Hypertension Control at the Primary Health Care: A Comparison Among Portuguese Natives and Portuguese Speaking African Coutries Immigrants
Autor(a) principal: | |
---|---|
Data de Publicação: | 2016 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6714 |
Resumo: | Introduction: In Portugal, the frequency of patient with treated and controlled hypertension is low. It is unknown the relation of socio-economic determinants with hypertension control, particularly in African immigrants. Aims: To compare frequency of control in treated hypertension and to identify characteristics associated with uncontrolled and treated hypertension between Portuguese natives (Caucasian) and Portuguese Speaking African Coutries immigrants (black). Material and Methods: Cross-sectional study of patients with treated hypertension, 40-80 years old, randomized from Primary Health Care of Lisbon Region. We collected sociodemographic, clinical and health care data through structured interviews. We compared the frequency of patients with uncontrolled hypertension, and identified related factors through univariate and multivariate analysis. Results: In this study participated 786 patients with treated hypertension (participation rate: 71%): 449 natives and 337 immigrants. Of these, 46% had controlled hypertension. Diastolic blood pressure was higher in younger immigrants. Were associated with no control, in natives, male sex, low education, going to emergency and / or nursing services and not looking for the family doctor; on immigrants, being single, using the pharmacist, the number of years of illness and intentional non-adherence.Discussion: Treated hypertension control has been increasing for last years. Natives and immigrants differ, regarding blood pressure control, relatively to the frequency of family doctor consultation, and resorting to other services and health professionals. These differences didn´t reflect in statistically different control rates.Conclusions: It is needed to define strategies to control hypertension in primary health care specific for ethnic groups. |
id |
RCAP_62baa0ab266eb1ddf9f816d5b24e8a6f |
---|---|
oai_identifier_str |
oai:ojs.www.actamedicaportuguesa.com:article/6714 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
Hypertension Control at the Primary Health Care: A Comparison Among Portuguese Natives and Portuguese Speaking African Coutries ImmigrantsControlo da Hipertensão Arterial nos Cuidados de Saúde Primários: Uma Comparação entre Nativos Portugueses e Imigrantes dos Países Africanos de Língua Oficial PortuguesaEthnic GroupsHypertension/prevention & controlPortugalPrimary Health CareSocioeconomic Factors.Cuidados de Saúde PrimáriosFactores SocioeconómicosGrupos ÉtnicosHipertensão/prevenção e controloPortugal.Introduction: In Portugal, the frequency of patient with treated and controlled hypertension is low. It is unknown the relation of socio-economic determinants with hypertension control, particularly in African immigrants. Aims: To compare frequency of control in treated hypertension and to identify characteristics associated with uncontrolled and treated hypertension between Portuguese natives (Caucasian) and Portuguese Speaking African Coutries immigrants (black). Material and Methods: Cross-sectional study of patients with treated hypertension, 40-80 years old, randomized from Primary Health Care of Lisbon Region. We collected sociodemographic, clinical and health care data through structured interviews. We compared the frequency of patients with uncontrolled hypertension, and identified related factors through univariate and multivariate analysis. Results: In this study participated 786 patients with treated hypertension (participation rate: 71%): 449 natives and 337 immigrants. Of these, 46% had controlled hypertension. Diastolic blood pressure was higher in younger immigrants. Were associated with no control, in natives, male sex, low education, going to emergency and / or nursing services and not looking for the family doctor; on immigrants, being single, using the pharmacist, the number of years of illness and intentional non-adherence.Discussion: Treated hypertension control has been increasing for last years. Natives and immigrants differ, regarding blood pressure control, relatively to the frequency of family doctor consultation, and resorting to other services and health professionals. These differences didn´t reflect in statistically different control rates.Conclusions: It is needed to define strategies to control hypertension in primary health care specific for ethnic groups.Introdução: Em Portugal, a