Factors associated with the prevalence of hypertension and control practices among elderly residents of São Paulo city, Brazil

Mendes, Telma de Almeida Busch; Goldbaum, Moisés; Segri, Neuber José; Barros, Marilisa Berti de Azevedo; César, Chester Luiz Galvão; Carandina, Luana

doi:10.1590/0102-311x00151312

Cited by 26 publications

(22 citation statements)

References 23 publications

(30 reference statements)

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“…29 In Brazil, hypertension prevalence in Natal was higher than that recorded for other urban populations of South Brazil. 20,22 Prevalence in Natal was comparable to that reported in older Caribbean populations such as in Cuba, Dominican Republic and Puerto Rico. 29 In Brazil, policies for the prevention and management of non-communicable diseases (anti-tobacco policy, healthy nutrition program and physical activity promotion) have been implemented, but the increasing trend towards obesity in the general population remains a challenge.…”

Section: Discussionsupporting

confidence: 69%

“…14 Gaps in knowledge have been noted in recent studies of hypertension in Albania 17 and Colombia. 18 In Brazil, some studies have included older adult populations, but they are either limited to self-reported hypertension and do not report on treatment and control [19][20][21] or else concern broader populations aged 18 years and over, with results published on the entire sample. 22 Such studies do not provide specific knowledge regarding the burden of hypertension on elderly populations.…”

Section: Introductionmentioning

confidence: 99%

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Factors associated with hypertension prevalence, awareness, treatment and control among participants in the International Mobility in Aging Study (IMIAS)

et al. 2015

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The aim of this study is to assess the factors associated with hypertension prevalence, awareness, treatment, and control, in the elderly populations of the International Mobility in Aging Study (IMIAS). Approximately 200 men and 200 women aged 65-74 years were recruited at each site (n=1995) during IMIAS' 2012 baseline survey at five cities: Kingston (Canada), Saint-Hyacinthe (Canada), Tirana (Albania), Manizales (Colombia) and Natal (Brazil). Blood pressure and anthropometric measurements were taken at participants' homes. Hypertension prevalence ranged from 53.4% in Saint-Hyacinthe to 83.5% in Tirana. Diabetes and obesity were identified as risk factors in all cities. More than two-thirds of hypertensive participants were aware of their condition (from 67.3% in Saint-Hyacinthe to 85.4% in Tirana); women were more aware than men. Awareness was positively associated with diabetes in Kingston, Manizales and Natal. Though most of those aware of their hypertensive condition were being treated pharmacologically, associations between awareness and physical activity and refraining from smoking were weak. Control among treated hypertensive participants was low, especially in Tirana and Natal. Diabetes and physical inactivity were associated with poor hypertension control. Hypertension is common in the older populations of IMIAS. Diabetes is strongly associated with hypertension prevalence, awareness and lack of control of hypertension. The fact that awareness is not strongly associated with healthy behaviours suggests that antihypertensive medication is not accompanied by non-pharmacological therapies. Improved health behaviours could strengthen hypertension control. Efforts should be made to increase men's awareness of hypertension. Hypertension control in diabetic patients is a challenge.

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Section: Discussionsupporting

confidence: 69%

Section: Introductionmentioning

confidence: 99%

Factors associated with hypertension prevalence, awareness, treatment and control among participants in the International Mobility in Aging Study (IMIAS)

et al. 2015

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“…However in relation to alcohol consumption, the women deferred from the men due to their lower levels of consumption. The relationship between arterial hypertension and alcohol consumption has been well documented and referred to in studies (24)(25) . The VI Brazilian Guidelines on Hypertension (4) has set the maximum tolerance of 30g for ethanol per day, however this value drops to half for women.…”

Section: Discussionmentioning

confidence: 99%

The control of hypertension in men and women: a comparative analysis

Silva

Oliveira

Pierin

2016

Rev. esc. enferm. USP

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Objective:To compare men and women who have hypertension with reference to the following: high blood pressure, biosocial variables, habits and life styles, mental disorders, and social support networks. Method: 290 hypertensive patients (women, 62.1%) were evaluated. The assessments involved the following: measuring blood pressure with an automatic measuring device, evaluating social status through the Social Support Scale, and the use of a Self-Report Questionnaire (SRQ-20) to identify common mental disorders. A value of p<0.05 was considered statistically significant. Results: Women were found to be different to men (p<0.05) in the following areas having: better control of their blood pressure (64.4% vs 52.7%), less salary incomes, less diabetes, higher total cholesterol, higher body mass index and wider abdominal circumferences. They also had lower systolic blood pressure, lower levels of alcohol consumption and a greater prevalence for mental disorders. The social support assessment revealed that hypertensive women received less help with preparing meals but had more company from people which allowed them to engage in enjoyable activities. Conclusion: Women had more control over their blood pressure than men, despite the presence of negative biopsychosocial factors that may have influenced their adherence to the treatments. DESCRIPTORS

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“…In the city of São Paulo, Mendes et al 18 showed prevalence of SAH greater than 45.0% in the elderly population.…”

Section: Introductionmentioning

confidence: 98%

Factors associated with the use of antihypertensives among seniors

et al. 2016

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OBJECTIVE: Analyze the use of antihypertensives among seniors and the association with socioeconomic and behavioral characteristics. METHODS:In this seriate cross-sectional study, we used data from the Saúde, Bem Estar e Envelhecimento study (SABE -Health, Well-being, and Aging), conducted in 2000, 2006, and 2010 in the city of São Paulo. Association between the use of antihypertensives and the demographic, behavioral, and socioeconomic characteristics and risk factors was analyzed by using multilevel logistic regression models. RESULTS:We observed increased proportion of use of antihypertensive, from 48.7% in 2000 to 61.3% in 2006, reaching 65.7% in 2010. Among the seniors who made use of this type of medicine, we also observed increased adoption of combined therapy in the period, from 69.9% to 82.6% from 2000 to 2006 and reaching 91.6% in 2010. Multilevel analysis indicated statistically significant increase in use of antihypertensives, even after control by socioeconomic and behavioral characteristics, both in 2006 and in 2010 (OR = 1.90; 95%CI 1.60-2.24 and OR = 1.94; 95%CI 1.62-2.33, respectively). Use of antihypertensives showed positive association with females, higher age group, black skin color, overweight, and smoking history. CONCLUSIONS:High use of antihypertensives and its association with sociodemographic and behavioral characteristics can help guide the discussion of strategies to improve the epidemiological situation, the quality of life, and the distribution of medicines to the elderly population.

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Factors associated with the prevalence of hypertension and control practices among elderly residents of São Paulo city, Brazil

Cited by 26 publications

References 23 publications

Factors associated with hypertension prevalence, awareness, treatment and control among participants in the International Mobility in Aging Study (IMIAS)

Factors associated with hypertension prevalence, awareness, treatment and control among participants in the International Mobility in Aging Study (IMIAS)

The control of hypertension in men and women: a comparative analysis

Factors associated with the use of antihypertensives among seniors

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