Underdiagnosis of Arterial Hypertension in quilombola adults from Bahia region, Brazil

Detalhes bibliográficos
Autor(a) principal: Matos, Felipe Barreto de
Data de Publicação: 2021
Outros Autores: Vasconcelos, Lélia Renata Carneiro, Rocha, Saulo Vasconcelos, Mussi, Ricardo Franklin de Freitas
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/11055
Resumo: Systemic arterial hypertension (SAH) is a chronic disease linked to hereditary, economic and social factors, with a high prevalence in the black Brazilian population. Neglect in public health policies directed at the quilombola population generates important exposure to the onset of SAH and its underdiagnosis. In this sense, the present investigation aims to analyze the prevalence and factors associated with the underdiagnosis of arterial hypertension in quilombola adults from a Bahian region, Brazil. The study is characterized as cross-sectional, population-based, with a sample of 850 quilombolas from the Bahia region. Data were collected through a questionnaire applied in the form of an individual interview and blood pressure assessment. Sociodemographic variables, lifestyle and presence of arterial hypertension were also included. In the data analysis, descriptive statistics and Poisson regression procedures were used to determine the prevalence ratios (PR) and 95% confidence intervals (95% CI). The general prevalence of underdiagnosed SAH (SAH sub) was 24.8% and 29.2% self-reported the presence of diagnosed SAH. A statistically significant association was found between HASsub with sex, education, measured blood pressure (BP) time, smoking and drinking (p <0.05). So, HASsub is present in 1 in 4 quilombola adults and is associated with sociodemographic factors (women and advanced ages), preventive behavior (BP measured at <1 year) and related to the health situation (not being overweight). These findings demonstrate the need for health care and health promotion practices, in addition to mechanisms adopted to prevent the disease.
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spelling Underdiagnosis of Arterial Hypertension in quilombola adults from Bahia region, BrazilSubdiagnóstico de Hipertensión Arterial en adultos de quilombola de la región de Bahía, BrasilSubdiagnóstico da Hipertensão Arterial em adultos quilombolas de região baiana, BrasilHypertensionRisk factorsVulnerable communitiesGroup with ancestors from the African continentEpidemiological survey.HipertensiónFactores de riesgoComunidades vulnerablesGrupo con antepasados del continente africanoEncuesta epidemiológica.HipertensãoFatores de riscoComunidades vulneráveisGrupo com ancestrais do continente africanoInquérito epidemiológico.Systemic arterial hypertension (SAH) is a chronic disease linked to hereditary, economic and social factors, with a high prevalence in the black Brazilian population. Neglect in public health policies directed at the quilombola population generates important exposure to the onset of SAH and its underdiagnosis. In this sense, the present investigation aims to analyze the prevalence and factors associated with the underdiagnosis of arterial hypertension in quilombola adults from a Bahian region, Brazil. The study is characterized as cross-sectional, population-based, with a sample of 850 quilombolas from the Bahia region. Data were collected through a questionnaire applied in the form of an individual interview and blood pressure assessment. Sociodemographic variables, lifestyle and presence of arterial hypertension were also included. In the data analysis, descriptive statistics and Poisson regression procedures were used to determine the prevalence ratios (PR) and 95% confidence intervals (95% CI). The general prevalence of underdiagnosed SAH (SAH sub) was 24.8% and 29.2% self-reported the presence of diagnosed SAH. A statistically significant association was found between HASsub with sex, education, measured blood pressure (BP) time, smoking and drinking (p <0.05). So, HASsub is present in 1 in 4 quilombola adults and is associated with sociodemographic factors (women and advanced ages), preventive behavior (BP measured at <1 year) and related to the health situation (not being overweight). These findings demonstrate the need for health care and health promotion practices, in addition to mechanisms adopted to prevent the disease.La hipertensión arterial sistémica (HSA) es una enfermedad crónica vinculada a factores hereditarios, económicos y sociales, con una alta prevalencia en la población brasileña negra. La negligencia en las políticas de salud pública dirigidas a la población de quilombola genera una exposición importante al inicio de la HSA y su diagnóstico insuficiente. En