with 22.3% (95% CI= 19.5–25.3) utilization observed among individuals with hypertension. In total, the largest proportion of reasons for receiving related health services were related to having worrying about symptoms (75.5%), good response and behavior from service providers (61.3%), and a high level of centers—doctors/healthcare providers (42.4%). Among the 3843 people who did not receive health services, the greatest proportion were related to financial problems and a lack of favorable insurance status (81.2%) and inadequate health service to meet needs (63.2%). Utilization was significantly related to increasing age (OR =3.94, 95% CI= 2.01--5.09), higher education level (OR =3.74, 95% CI= 1.85--5.02), better socioeconomic status (OR =3.21, 95% CI= 1.61--4.96), having armed forces health insurance good (OR =4.03, 95% CI= 1.27--6.98), and supplementary insurance good (OR =6.13, 95% CI= 2.41--8.14).    Conclusion: Utilization of hypertension-related services in Tehran is suboptimal and is not only due to individual inattention but also the result of the interaction of various individual, economic, and social factors, which must be viewed as a package of intervenable issues to improve it.   Utilization, Hypertension, Health care, Health services 389 404 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-10028-1&slc_lang=en&sid=1 Ahmad Mehri mehri2602@gmail.com 200319475328460097645 200319475328460097645 No Department of Epidemiology, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran Manoochehr Karami man.karami@yahoo.com 200319475328460097646 200319475328460097646 No Department of Epidemiology, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran Mohsen Barouni mohsenbarooni@gmail.com 200319475328460097647 200319475328460097647 No Research Center for Health Services Management, Institute of Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran Maryam Farhadpour farhadpour1998@gmail.com 200319475328460097648 0009-0000-8916-843x No Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran Seyed Saeed Hashemi Nazari saeedh_1999@sbmu.ac.ir 200319475328460097649 200319475328460097649 No Safety Promotion and Injury Prevention Research Center, Research Institute for Health Sciences and Environment, Shahid Beheshti University of Medical Sciences, Tehran, Iran Koorosh Etemad etemadk@sbmu.ac.ir 200319475328460097650 200319475328460097650 Yes Department of Epidemiology, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran