Adequate control of hypertension among older adults: ELSI-Brazil
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102018000300511 |
Resumo: | ABSTRACT OBJECTIVE To estimate the prevalence of adequate control of hypertension among older adults and to examine its association with predisposing and enabling factors and the need to use health services. METHODS The analysis was carried out with 4,148 participants (≥ 50 years) from the baseline of the Brazilian Longitudinal Study of Aging (ELSI-Brazil), who reported being hypertensive and using antihypertensive medication. Adequate control of hypertension was defined as systolic and diastolic blood pressure below 140 mmHg and 90 mmHg, respectively. The following exploratory variables were included: age, sex, health behaviors, and body mass index (predisposing factors); region of residence, rural or urban residence, education level, socioeconomic status of the household, and coverage by private health plan (enabling factors); and medical diagnosis of diabetes (need). The multivariate analysis was performed using Poisson regression and binary logistic regression. RESULTS The prevalence of adequate control of hypertension was equal to 51.1% (95%CI 48.5–53.6). After adjusting for potential confounders, we observed statistically significant associations (p < 0.05) for education level > 4 years [prevalence ratio (PR) = 1.12 in relation to the lowest level], highest quintile of the socioeconomic status (PR = 1.22 in relation to the lowest quintile), coverage by private health plan (PR = 1.13), residence in the South (PR = 1.19) and Midwest regions (PR = 1.20) in relation to the Southeast region, and obesity (PR = 1.10). CONCLUSIONS Half of the population studied had adequate control of hypertension. The improvement of this control is an important challenge, which should consider overcoming social and regional inequalities associated with it. |
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Adequate control of hypertension among older adults: ELSI-BrazilAgedHypertension, prevention & controlSocioeconomic FactorsHealth SurveysABSTRACT OBJECTIVE To estimate the prevalence of adequate control of hypertension among older adults and to examine its association with predisposing and enabling factors and the need to use health services. METHODS The analysis was carried out with 4,148 participants (≥ 50 years) from the baseline of the Brazilian Longitudinal Study of Aging (ELSI-Brazil), who reported being hypertensive and using antihypertensive medication. Adequate control of hypertension was defined as systolic and diastolic blood pressure below 140 mmHg and 90 mmHg, respectively. The following exploratory variables were included: age, sex, health behaviors, and body mass index (predisposing factors); region of residence, rural or urban residence, education level, socioeconomic status of the household, and coverage by private health plan (enabling factors); and medical diagnosis of diabetes (need). The multivariate analysis was performed using Poisson regression and binary logistic regression. RESULTS The prevalence of adequate control of hypertension was equal to 51.1% (95%CI 48.5–53.6). After adjusting for potential confounders, we observed statistically significant associations (p < 0.05) for education level > 4 years [prevalence ratio (PR) = 1.12 in relation to the lowest level], highest quintile of the socioeconomic status (PR = 1.22 in relation to the lowest quintile), coverage by private health plan (PR = 1.13), residence in the South (PR = 1.19) and Midwest regions (PR = 1.20) in relation to the Southeast region, and obesity (PR = 1.10). CONCLUSIONS Half of the population studied had adequate control of hypertension. The improvement of this control is an important challenge, which should consider overcoming social and regional inequalities associated with it.Faculdade de Saúde Pública da Universidade de São Paulo2018-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102018000300511Revista de Saúde Pública v.52 suppl.2 2018reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USP10.11606/s1518-8787.2018052000646info:eu-repo/semantics/openAccessFirmo,Josélia Oliveira AraújoMambrini,Juliana Vaz de MeloPeixoto,Sérgio VianaLoyola Filho,Antônio Ignácio deSouza Junior,Paulo Roberto Borges deAndrade,Fabíola Bof deLima-Costa,Maria Fernandaeng2018-10-23T00:00:00Zoai:scielo:S0034-89102018000300511Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=0034-8910&lng=pt&nrm=isoONGhttps://old.scielo.br/oai/scielo-oai.phprevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2018-10-23T00:00Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Adequate control of hypertension among older adults: ELSI-Brazil |
