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Prevalence and treatment of hypertension in urban and riverside areas in Porto Velho, the Brazilian Amazon.
Postgrad Med. 2015 Jan; 127(1):66-72.PM

Abstract

INTRODUCTION

Hypertension (HTN) is a preventable cause of cardiovascular morbidity and mortality.

OBJECTIVES

To compare the prevalence, awareness, treatment, and control of HTN among urban and riverside populations in Porto Velho, Amazon region.

METHODS

We conducted a cross-sectional study between July and December 2013 based on a household survey of individuals aged 35-80 years. Interviews by using a standardized questionnaire, and blood pressure (BP), weight, height, and waist circumference measurements were performed. HTN was defined when individuals reported having the disease, received antihypertensive medications, or had a systolic BP ≥ 140 mm Hg or diastolic BP ≥ 90 mm Hg. Awareness was based on self-reports and the use of antihypertensive medications. Control was defined as a BP ≤ 140/90 mm Hg.

RESULTS

Among the 1410 participants, 750 (53.19%) had HTN and 473 (63.06%) had diagnosis awareness, of whom 404 (85.41%) received pharmacological treatment but with low control rate. The prevalence and treatment rates were higher in the urban areas (55.48% vs. 48.87% [p = 0.02] and 61.25% vs. 52.30% [p < 0.01], respectively). HTN awareness was higher in the riverside area (61.05% vs. 67.36% ; p < 0.01), but the control rates showed no statistically significant difference (22.11% vs. 23.43% ; p = 0.69).

CONCLUSION

HTN prevalence was higher in the urban population than in the riverside population. Of the hypertensive individuals in both areas, <25% had controlled HTN. Comprehensive public health measures are needed to improve the prevention and treatment of systemic arterial HTN and prevent other cardiovascular diseases.

Authors+Show Affiliations

Department of Internal Medicine, School of Medical Sciences, State University of Campinas (UNICAMP) , Sao Paulo , Brazil.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25526235

Citation

Almeida, Raitany Costa, et al. "Prevalence and Treatment of Hypertension in Urban and Riverside Areas in Porto Velho, the Brazilian Amazon." Postgraduate Medicine, vol. 127, no. 1, 2015, pp. 66-72.
Almeida RC, Dias DJ, Deguchi KT, et al. Prevalence and treatment of hypertension in urban and riverside areas in Porto Velho, the Brazilian Amazon. Postgrad Med. 2015;127(1):66-72.
Almeida, R. C., Dias, D. J., Deguchi, K. T., Spesia, C. H., & Coelho, O. R. (2015). Prevalence and treatment of hypertension in urban and riverside areas in Porto Velho, the Brazilian Amazon. Postgraduate Medicine, 127(1), 66-72.
Almeida RC, et al. Prevalence and Treatment of Hypertension in Urban and Riverside Areas in Porto Velho, the Brazilian Amazon. Postgrad Med. 2015;127(1):66-72. PubMed PMID: 25526235.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence and treatment of hypertension in urban and riverside areas in Porto Velho, the Brazilian Amazon. AU - Almeida,Raitany Costa, AU - Dias,Diego Jordão Lino, AU - Deguchi,Karime Tuyane Pinheiro, AU - Spesia,Carlos Henrique, AU - Coelho,Otavio Rizzi, Y1 - 2014/12/15/ PY - 2014/12/20/entrez PY - 2014/12/20/pubmed PY - 2015/9/16/medline KW - Hypertension KW - cardiovascular KW - prevalence KW - prevention KW - treatment SP - 66 EP - 72 JF - Postgraduate medicine JO - Postgrad Med VL - 127 IS - 1 N2 - INTRODUCTION: Hypertension (HTN) is a preventable cause of cardiovascular morbidity and mortality. OBJECTIVES: To compare the prevalence, awareness, treatment, and control of HTN among urban and riverside populations in Porto Velho, Amazon region. METHODS: We conducted a cross-sectional study between July and December 2013 based on a household survey of individuals aged 35-80 years. Interviews by using a standardized questionnaire, and blood pressure (BP), weight, height, and waist circumference measurements were performed. HTN was defined when individuals reported having the disease, received antihypertensive medications, or had a systolic BP ≥ 140 mm Hg or diastolic BP ≥ 90 mm Hg. Awareness was based on self-reports and the use of antihypertensive medications. Control was defined as a BP ≤ 140/90 mm Hg. RESULTS: Among the 1410 participants, 750 (53.19%) had HTN and 473 (63.06%) had diagnosis awareness, of whom 404 (85.41%) received pharmacological treatment but with low control rate. The prevalence and treatment rates were higher in the urban areas (55.48% vs. 48.87% [p = 0.02] and 61.25% vs. 52.30% [p < 0.01], respectively). HTN awareness was higher in the riverside area (61.05% vs. 67.36% ; p < 0.01), but the control rates showed no statistically significant difference (22.11% vs. 23.43% ; p = 0.69). CONCLUSION: HTN prevalence was higher in the urban population than in the riverside population. Of the hypertensive individuals in both areas, <25% had controlled HTN. Comprehensive public health measures are needed to improve the prevention and treatment of systemic arterial HTN and prevent other cardiovascular diseases. SN - 1941-9260 UR - https://www.unboundmedicine.com/medline/citation/25526235/Prevalence_and_treatment_of_hypertension_in_urban_and_riverside_areas_in_Porto_Velho_the_Brazilian_Amazon_ L2 - https://www.tandfonline.com/doi/full/10.1080/00325481.2015.993574 DB - PRIME DP - Unbound Medicine ER -