Estudio de prevalencia, conocimiento y control de la hipertensión arterial en barrios vulnerables de Argentina

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-04-01 DOI:10.1016/j.hipert.2024.02.001

W.G. Espeche , M. Marin , C. Romero , N. Renna , S. Vissani , G. Blanco , S.P. Pantalena , D. Cesario , E. Diez , C. Grasso , E. Garzon , J. Barochiner , M. Ruise , J. Minetto , N. Mazzei , E. Ramirez , M. Rojas , P. Carrera Ramos , M.S. Gimenez , M. Rivarola , M.R. Salazar

{"title":"Estudio de prevalencia, conocimiento y control de la hipertensión arterial en barrios vulnerables de Argentina","authors":"W.G. Espeche , M. Marin , C. Romero , N. Renna , S. Vissani , G. Blanco , S.P. Pantalena , D. Cesario , E. Diez , C. Grasso , E. Garzon , J. Barochiner , M. Ruise , J. Minetto , N. Mazzei , E. Ramirez , M. Rojas , P. Carrera Ramos , M.S. Gimenez , M. Rivarola , M.R. Salazar","doi":"10.1016/j.hipert.2024.02.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>Hypertension (HTN) represents the primary individual risk factor, contributing significantly to the global burden of cardiovascular diseases (CVD). In our country, epidemiological research has highlighted substantial variations in the prevalence of these risk factors across different populations. However, there is a lack of epidemiological studies assessing exclusive cardiovascular risk factors within vulnerable neighborhoods characterized by extremely limited economic resources, sociocultural challenges, and inadequate healthcare access.</p></div><div><h3>Methods</h3><p>A multicenter cross-sectional observational study was conducted among individuals residing in economically deprived and marginalized communities, including informal settlements and underprivileged neighborhoods. Simple random sampling of households was employed.</p><p>Blood pressure measurements, anthropometric assessments, and epidemiological, economic, and sociocultural questionnaires were administered.</p><p>Results encompass prevalence rates, awareness levels, and blood pressure control across diverse regions. Logistic regression was utilized to identify independent variables influencing primary outcomes.</p></div><div><h3>Results</h3><p>A total of 989 participants were analyzed. The overall prevalence of hypertension was 48.2%. About 82% had a body mass index (BMI) >25. Approximately 45.3% had less than 6 years of formal education. Independent association was established between education levels below 6 years and higher hypertension prevalence.</p><p>Among hypertensive individuals, 44% were unaware of their condition, with only 17.2% achieving control, correlated with having health insurance and a higher educational background. Merely 24% were receiving combined therapy.</p></div><div><h3>Conclusion</h3><p>The prevalence of hypertension within vulnerable neighborhoods is alarmingly high, surpassing rates in other social strata. Knowledge, treatment, and control levels of hypertension are suboptimal, comparable to other populations. Inadequate use of combination therapy was observed. This study underscores the urgent need for targeted interventions addressing cardiovascular risk factors in poor areas to mitigate the burden of CVD.</p></div>","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":null,"pages":null},"PeriodicalIF":16.4000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Accounts of Chemical Research","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1889183724000072","RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CHEMISTRY, MULTIDISCIPLINARY","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction

Hypertension (HTN) represents the primary individual risk factor, contributing significantly to the global burden of cardiovascular diseases (CVD). In our country, epidemiological research has highlighted substantial variations in the prevalence of these risk factors across different populations. However, there is a lack of epidemiological studies assessing exclusive cardiovascular risk factors within vulnerable neighborhoods characterized by extremely limited economic resources, sociocultural challenges, and inadequate healthcare access.

Methods

A multicenter cross-sectional observational study was conducted among individuals residing in economically deprived and marginalized communities, including informal settlements and underprivileged neighborhoods. Simple random sampling of households was employed.

Blood pressure measurements, anthropometric assessments, and epidemiological, economic, and sociocultural questionnaires were administered.

Results encompass prevalence rates, awareness levels, and blood pressure control across diverse regions. Logistic regression was utilized to identify independent variables influencing primary outcomes.

Results

A total of 989 participants were analyzed. The overall prevalence of hypertension was 48.2%. About 82% had a body mass index (BMI) > 25. Approximately 45.3% had less than 6 years of formal education. Independent association was established between education levels below 6 years and higher hypertension prevalence.

Among hypertensive individuals, 44% were unaware of their condition, with only 17.2% achieving control, correlated with having health insurance and a higher educational background. Merely 24% were receiving combined therapy.

Conclusion

The prevalence of hypertension within vulnerable neighborhoods is alarmingly high, surpassing rates in other social strata. Knowledge, treatment, and control levels of hypertension are suboptimal, comparable to other populations. Inadequate use of combination therapy was observed. This study underscores the urgent need for targeted interventions addressing cardiovascular risk factors in poor areas to mitigate the burden of CVD.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

[阿根廷弱势群体动脉高血压的患病率、知识和控制情况：横断面研究]。

导言：高血压（HTN）是主要的个人风险因素，在全球心血管疾病（CVD）中占有重要地位。在我国，流行病学研究突出表明，这些风险因素在不同人群中的流行率存在很大差异。然而，在经济资源极其有限、面临社会文化挑战和医疗保健服务不足的脆弱社区中，缺乏评估专属心血管风险因素的流行病学研究：对居住在经济贫困和边缘化社区（包括非正规住区和贫困街区）的个人进行了一项多中心横断面观察研究。研究采用了简单随机抽样的方法。研究人员进行了血压测量、人体测量评估以及流行病学、经济和社会文化问卷调查。结果包括不同地区的患病率、认知水平和血压控制情况。利用逻辑回归确定影响主要结果的独立变量：结果：共对 989 名参与者进行了分析。高血压的总体患病率为 48.2%。约 82% 的人体重指数 (BMI) >25。约 45.3% 的人接受过不到 6 年的正规教育。教育水平低于 6 年与高血压患病率较高之间存在独立关联。在高血压患者中，44%的人不知道自己的病情，只有17.2%的人能够控制病情，这与拥有医疗保险和较高的教育背景有关。只有 24% 的人接受了综合治疗：结论：弱势群体的高血压患病率高得惊人，超过了其他社会阶层。对高血压的了解、治疗和控制水平都不尽如人意，与其他人群不相上下。综合疗法的使用不足。这项研究强调，迫切需要针对贫困地区的心血管风险因素采取有针对性的干预措施，以减轻心血管疾病的负担。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.