este sentido, la presente investigación tiene como objetivo analizar la prevalencia y los factores asociados con el diagnóstico insuficiente de hipertensión arterial en adultos de quilombola de una región de Bahía, Brasil. El estudio se caracteriza por ser transversal, basado en la población, con una muestra de 850 quilombolas de la región de Bahía. Los datos se recopilaron mediante un cuestionario aplicado en forma de entrevista individual y evaluación de la presión arterial. También se incluyeron variables sociodemográficas, estilo de vida y presencia de hipertensión arterial. En el análisis de datos, se utilizaron estadísticas descriptivas y procedimientos de regresión de Poisson para determinar las razones de prevalencia (RP) y los intervalos de confianza del 95% (IC del 95%). La prevalencia general de HSA subdiagnosticada (SAH sub) fue del 24,8% y el 29,2% autoinformaron la presencia de HSA diagnosticada. Se encontró una asociación estadísticamente significativa entre HASsub con sexo, educación, tiempo medido de presión arterial (PA), tabaquismo y consumo de alcohol (p <0.05). Por lo tanto, HASsub está presente en 1 de cada 4 adultos de quilombola y se asocia con factores sociodemográficos (mujeres y edades avanzadas), conducta preventiva (presión arterial medida <1 año) y relacionada con la situación de salud (no tener sobrepeso). Estos resultados demuestran la necesidad de atención médica y prácticas de promoción de la salud, además de los mecanismos adoptados para prevenir la enfermedad.A hipertensão arterial sistêmica (HAS) é uma doença crônica atrelada a fatores hereditários, econômicos e sociais, com alta prevalência na população negra brasileira. A negligência nas políticas públicas de saúde direcionadas a população quilombola gera importante exposição ao acometimento de HAS e seu subdiagnóstico. Neste sentido, a presente investigação objetiva analisar a prevalência e fatores associados ao subdiagnóstico da hipertensão arterial em adultos quilombolas de uma região baiana, Brasil. O estudo caracteriza-se como transversal, de base populacional, com amostra de 850 quilombolas da região baiana. Os dados foram coletados por meio de um questionário aplicado em forma de entrevista individual e avaliação da pressão arterial. Também foram incluídas as variáveis sociodemográficas, hábitos de vida e presença de hipertensão arterial. Na análise dos dados foram utilizados procedimentos da estatística descritiva e regressão de Poisson para determinação das razões de prevalência (RP) e intervalo de confiança de 95% (IC95%). A prevalência geral de HAS subdiagnosticada (HASsub) foi de 24,8% e 29,2% autorreferiram presença de HAS diagnosticada. Foi encontrada associação estatisticamente significante entre HASsub com sexo, escolaridade, tempo da pressão arterial (PA) mensurada, tabagismo e etilismo (p<0.05). Então, a HASsub está presente em 1 em cada 4 adultos quilombolas e está associada a fatores sociodemográficos (mulheres e idades avançadas), comportamento preventivo (PA mensurada em <1 ano) e relacionadas à situação de saúde (não ter excesso de peso). Esses achados demonstram a necessidade de práticas de atenção e promoção da saúde, além de mecanismos adotados para prevenção da doença.Research, Society and Development2021-02-19info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1105510.33448/rsd-v10i2.11055Research, Society and Development; Vol. 10 No. 2; e37210211055Research, Society and Development; Vol. 10 Núm. 2; e37210211055Research, Society and Development; v. 10 n. 2; e372102110552525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/11055/11372Copyright (c) 2021 Felipe Barreto de Matos; Lélia Renata Carneiro Vasconcelos; Saulo Vasconcelos Rocha; Ricardo Franklin de Freitas Mussihttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessMatos, Felipe Barreto de Vasconcelos, Lélia Renata CarneiroRocha, Saulo Vasconcelos Mussi, Ricardo Franklin de Freitas2021-03-02T09:32:39Zoai:ojs.pkp.sfu.ca:article/11055Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:32:58.831358Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Underdiagnosis of Arterial Hypertension in quilombola adults from Bahia region, Brazil
Subdiagnóstico de Hipertensión Arterial en adultos de quilombola de la región de Bahía, Brasil
Subdiagnóstico da Hipertensão Arterial em adultos quilombolas de região baiana, Brasil
title Underdiagnosis of Arterial Hypertension in quilombola adults from Bahia region, Brazil
spellingShingle Underdiagnosis of Arterial Hypertension in quilombola adults from Bahia region, Brazil
Matos, Felipe Barreto de
Hypertension
Risk factors
Vulnerable communities
Group with ancestors from the African continent
Epidemiological survey.
