Factors associated with uncontrolled blood pressure in hypertensive Brazilians

Abstract

Uncontrolled hypertension has a high prevalence and is related to numerous negative health outcomes. This study aimed to investigate the factors associated with the lack of blood pressure control in hypertensive Brazilians treated in public and private services. This is an analytical, multicentric, and national cross-sectional study, carried out with adult hypertensive patients, monitored in 45 outpatient clinics (September 2013 to October 2015) in a prospective record interview, clinical, and anthropometric assessment. Outcome variables included uncontrolled pressure (systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg). Simple and multiple logistic regression analyses were performed. Two thousand six hundred forty-three participants were assessed with a mean age of 61.6 ± 11.9 years, 55.7% of women, and 46.4% with uncontrolled blood pressure (BP). The following were associatedThis is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

Hypertension evaluated in the public and private Brazilian health system hypertension in public and private service

“…Such characteristics may denote a poorer quality diet and an increased association with comorbidities or severity of hypertensive disease in patients in the public service because it is known that increased BMI and abdominal circumference are risk factors for both increased BP and major cardiovascular diseases ( 12 – 14 ). Moreover, socioeconomic and cultural barriers, in general, are associated with the differences in BMI found both in our sample and in other analyses already published ( 15 , 16 ).…”

Determinants of Uncontrolled Blood Pressure Among Adult Hypertensive Patients on Follow Up at Negelle and Adola General Hospital, Guji Zone, Southern Ethiopia: Facility Based Case Control Study

“…The odds of non-adherence to antihypertensive medication in those cases were 2 times higher than their counterparts. This study was in line with a cross-sectional study done in different regional areas of study including Ethiopia (Amhara, Tigray) and Brazil (5,15,27,30,44,45). This might be due hypertension treatment requires taking the right drug with the right dose at the right time.…”

Factors associated with the control of arterial hypertension among users assisted in the family health strategy / Fatores associados ao controle da hipertensão arterial entre usuários atendidos na estratégia saúde da família

“…17 Em contrapartida, estudo que avaliou a prevalência de lesão de órgãos-alvo em pacientes tratados para hipertensão arterial numa comparação entre homens e mulheres, não foi encontrada diferença significativa para aqueles que encontravam-se com a pressão alterada entre os gêneros. 18 A associação encontrada entre a baixa adesão à terapia medicamentosa anti-hipertensiva e a PA descontrolada representa um achado consistente com outras produções que avaliaram a magnitude da hipertensão descontrolada e fatores correlacionados entre pacientes adultos hipertensos atendidos em unidades básicas de saúde 13,19 , em ambulatórios [20][21] e em hospitais. 14,[22][23] Por se tratar de uma doença crônica e ainda sem cura, a hipertensão arterial requer tratamento contínuo e a adesão à terapia proposta parece envolver diferentes aspectos.…”

“…26 Foi encontrada correlação entre doença cardíaca e pressão arterial descontrolada, sendo, reiteradamente, registrada em estudos da literatura nacional e internacional. 28,5,[20][21] Em indivíduos com doenças cardiovasculares, as probabilidades de alcançar o controle da PA é 17% menor em comparação a indivíduos hipertensos sem diagnóstico de doença cardíaca. 28 Embora haja constatações relevantes sobre o impacto do controle dos níveis pressóricos na redução da morbimortalidade cardiovascular 3 , as imprecisões no manejo da pressão arterial e o ônus para os sistemas de saúde globais -resultante das complicações da hipertensão -representam, ainda, grandes desafios para a saúde pública global.…”