Por favor, use este identificador para citar o enlazar este ítem:
https://www.arca.fiocruz.br/handle/icict/12082
Tipo
ArtículoDerechos de autor
Acceso abierto
Colecciones
Metadatos
Mostrar el registro completo del ítem
HYPERTENSION IN A BRAZILIAN URBAN SLUM POPULATION
Autor
Afiliación
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil
University of California. School of Public Health. Divisions of Infectious Disease and Vaccinology, and Epidemiology. Berkeley, CA, USA
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil
University of California. School of Public Health. Divisions of Infectious Disease and Vaccinology, and Epidemiology. Berkeley, CA, USA
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil
Yale University. School of Public Health. Department of Epidemiology of Microbial Diseases. New Haven, USA
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil
University of California. School of Public Health. Divisions of Infectious Disease and Vaccinology, and Epidemiology. Berkeley, CA, USA
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil
University of California. School of Public Health. Divisions of Infectious Disease and Vaccinology, and Epidemiology. Berkeley, CA, USA
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil
Yale University. School of Public Health. Department of Epidemiology of Microbial Diseases. New Haven, USA
Resumen en ingles
Low- 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.
Compartir