title |
Adequate control of hypertension among older adults: ELSI-Brazil |
spellingShingle |
Adequate control of hypertension among older adults: ELSI-Brazil Firmo,Josélia Oliveira Araújo Aged Hypertension, prevention & control Socioeconomic Factors Health Surveys |
title_short |
Adequate control of hypertension among older adults: ELSI-Brazil |
title_full |
Adequate control of hypertension among older adults: ELSI-Brazil |
title_fullStr |
Adequate control of hypertension among older adults: ELSI-Brazil |
title_full_unstemmed |
Adequate control of hypertension among older adults: ELSI-Brazil |
title_sort |
Adequate control of hypertension among older adults: ELSI-Brazil |
author |
Firmo,Josélia Oliveira Araújo |
author_facet |
Firmo,Josélia Oliveira Araújo Mambrini,Juliana Vaz de Melo Peixoto,Sérgio Viana Loyola Filho,Antônio Ignácio de Souza Junior,Paulo Roberto Borges de Andrade,Fabíola Bof de Lima-Costa,Maria Fernanda |
author_role |
author |
author2 |
Mambrini,Juliana Vaz de Melo Peixoto,Sérgio Viana Loyola Filho,Antônio Ignácio de Souza Junior,Paulo Roberto Borges de Andrade,Fabíola Bof de Lima-Costa,Maria Fernanda |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Firmo,Josélia Oliveira Araújo Mambrini,Juliana Vaz de Melo Peixoto,Sérgio Viana Loyola Filho,Antônio Ignácio de Souza Junior,Paulo Roberto Borges de Andrade,Fabíola Bof de Lima-Costa,Maria Fernanda |
dc.subject.por.fl_str_mv |
Aged Hypertension, prevention & control Socioeconomic Factors Health Surveys |
topic |
Aged Hypertension, prevention & control Socioeconomic Factors Health Surveys |
description |
ABSTRACT OBJECTIVE To estimate the prevalence of adequate control of hypertension among older adults and to examine its association with predisposing and enabling factors and the need to use health services. METHODS The analysis was carried out with 4,148 participants (≥ 50 years) from the baseline of the Brazilian Longitudinal Study of Aging (ELSI-Brazil), who reported being hypertensive and using antihypertensive medication. Adequate control of hypertension was defined as systolic and diastolic blood pressure below 140 mmHg and 90 mmHg, respectively. The following exploratory variables were included: age, sex, health behaviors, and body mass index (predisposing factors); region of residence, rural or urban residence, education level, socioeconomic status of the household, and coverage by private health plan (enabling factors); and medical diagnosis of diabetes (need). The multivariate analysis was performed using Poisson regression and binary logistic regression. RESULTS The prevalence of adequate control of hypertension was equal to 51.1% (95%CI 48.5–53.6). After adjusting for potential confounders, we observed statistically significant associations (p < 0.05) for education level > 4 years [prevalence ratio (PR) = 1.12 in relation to the lowest level], highest quintile of the socioeconomic status (PR = 1.22 in relation to the lowest quintile), coverage by private health plan (PR = 1.13), residence in the South (PR = 1.19) and Midwest regions (PR = 1.20) in relation to the Southeast region, and obesity (PR = 1.10). CONCLUSIONS Half of the population studied had adequate control of hypertension. The improvement of this control is an important challenge, which should consider overcoming social and regional inequalities associated with it. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102018000300511 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102018000300511 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.11606/s1518-8787.2018052000646 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Faculdade de Saúde Pública da Universidade de São Paulo |
publisher.none.fl_str_mv |
Faculdade de Saúde Pública da Universidade de São Paulo |
dc.source.none.fl_str_mv |
Revista de Saúde Pública v.52 suppl.2 2018 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1748936505131270144 |