Sociodemographic disparities in hypertension prevalence: results from the first Portuguese National Health Examination Survey

Detalhes bibliográficos
Autor(a) principal: Rodrigues, Ana Paula
Data de Publicação: 2019
Outros Autores: Gaio, Vânia, Kislaya, Irina, Graff-Iversen, Sidsel, Cordeiro, Eugénio, Silva, Ana Clara, Namorado, Sónia, Barreto, Marta, Gil, Ana Paula, Antunes, Liliana, Santos, Ana, Miguel, José Pereira, Nunes, Baltazar, Matias Dias, Carlos, INSEF Research group
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.18/7106
Resumo: Introduction: Cardiovascular disease is an important cause of death and disability worldwide, and hypertension is responsible for at least 45% of all deaths due to heart disease and 51% of deaths due to stroke. This study aimed to estimate and describe the distribution of prevalence, awareness, treatment and control of hypertension in the Portuguese population in 2015. Methods: A national survey using a representative sample of 4911 individuals residing in Portugal and aged between 25 and 74 years was implemented. Trained nurses performed a health interview and a physical examination, including blood pressure measurement (right arm, three measurements at 1-min intervals). The prevalence of hypertension was stratified by gender, age group, marital status, education, occupation and type of residential area. Associations between hypertension prevalence and sociodemographic factors were assessed using bivariate and multivariate Poisson regression. Results: The overall hypertension prevalence was 36.0%. The highest rates were observed in males (39.6%), in individuals aged between 65 and 74 years (71.3%), and in those with low levels of education (62.6%) and with no formal occupation (64.5%). Among hypertensive individuals, 69.8% were aware of their condition and 69.4% were under treatment, of whom 71.3% were controlled. Rates of awareness and medical treatment were significantly higher among women and older individuals. Conclusions: A large majority of the adult Portuguese population are likely to reach blood pressure levels defined as hypertension in adulthood. Significant differences in hypertension prevalence were found according to gender, age and socioeconomic status, which highlights the importance of population strategies in public health policies.
id RCAP_53261f9a2602829480b00c95f26d7b1a
oai_identifier_str oai:repositorio.insa.pt:10400.18/7106
network_acronym_str RCAP
network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository_id_str 7160
spelling Sociodemographic disparities in hypertension prevalence: results from the first Portuguese National Health Examination SurveyBlood PressureHypertensionPrevalenceSocioeconomic FactorsINSEFNational Health Examination SurveyDeterminantes da Saúde e da DoençaEstados de Saúde e de DoençaHipertensão ArterialPortugalIntroduction: Cardiovascular disease is an important cause of death and disability worldwide, and hypertension is responsible for at least 45% of all deaths due to heart disease and 51% of deaths due to stroke. This study aimed to estimate and describe the distribution of prevalence, awareness, treatment and control of hypertension in the Portuguese population in 2015. Methods: A national survey using a representative sample of 4911 individuals residing in Portugal and aged between 25 and 74 years was implemented. Trained nurses performed a health interview and a physical examination, including blood pressure measurement (right arm, three measurements at 1-min intervals). The prevalence of hypertension was stratified by gender, age group, marital status, education, occupation and type of residential area. Associations between hypertension prevalence and sociodemographic factors were assessed using bivariate and multivariate Poisson regression. Results: The overall hypertension prevalence was 36.0%. The highest rates were observed in males (39.6%), in individuals aged between 65 and 74 years (71.3%), and in those with low levels of education (62.6%) and with no formal occupation (64.5%). Among hypertensive individuals, 69.8% were aware of their condition and 69.4% were under treatment, of whom 71.3% were controlled. Rates of awareness and medical