<b>Prevalence of self-reported <i>diabetes</i> and hypertension among users of primary health care services

Abstract

ABSTRACT. The objective of this cross-sectional study was to estimate the prevalence of self-reported hypertension and diabetes among the users of primary health care services of Southeast Ribeirão Preto, State of São Paulo, Brazil, and to identify variables which may be associated with these chronic conditions. A stratified sample of 1,055 adult individuals was surveyed, with the resulting associations being examined by using log-binomial regression models and then expressed as prevalence ratios (PRs). The prevalence of self-reported hypertension among women was 20.2% (95%CI: 17.5-23.1) and among men was 29.0% (95%CI: 22.9-35.5), while the prevalence of self-reported diabetes among women was 6.9% (95%CI: 5.2-8.8) and among men was 12.2% (95% CI: 8.1-17.3). The prevalence of both conditions increases significantly with age. Crude and adjusted PRs indicate no association between socioeconomic status and the self-reported chronic conditions. Keywords: multiple chronic conditions, health services, cross-sectional studies.Prevalência de diabetes e hipertensão arterial autorreferidas entre usuários de serviços de atenção primária de saúde RESUMO. O objetivo deste estudo transversal foi estimar a prevalência de hipertensão e diabetes autorreferidas entre os usuários dos serviços de atenção primária à saúde de Ribeirão Preto, sudoeste do Brasil, e identificar variáveis que possam estar associadas a estas condições crônicas. Uma amostra estratificada de 1.055 adultos foi utilizada. Associações foram examinadas por modelos de regressão logbinomial e expressas por razões de prevalência (RPs). A prevalência de hipertensão autorreferida entre as mulheres foi 20,2% (IC95%: 17,5 -23,1) e entre homens foi 29,0% (IC95%: 22,9 -35,5). A prevalência de diabetes entre as mulheres foi 6,9% (IC95%: 5,2 -8,8) e entre homens foi 12,2% (IC 95%: 8,1 -17,3). A prevalência de ambas as condições cresceu significativamente com a idade. RPs brutas e ajustadas não indicaram associação entre o estado socioeconômico e as condições autorreferidas.Palavras-chave: condições de saúde crônicas múltiplas, serviços de saúde, estudos transversais.

Association between diabetes, hypertension, activities of daily living and physical activity among elderly users of primary healthcare facilities

“…In the present study, self-reported DM prevalence among females was 24.6% and among males was 28.6%. These values are very close to that obtained in a previous study 22 among users of primary health care facilities of Ribeirão Preto (24.3% for the overall population of individuals aged 60 years or older). A former study based on home interviews conducted in 1996 in Ribeirão Preto, showed a self-reported DM prevalence among women of 23.1% among females and 19.2% among males aged 60 years or older 23 .…”