percentagem de hipertensos tratados e controlados é relativamente baixa. Desconhece-se a relação dos determinantes socioeconómicos com o controlo tensional, particularmente nos imigrantes africanos. Objetivo: Comparar a frequência de controlo nos hipertensos tratados e identificar características associadas à hipertensão tratada não controlada, entre nativos portugueses (caucasianos) e imigrantes dos PALOP (negros).Material e Métodos: Estudo transversal de hipertensos tratados, com 40-80 anos, aleatorizados dos Cuidados de Saúde Primários da região de Lisboa. Recolheram-se dados sociodemográficos, clínicos e cuidados de saúde por entrevistas estruturadas. Comparou-se a frequência de hipertensos não controlados nos dois grupos, identificando-se fatores relacionados por análise univariada e multi-variada.Resultados: Participaram 786 hipertensos tratados (taxa de participação: 71%): 449 nativos e 337 imigrantes. Destes, 46% tinham a hipertensão controlada. A pressão arterial diastólica foi mais elevada nos imigrantes mais novos. Nos nativos, o não controlo associou--se a: sexo masculino, menor grau de escolaridade, ida aos serviços de urgência e/ou enfermagem e não ida ao médico de família; nos imigrantes, ser solteiro, recorrer ao farmacêutico, número de anos de doença e não adesão intencional à terapêutica. Discussão: O controlo da hipertensão tratada tem vindo a aumentar nos últimos anos. Nativos e imigrantes diferenciam-se no controlo tensional relativamente à frequência do recurso a consulta do médico de família, e de outros serviços e profissionais de saúde. Estas diferenças não se refletiram em taxas de controlo estatisticamente significativas.Conclusões: Será necessário definir estratégias para o controlo da hipertensão nos cuidados de saúde primários diferenciadas para os grupos étnicos.Ordem dos Médicos2016-03-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/mswordapplication/mswordapplication/mswordapplication/mswordapplication/mswordapplication/mswordapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6714oai:ojs.www.actamedicaportuguesa.com:article/6714Acta Médica Portuguesa; Vol. 29 No. 3 (2016): March; 193-204Acta Médica Portuguesa; Vol. 29 N.º 3 (2016): Março; 193-2041646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6714https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6714/4618https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6714/7726https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6714/7727https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6714/7743https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6714/7875https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6714/7876https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6714/8013https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6714/8097Direitos de Autor (c) 2016 Copyright © Ordem dos Médicosinfo:eu-repo/semantics/openAccessLopes, ElisaAlarcão, VioletaSimões, RuiFernandes, MileneGómez, VerónicaSouto, DianaNogueira, PauloNicola, Paulo J.Rocha, Evangelista2022-12-20T11:04:58Zoai:ojs.www.actamedicaportuguesa.com:article/6714Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:21.407130Repositório 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 |
Hypertension Control at the Primary Health Care: A Comparison Among Portuguese Natives and Portuguese Speaking African Coutries Immigrants Controlo da Hipertensão Arterial nos Cuidados de Saúde Primários: Uma Comparação entre Nativos Portugueses e Imigrantes dos Países Africanos de Língua Oficial Portuguesa |
title |
Hypertension Control at the Primary Health Care: A Comparison Among Portuguese Natives and Portuguese Speaking African Coutries Immigrants |
spellingShingle |
Hypertension Control at the Primary Health Care: A Comparison Among Portuguese Natives and Portuguese Speaking African Coutries Immigrants Lopes, Elisa Ethnic Groups Hypertension/prevention & control Portugal Primary Health Care Socioeconomic Factors. Cuidados de Saúde Primários Factores Socioeconómicos Grupos Étnicos Hipertensão/prevenção e controlo Portugal. |
title_short |
Hypertension Control at the Primary Health Care: A Comparison Among Portuguese Natives and Portuguese Speaking African Coutries Immigrants |
title_full |
Hypertension Control at the Primary Health Care: A Comparison Among Portuguese Natives and Portuguese Speaking African Coutries Immigrants |
title_fullStr |
Hypertension Control at the Primary Health Care: A Comparison Among Portuguese Natives and Portuguese Speaking African Coutries Immigrants |
title_full_unstemmed |