treatment were significantly higher among women and older individuals. Conclusions: A large majority of the adult Portuguese population are likely to reach blood pressure levels defined as hypertension in adulthood. Significant differences in hypertension prevalence were found according to gender, age and socioeconomic status, which highlights the importance of population strategies in public health policies.Introdução: As doenças cardiovasculares são uma importante causa de morte e incapacidade, sendo que a hipertensão arterial (HTA) é responsável por, pelo menos, 45% da mortalidade por doença cardíaca e 51% por acidente vascular cerebral. Este estudo pretende estimar e descrever a distribuição da prevalência, awareness, tratamento e controlo da HTA na população portuguesa em 2015. Métodos: Realizou-se um inquérito nacional com uma amostra representativa de 4911 indivíduos, dos 25 aos 74 anos, residentes em Portugal, e que compreendia a realização de uma entrevista de saúde e exame físico que incluía a medição da pressão arterial (braço direito, três medidas, intervalos de um minuto). A prevalência de HTA foi estratificada por sexo, grupo etário, estado civil, educação, ocupação e nível de urbanização. Estimou-se a associação entre a HTA e os fatores sociodemográficos usando regressão de Poisson bivariada e multivariada. Resultados: A prevalência de HTA foi de 36,0%, sendo mais elevada em indivíduos do sexo masculino (39,6%), entre os 65 e 74 anos (71,3%), com baixo nível de escolaridade (62,6%) e sem ocupação formal (64,5%). Dos indivíduos hipertensos, 69,8% tinham conhecimento da sua condição de saúde, 69,4% faziam medicação anti hipertensora e, destes, 71,3% estavam controlados. A prevalência do conhecimento e tratamento farmacológico da HTA foi mais elevada em mulheres e indivíduos mais velhos. Conclusões: A maioria da população adulta portuguesa poderá vir a ter HTA ao longo da vida. Foram encontradas diferenças importantes na prevalência de HTA de acordo com o sexo, a idade e o nível socioeconómico, o que enfatiza a importância de estratégias populacionais nas políticas de saúde pública.The Portuguese National Health Examination Survey is developed as a part of the project “Improvement of epidemiological health information to support public health decision and management in Portugal. Towards reduced inequalities, improved health, and bilateral cooperation”, that benefits from a 1.500.000€ Grant from Iceland, Liechtenstein and Norway through the EEA Grants.Elsevier España/ Sociedade Portuguesa de CardiologiaRepositório Científico do Instituto Nacional de SaúdeRodrigues, Ana PaulaGaio, VâniaKislaya, IrinaGraff-Iversen, SidselCordeiro, EugénioSilva, Ana ClaraNamorado, SóniaBarreto, MartaGil, Ana PaulaAntunes, LilianaSantos, AnaMiguel, José PereiraNunes, BaltazarMatias Dias, CarlosINSEF Research group2019-082019-08-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.18/7106engRev Port Cardiol. 2019 Aug;38(8):547-555. doi:10.1016/j.repc.2018.10.0120870-255110.1016/j.repc.2018.10.012info:eu-repo/semantics/embargoedAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-20T15:41:49Zoai:repositorio.insa.pt:10400.18/7106Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:41:47.972620Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Sociodemographic disparities in hypertension prevalence: results from the first Portuguese National Health Examination Survey
title Sociodemographic disparities in hypertension prevalence: results from the first Portuguese National Health Examination Survey
spellingShingle Sociodemographic disparities in hypertension prevalence: results from the first Portuguese National Health Examination Survey
Rodrigues, Ana Paula
Blood Pressure
Hypertension
Prevalence
Socioeconomic Factors
INSEF
National Health Examination Survey
Determinantes da Saúde e da Doença
Estados de Saúde e de Doença
Hipertensão Arterial
Portugal
title_short Sociodemographic disparities in hypertension prevalence: results from the first Portuguese National Health Examination Survey
title_full Sociodemographic disparities in hypertension prevalence: results from the first Portuguese National Health Examination Survey