Hipertensión
Factores de riesgo
Comunidades vulnerables
Grupo con antepasados del continente africano
Encuesta epidemiológica.
Hipertensão
Fatores de risco
Comunidades vulneráveis
Grupo com ancestrais do continente africano
Inquérito epidemiológico.
title_short Underdiagnosis of Arterial Hypertension in quilombola adults from Bahia region, Brazil
title_full Underdiagnosis of Arterial Hypertension in quilombola adults from Bahia region, Brazil
title_fullStr Underdiagnosis of Arterial Hypertension in quilombola adults from Bahia region, Brazil
title_full_unstemmed Underdiagnosis of Arterial Hypertension in quilombola adults from Bahia region, Brazil
title_sort Underdiagnosis of Arterial Hypertension in quilombola adults from Bahia region, Brazil
author Matos, Felipe Barreto de
author_facet Matos, Felipe Barreto de
Vasconcelos, Lélia Renata Carneiro
Rocha, Saulo Vasconcelos
Mussi, Ricardo Franklin de Freitas
author_role author
author2 Vasconcelos, Lélia Renata Carneiro
Rocha, Saulo Vasconcelos
Mussi, Ricardo Franklin de Freitas
author2_role author
author
author
dc.contributor.author.fl_str_mv Matos, Felipe Barreto de
Vasconcelos, Lélia Renata Carneiro
Rocha, Saulo Vasconcelos
Mussi, Ricardo Franklin de Freitas
dc.subject.por.fl_str_mv Hypertension
Risk factors
Vulnerable communities
Group with ancestors from the African continent
Epidemiological survey.
Hipertensión
Factores de riesgo
Comunidades vulnerables
Grupo con antepasados del continente africano
Encuesta epidemiológica.
Hipertensão
Fatores de risco
Comunidades vulneráveis
Grupo com ancestrais do continente africano
Inquérito epidemiológico.
topic Hypertension
Risk factors
Vulnerable communities
Group with ancestors from the African continent
Epidemiological survey.
Hipertensión
Factores de riesgo
Comunidades vulnerables
Grupo con antepasados del continente africano
Encuesta epidemiológica.
Hipertensão
Fatores de risco
Comunidades vulneráveis
Grupo com ancestrais do continente africano
Inquérito epidemiológico.
description Systemic arterial hypertension (SAH) is a chronic disease linked to hereditary, economic and social factors, with a high prevalence in the black Brazilian population. Neglect in public health policies directed at the quilombola population generates important exposure to the onset of SAH and its underdiagnosis. In this sense, the present investigation aims to analyze the prevalence and factors associated with the underdiagnosis of arterial hypertension in quilombola adults from a Bahian region, Brazil. The study is characterized as cross-sectional, population-based, with a sample of 850 quilombolas from the Bahia region. Data were collected through a questionnaire applied in the form of an individual interview and blood pressure assessment. Sociodemographic variables, lifestyle and presence of arterial hypertension were also included. In the data analysis, descriptive statistics and Poisson regression procedures were used to determine the prevalence ratios (PR) and 95% confidence intervals (95% CI). The general prevalence of underdiagnosed SAH (SAH sub) was 24.8% and 29.2% self-reported the presence of diagnosed SAH. A statistically significant association was found between HASsub with sex, education, measured blood pressure (BP) time, smoking and drinking (p <0.05). So, HASsub is present in 1 in 4 quilombola adults and is associated with sociodemographic factors (women and advanced ages), preventive behavior (BP measured at <1 year) and related to the health situation (not being overweight). These findings demonstrate the need for health care and health promotion practices, in addition to mechanisms adopted to prevent the disease.
publishDate 2021
dc.date.none.fl_str_mv 2021-02-19
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dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/11055
10.33448/rsd-v10i2.11055
url https://rsdjournal.org/index.php/rsd/article/view/11055
identifier_str_mv 10.33448/rsd-v10i2.11055
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/11055/11372
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 10 No. 2; e37210211055
Research, Society and Development; Vol. 10 Núm. 2; e37210211055
Research, Society and Development; v. 10 n. 2; e37210211055
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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