OBJECTIVES: To evaluate the changes experienced over 15 years in the prevalence, state of awareness, treatment and control of hypertension, in urban communities of the VIII Region of Chile. METHODOLOGY: In order to ensure an objective analysis in comparison of the indicators, the methodological design used in 1988 was replicated: a representative, non-institutionalized sample, considering age, gender and socio-economic level. Blood pressure was measured using mercury manometers during two visits carried out on different days. Hypertension criteria: systolic blood pressure>or=140 mmHg and/or diastolic blood pressure>or=90 mmHg, or patients under treatment. RESULTS: A sample of 8472 residents was obtained, based on the previously defined stratification. Hypertension prevalence increased from 18.6% in 1988 to 21.7% in 2004. This occurred in all age groups and in both genders. The state of awareness remained stable: 66.9% in 1988 and 66.6% in 2004. The state of treatment increased from 35.6% (1988) to 59.9% (2004), and the state of hypertension control from 7.5 to 30.7%, respectively. CONCLUSION: This study demonstrated an increase in hypertension prevalence from 1988 to 2004. Meanwhile the state of awareness remained stable but there was a significant increase in the state of treatment and control, which were in accordance with public policies and changes in antihypertensive treatment.
OBJECTIVES: To evaluate the changes experienced over 15 years in the prevalence, state of awareness, treatment and control of hypertension, in urban communities of the VIII Region of Chile. METHODOLOGY: In order to ensure an objective analysis in comparison of the indicators, the methodological design used in 1988 was replicated: a representative, non-institutionalized sample, considering age, gender and socio-economic level. Blood pressure was measured using mercury manometers during two visits carried out on different days. Hypertension criteria: systolic blood pressure>or=140 mmHg and/or diastolic blood pressure>or=90 mmHg, or patients under treatment. RESULTS: A sample of 8472 residents was obtained, based on the previously defined stratification. Hypertension prevalence increased from 18.6% in 1988 to 21.7% in 2004. This occurred in all age groups and in both genders. The state of awareness remained stable: 66.9% in 1988 and 66.6% in 2004. The state of treatment increased from 35.6% (1988) to 59.9% (2004), and the state of hypertension control from 7.5 to 30.7%, respectively. CONCLUSION: This study demonstrated an increase in hypertension prevalence from 1988 to 2004. Meanwhile the state of awareness remained stable but there was a significant increase in the state of treatment and control, which were in accordance with public policies and changes in antihypertensive treatment.
Authors: Majid Ezzati; Ziad Obermeyer; Ioanna Tzoulaki; Bongani M Mayosi; Paul Elliott; David A Leon Journal: Nat Rev Cardiol Date: 2015-06-16 Impact factor: 32.419
Authors: Dóra Chor; Antonio Luiz Pinho Ribeiro; Marilia Sá Carvalho; Bruce Bartholow Duncan; Paulo Andrade Lotufo; Aline Araújo Nobre; Estela Mota Lima Leão de Aquino; Maria Inês Schmidt; Rosane Härter Griep; Maria Del Carmen Bisi Molina; Sandhi Maria Barreto; Valéria Maria de Azeredo Passos; Isabela Judith Martins Benseñor; Sheila Maria Alvim Matos; José Geraldo Mill Journal: PLoS One Date: 2015-06-23 Impact factor: 3.240
Authors: Kathleen F Walsh; Myung Hee Lee; Shoria Martelly; Marie Melissa Pierre; Junon Joseph; Myrlene Gustin; Robert N Peck; Daniel W Fitzgerald; Jean William Pape; Margaret McNairy Journal: J Clin Hypertens (Greenwich) Date: 2018-09-26 Impact factor: 3.738