Seguimiento y control de la hipertensión arterial. ¿Se efectúa igual en la población autóctona y en la inmigrante?

Soler, Laura; Vila, Laura; Escurriola, Mireia Fábregas; Cosculluela, M. Vilaplana; Dalfó-Baqué, Antoni; Vilaplana, X. Vilaplana

doi:10.1157/13113958

Cited by 5 publications

(1 citation statement)

References 17 publications

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“…Aerny et al , 37 who studied the health of the immigrant population in the Community of Madrid, pointed to HBP screening below the recommended standards, especially among men (16% less); likewise, the immigrant population with shorter terms of residence made less frequent visits to the health services than did the native population. Palacios-Soler et al 38 studied the differences in the degree of control of HBP among the immigrant and native populations, and found that fewer diagnostic tests were conducted on immigrants and that the pharmacological treatment they received was inferior to that administered to the native population.…”

Section: Discussionmentioning

confidence: 99%

Impact of primary care nursing workforce characteristics on the control of high-blood pressure: a multilevel analysis

et al. 2015

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ObjectiveTo determine the impact of Primary Health Care (PHC) nursing workforce characteristics and of the clinical practice environment (CPE) perceived by nurses on the control of high-blood pressure (HBP).DesignCross-sectional analytical study.SettingAdministrative and clinical registries of hypertensive patients from PHC information systems and questionnaire from PHC nurses.Participants76 797 hypertensive patients in two health zones within the Community of Madrid, North-West Zone (NWZ) with a higher socioeconomic situation and South-West Zone (SWZ) with a lower socioeconomic situation, and 442 reference nurses. Segmented analyses by area were made due to their different socioeconomic characteristics. Primary outcome measure: Poor HBP control (adequate figures below the value 140/90 mm Hg) associated with the characteristics of the nursing workforce and self-perceived CPE.ResultsThe prevalence of poor HBP control, estimated by an empty multilevel model, was 33.5% (95% CI 31.5% to 35.6%). In the multilevel multivariate regression models, the perception of a more favourable CPE was associated with a reduction in poor control in NWZ men and SWZ women (OR=0.99 (95% CI 0.98 to 0.99)); the economic immigration conditions increased poor control in NWZ women (OR=1.53 (95% CI 1.24 to 1.89)) and in SWZ, both men (OR=1.89 (95% CI 1.43 to 2.51)) and women (OR=1.39 (95% CI 1.09 to 1.76)). In all four models, increasing the annual number of patient consultations was associated with a reduction in poor control (NWZ women: OR=0.98 (95% CI0.98 to 0.99); NWZ men: OR=0.98 (95% CI 0.97 to 0.99); SWZ women: OR=0.98 (95% CI 0.97 to 0.99); SWZ men: OR=0.99 (95% CI 0.97 to 0.99).ConclusionsA CPE, perceived by PHC nurses as more favourable, and more patient–nurse consultations, contribute to better HBP control. Economic immigration condition is a risk factor for poor HBP control. Health policies oriented towards promoting positive environments for nursing practice are needed.

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Section: Discussionmentioning

confidence: 99%