Hypertension in a Brazilian Urban Slum Population
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
Texto Completo: | https://www.arca.fiocruz.br/handle/icict/12082 |
Resumo: | Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil |
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Unger, AlonFelzemburgh, Ridalva Dias MartinsSnyder, Robert ERibeiro, Guilherme de SousaMohr, SharifCosta, Vinícius B. AMelendez, Astrid X. T. OReis, Renato BarbosaSantana, Francisco SRiley, Lee WoodlandReis, Mitermayer Galvão dosKo, Albert Icksang2015-10-26T13:33:53Z2015-10-26T13:33:53Z2015UNGER, A. et al. Hypertension in a brazilian urban slum population. Journal of Urban Health: Bulletin of the New York Academy of Medicine, v. 92, n. 2, p.446-459, 2015.1099-3460https://www.arca.fiocruz.br/handle/icict/1208210.1007/s11524-015-9956-1engSpringer VerlagHypertension in a Brazilian Urban Slum Populationinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilUniversity of California. School of Public Health. Divisions of Infectious Disease and Vaccinology, and Epidemiology. Berkeley, CA, USAFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilUniversity of California. School of Public Health. Divisions of Infectious Disease and Vaccinology, and Epidemiology. Berkeley, CA, USAFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilYale University. School of Public Health. Department of Epidemiology of Microbial Diseases. New Haven, USALow- and middle-income countries account for the majority of hypertension disease burden. However, little is known about the distribution of this illness within subpopulations of these countries, particularly among those who live in urban informal settlements. A cross-sectional hypertension survey was conducted in 2003 among 5649 adult residents of a slum settlement in the city of Salvador, Brazil. Hypertension was defined as either an elevated arterial systolic (≥140 mmHg) or diastolic (≥90 mmHg) blood pressure. Sex-specific multivariable models of systolic blood pressure were constructed to identify factors associated with elevated blood pressure. The prevalence of hypertension in the population 18 years and older was 21 % (1162/5649). Men had 1.2 times the risk of hypertension compared with women (95 % confidence intervals (CI), 1.05, 1.36). Increasing age and lack of any schooling, particularly for women, were also significantly associated with elevated blood pressure (pG0.05). There was also a direct association between men who were black and an elevated blood pressure. Among those who were hypertensive, 65.5 % were aware of their condition, and only 36.3 % of those aware were actively using anti-hypertensive medications. Men were less likely to be aware of their diagnosis or to use medications (pG0.01 for both) than women. The prevalence of hypertension in this slum community was lower than reported frequencies in the non-slum population of Brazil and Salvador, yet both disease awareness and treatment frequency were low. Further research on hypertension and other chronic non-communicable diseases in slum populations is urgently needed to guide prevention and treatment efforts in this growing population.HypertensionNon-communicable diseaseUrban slumPrevalenceBrazilinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82354https://www.arca.fiocruz.br/bitstream/icict/12082/1/license.txt8b4c200b4e10021c5683c6ccaba07169MD51ORIGINAL2015 Unger. J Urban Health. HTN in a Brazilian Urban Slum Population.pdf2015 Unger. J Urban Health. HTN in a Brazilian Urban Slum Population.pdfapplication/pdf670008https://www.arca.fiocruz.br/bitstream/icict/12082/2/2015%20Unger.%20J%20Urban%20Health.%20HTN%20in%20a%20Brazilian%20Urban%20Slum%20Population.pdf9b44974d31a879b24e5b43f8bef0f749MD52TEXT2015 Unger. J Urban Health. HTN in a Brazilian Urban Slum Population.pdf.txt2015 Unger. J Urban Health. HTN in a Brazilian Urban Slum Population.pdf.txtExtracted texttext/plain45394https://www.arca.fiocruz.br/bitstream/icict/12082/3/2015%20Unger.%20J%20Urban%20Health.%20HTN%20in%20a%20Brazilian%20Urban%20Slum%20Population.pdf.txt9400e3f6c2b090a0cb75886d86bd2f55MD53icict/120822023-03-15 14:34:05.391oai:www.arca.fiocruz.br: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Repositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-03-15T17:34:05Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false |
dc.title.pt_BR.fl_str_mv |
Hypertension in a Brazilian Urban Slum Population |
title |
Hypertension in a Brazilian Urban Slum Population |
spellingShingle |
Hypertension in a Brazilian Urban Slum Population Unger, Alon Hypertension Non-communicable disease Urban slum Prevalence Brazil |
title_short |
Hypertension in a Brazilian Urban Slum Population |
title_full |
Hypertension in a Brazilian Urban Slum Population |
title_fullStr |
Hypertension in a Brazilian Urban Slum Population |
title_full_unstemmed |
Hypertension in a Brazilian Urban Slum Population |
title_sort |
Hypertension in a Brazilian Urban Slum Population |
author |
Unger, Alon |
author_facet |
Unger, Alon Felzemburgh, Ridalva Dias Martins Snyder, Robert E Ribeiro, Guilherme de Sousa Mohr, Sharif Costa, Vinícius B. A Melendez, Astrid X. T. O Reis, Renato Barbosa Santana, Francisco S Riley, Lee Woodland Reis, Mitermayer Galvão dos Ko, Albert Icksang |
author_role |
author |
author2 |
Felzemburgh, Ridalva Dias Martins Snyder, Robert E Ribeiro, Guilherme de Sousa Mohr, Sharif Costa, Vinícius B. A Melendez, Astrid X. T. O Reis, Renato Barbosa Santana, Francisco S Riley, Lee Woodland Reis, Mitermayer Galvão dos Ko, Albert Icksang |
author2_role |
author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Unger, Alon Felzemburgh, Ridalva Dias Martins Snyder, Robert E Ribeiro, Guilherme de Sousa Mohr, Sharif Costa, Vinícius B. A Melendez, Astrid X. T. O Reis, Renato Barbosa Santana, Francisco S Riley, Lee Woodland Reis, Mitermayer Galvão dos Ko, Albert Icksang |
dc.subject.en.pt_BR.fl_str_mv |
Hypertension Non-communicable disease Urban slum Prevalence Brazil |
topic |
Hypertension Non-communicable disease Urban slum Prevalence Brazil |
description |
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil |
publishDate |
2015 |
dc.date.accessioned.fl_str_mv |
2015-10-26T13:33:53Z |
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2015-10-26T13:33:53Z |
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2015 |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
dc.identifier.citation.fl_str_mv |
UNGER, A. et al. Hypertension in a brazilian urban slum population. Journal of Urban Health: Bulletin of the New York Academy of Medicine, v. 92, n. 2, p.446-459, 2015. |
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https://www.arca.fiocruz.br/handle/icict/12082 |
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1099-3460 |
dc.identifier.doi.none.fl_str_mv |
10.1007/s11524-015-9956-1 |
identifier_str_mv |
UNGER, A. et al. Hypertension in a brazilian urban slum population. Journal of Urban Health: Bulletin of the New York Academy of Medicine, v. 92, n. 2, p.446-459, 2015. 1099-3460 10.1007/s11524-015-9956-1 |
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https://www.arca.fiocruz.br/handle/icict/12082 |
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Springer Verlag |
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Springer Verlag |
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