RESUMO ABSTRACTThis is a popula on-based, descrip ve, and analy c study conducted with a randomized and probabilis c sample comprising 340 hypertensive individuals representa ve of the Family Health Strategy (FHS) Service in João Pessoa, PB, Brazil. The present study corresponds to the fi rst part of a cohort started in 2008. The instrument used was an adapta on of the Primary Care Assessment Tool revalidated in Brazil. Logis c regression was used to inves gate the associa ons between blood pressure (BP) control, sociodemographic variables, and an indicator of adherence/ a achment. Among the 340 hypertensive parcipants, 32.6% were followed up at the FHS, and 89.1% exhibited sa sfactory adherence/ a achment. The older adults were more likely to control BP, which suggests a more accurate self-care percep on and greater adherence to treatment. The present study highlights the problem posed by the control of hypertension by means of the assessment of services. We expected the present model to be applied at other loca ons to generate parameters to compare diff erent municipali es. DESCRIPTORS Hypertension Primary Health Care Health evalua on RESUMENEstudio descriptivo y analítico, de base poblacional, realizado con muestra aleatoria y probabilís ca de 340 hipertensos, representa va de la Estrategia Salud de la Familia (ESF) de João Pessoa-PB. El estudio consiste en la primera parte de una cohorte iniciada en 2008. El instrumento u lizado fue adaptado del Primary Care Assessment Tool, revalidado en Brasil. La regresión logís-ca evaluó la asociación entre el control de presión, las variables sociodemográfi cas y el indicador de adhesión/vínculo. Entre los 340 hipertensos, 32,6% recibía seguimiento de la ESF y 89,1% presentó adhesión/ vínculo sa sfactorio. Los ancianos presentaron mayores posibilidades de controlar la presión, lo que sugiere una mejor percepción del autocuidado y mayor adhesión al tratamiento. El estudio permi ó poner en evidencia la problemá ca del control de la hipertensión mediante la evaluación del servicio. Se espera que este modelo pueda adoptarse en otras localidades, generando parámetros para comparaciones entre dis ntos municipios.
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