title_fullStr Sociodemographic disparities in hypertension prevalence: results from the first Portuguese National Health Examination Survey
title_full_unstemmed Sociodemographic disparities in hypertension prevalence: results from the first Portuguese National Health Examination Survey
title_sort Sociodemographic disparities in hypertension prevalence: results from the first Portuguese National Health Examination Survey
author Rodrigues, Ana Paula
author_facet Rodrigues, Ana Paula
Gaio, Vânia
Kislaya, Irina
Graff-Iversen, Sidsel
Cordeiro, Eugénio
Silva, Ana Clara
Namorado, Sónia
Barreto, Marta
Gil, Ana Paula
Antunes, Liliana
Santos, Ana
Miguel, José Pereira
Nunes, Baltazar
Matias Dias, Carlos
INSEF Research group
author_role author
author2 Gaio, Vânia
Kislaya, Irina
Graff-Iversen, Sidsel
Cordeiro, Eugénio
Silva, Ana Clara
Namorado, Sónia
Barreto, Marta
Gil, Ana Paula
Antunes, Liliana
Santos, Ana
Miguel, José Pereira
Nunes, Baltazar
Matias Dias, Carlos
INSEF Research group
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório Científico do Instituto Nacional de Saúde
dc.contributor.author.fl_str_mv Rodrigues, Ana Paula
Gaio, Vânia
Kislaya, Irina
Graff-Iversen, Sidsel
Cordeiro, Eugénio
Silva, Ana Clara
Namorado, Sónia
Barreto, Marta
Gil, Ana Paula
Antunes, Liliana
Santos, Ana
Miguel, José Pereira
Nunes, Baltazar
Matias Dias, Carlos
INSEF Research group
dc.subject.por.fl_str_mv Blood Pressure
Hypertension
Prevalence
Socioeconomic Factors
INSEF
National Health Examination Survey
Determinantes da Saúde e da Doença
Estados de Saúde e de Doença
Hipertensão Arterial
Portugal
topic Blood Pressure
Hypertension
Prevalence
Socioeconomic Factors
INSEF
National Health Examination Survey
Determinantes da Saúde e da Doença
Estados de Saúde e de Doença
Hipertensão Arterial
Portugal
description Introduction: Cardiovascular disease is an important cause of death and disability worldwide, and hypertension is responsible for at least 45% of all deaths due to heart disease and 51% of deaths due to stroke. This study aimed to estimate and describe the distribution of prevalence, awareness, treatment and control of hypertension in the Portuguese population in 2015. Methods: A national survey using a representative sample of 4911 individuals residing in Portugal and aged between 25 and 74 years was implemented. Trained nurses performed a health interview and a physical examination, including blood pressure measurement (right arm, three measurements at 1-min intervals). The prevalence of hypertension was stratified by gender, age group, marital status, education, occupation and type of residential area. Associations between hypertension prevalence and sociodemographic factors were assessed using bivariate and multivariate Poisson regression. Results: The overall hypertension prevalence was 36.0%. The highest rates were observed in males (39.6%), in individuals aged between 65 and 74 years (71.3%), and in those with low levels of education (62.6%) and with no formal occupation (64.5%). Among hypertensive individuals, 69.8% were aware of their condition and 69.4% were under treatment, of whom 71.3% were controlled. Rates of awareness and medical treatment were significantly higher among women and older individuals. Conclusions: A large majority of the adult Portuguese population are likely to reach blood pressure levels defined as hypertension in adulthood. Significant differences in hypertension prevalence were found according to gender, age and socioeconomic status, which highlights the importance of population strategies in public health policies.
publishDate 2019
dc.date.none.fl_str_mv 2019-08
2019-08-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.18/7106
url http://hdl.handle.net/10400.18/7106
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Rev Port Cardiol. 2019 Aug;38(8):547-555. doi:10.1016/j.repc.2018.10.012
0870-2551
10.1016/j.repc.2018.10.012
dc.rights.driver.fl_str_mv info:eu-repo/semantics/embargoedAccess
eu_rights_str_mv embargoedAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier España/ Sociedade Portuguesa de Cardiologia
publisher.none.fl_str_mv Elsevier España/ Sociedade Portuguesa de Cardiologia
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
_version_ 1799132162719481856