Hypertension Control at the Primary Health Care: A Comparison Among Portuguese Natives and Portuguese Speaking African Coutries Immigrants |
title_sort |
Hypertension Control at the Primary Health Care: A Comparison Among Portuguese Natives and Portuguese Speaking African Coutries Immigrants |
author |
Lopes, Elisa |
author_facet |
Lopes, Elisa Alarcão, Violeta Simões, Rui Fernandes, Milene Gómez, Verónica Souto, Diana Nogueira, Paulo Nicola, Paulo J. Rocha, Evangelista |
author_role |
author |
author2 |
Alarcão, Violeta Simões, Rui Fernandes, Milene Gómez, Verónica Souto, Diana Nogueira, Paulo Nicola, Paulo J. Rocha, Evangelista |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Lopes, Elisa Alarcão, Violeta Simões, Rui Fernandes, Milene Gómez, Verónica Souto, Diana Nogueira, Paulo Nicola, Paulo J. Rocha, Evangelista |
dc.subject.por.fl_str_mv |
Ethnic Groups Hypertension/prevention & control Portugal Primary Health Care Socioeconomic Factors. Cuidados de Saúde Primários Factores Socioeconómicos Grupos Étnicos Hipertensão/prevenção e controlo Portugal. |
topic |
Ethnic Groups Hypertension/prevention & control Portugal Primary Health Care Socioeconomic Factors. Cuidados de Saúde Primários Factores Socioeconómicos Grupos Étnicos Hipertensão/prevenção e controlo Portugal. |
description |
Introduction: In Portugal, the frequency of patient with treated and controlled hypertension is low. It is unknown the relation of socio-economic determinants with hypertension control, particularly in African immigrants. Aims: To compare frequency of control in treated hypertension and to identify characteristics associated with uncontrolled and treated hypertension between Portuguese natives (Caucasian) and Portuguese Speaking African Coutries immigrants (black). Material and Methods: Cross-sectional study of patients with treated hypertension, 40-80 years old, randomized from Primary Health Care of Lisbon Region. We collected sociodemographic, clinical and health care data through structured interviews. We compared the frequency of patients with uncontrolled hypertension, and identified related factors through univariate and multivariate analysis. Results: In this study participated 786 patients with treated hypertension (participation rate: 71%): 449 natives and 337 immigrants. Of these, 46% had controlled hypertension. Diastolic blood pressure was higher in younger immigrants. Were associated with no control, in natives, male sex, low education, going to emergency and / or nursing services and not looking for the family doctor; on immigrants, being single, using the pharmacist, the number of years of illness and intentional non-adherence.Discussion: Treated hypertension control has been increasing for last years. Natives and immigrants differ, regarding blood pressure control, relatively to the frequency of family doctor consultation, and resorting to other services and health professionals. These differences didn´t reflect in statistically different control rates.Conclusions: It is needed to define strategies to control hypertension in primary health care specific for ethnic groups. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-03-31 |
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 |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6714 oai:ojs.www.actamedicaportuguesa.com:article/6714 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6714 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/6714 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6714 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6714/4618 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6714/7726 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6714/7727 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6714/7743 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6714/7875 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6714/7876 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6714/8013 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6714/8097 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2016 Copyright © Ordem dos Médicos info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Direitos de Autor (c) 2016 Copyright © Ordem dos Médicos |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/msword application/msword application/msword application/msword application/msword application/msword application/pdf |
dc.publisher.none.fl_str_mv |
Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 29 No. 3 (2016): March; 193-204 Acta Médica Portuguesa; Vol. 29 N.º 3 (2016): Março; 193-204 1646-0758 0870-399X 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_ |
1799130644769406976 |