Control of hypertension with medication: a comparative analysis of national surveys in 20 countries

Abstract

High blood pressure, also known as hypertension, is a major contributor to the global disease burden and was responsible for 7% of all disability-adjusted life years in 2010.1 Moreover, the number of people with uncontrolled hypertension has increased to around 1 billion worldwide in the past three decades.2 As a result, the effective control of hypertension has become a priority for global health policy and, with growing interest in the prevention and control of noncommunicable diseases (NCDs),3 it is vital that health-care systems deliver appropriate interventions for tackling high blood pressure

Hypertension prevalence, awareness, treatment and control in the over 50s in Ireland: evidence from The Irish Longitudinal Study on Ageing

“…21 Older age and female sex were determinants of awareness in older adults in Ireland, raising concerns about the lack of awareness of this condition in younger adults and in men. The findings that obesity 20 and comorbidity 22 were determinants of awareness are consistent with previous research.…”

Cobertura efectiva del tratamiento de la hipertensión arterial en adultos en México por entidad federativa

“…Entre 1990 y 2015, las defunciones atribuibles a la HTA aumentaron 31%. 1,2 Ante este creciente problema [3][4][5] el gobierno mexicano y las instituciones de salud que lo representan implementaron diferentes acciones, [6][7][8][9][10][11] entre las cuales resalta el interés por conocer el desempeño del sistema de salud a través de la medición de la cobertura efectiva del tratamiento de la hipertensión arterial. 12 La medición del desempeño de los sistemas de salud en términos de la efectividad de sus intervenciones es una práctica relativamente reciente.…”

The Elusiveness of Population-Wide High Blood Pressure Control

“…Middle-and low-income nations tend to have a lower prevalence (46), but there are exceptions to this general pattern (28,46,54,62,74). Surveys from Russia and several other northern Eastern European countries have identified a high prevalence of hypertension (46). Per capita gross national product has been directly related to prevalence of hypertension (28), and economic development has tended to be accompanied by a concurrent increase in the prevalence of hypertension and other modifiable CVD risk factors.…”

“…Thus the reported estimates vary substantially by country, geographic region, socioeconomic status, and demographic profile in most reports (28,54,62,100). Germany is frequently identified as the high-income country with the highest average BP and prevalence of hypertension, with an overall prevalence in adults that exceeds 40% (28,46,54,58,62,82,100). At the other extreme, Canada is often identified as the high-income country with the lowest prevalence of hypertension.…”

“…In a comparison of unadjusted rates for adults (50). Middle-and low-income nations tend to have a lower prevalence (46), but there are exceptions to this general pattern (28,46,54,62,74). Surveys from Russia and several other northern Eastern European countries have identified a high prevalence of hypertension (46).…”