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Factors associated with non-treatment of hypertension and gender differences at baseline in the ELSA-Brasil cohort.
Néri, A K M; Xavier, R M F; Matos, S M A; Almeida, M C C; Ladeira, R M; Lopes, A A; Lino, D O C; Lázaro, A P P; Cairutas, R V B M; Silva Júnior, J H; Lima, J M O; Chaves, M C; Silva, R P; Silva Júnior, G B.
Afiliación
  • Néri AKM; Programa de Pós-Graduação em Saúde Coletiva, Centro de Ciências da Saúde, Universidade de Fortaleza, Fortaleza, CE, Brasil.
  • Xavier RMF; Serviço de Cardiologia, Hospital Universitário Walter Cantídio, Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, CE, Brasil.
  • Matos SMA; Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, BA, Brasil.
  • Almeida MCC; Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, BA, Brasil.
  • Ladeira RM; Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Salvador, BA, Brasil.
  • Lopes AA; Hospital João XXIII, Fundação Hospitalar do Estado de Minas Gerais, Secretaria Estadual de Saúde, Belo Horizonte, MG, Brasil.
  • Lino DOC; Departamento de Medicina Interna/Nefrologia, Universidade Federal da Bahia, Salvador, BA, Brasil.
  • Lázaro APP; Programa de Pós-Graduação em Saúde Coletiva, Centro de Ciências da Saúde, Universidade de Fortaleza, Fortaleza, CE, Brasil.
  • Cairutas RVBM; Programa de Pós-Graduação em Saúde Coletiva, Centro de Ciências da Saúde, Universidade de Fortaleza, Fortaleza, CE, Brasil.
  • Silva Júnior JH; Serviço de Cardiologia, Hospital Universitário Walter Cantídio, Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, CE, Brasil.
  • Lima JMO; Serviço de Cardiologia, Hospital Universitário Walter Cantídio, Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, CE, Brasil.
  • Chaves MC; Serviço de Cardiologia, Hospital Universitário Walter Cantídio, Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, CE, Brasil.
  • Silva RP; Serviço de Cardiologia, Hospital Universitário Walter Cantídio, Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, CE, Brasil.
  • Silva Júnior GB; Serviço de Cardiologia, Hospital Universitário Walter Cantídio, Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, CE, Brasil.
Braz J Med Biol Res ; 57: e12937, 2024.
Article en En | MEDLINE | ID: mdl-38359271
ABSTRACT
The treatment of arterial hypertension (AH) contributes to the reduction of morbidity and mortality. Gender differences are likely to play a role, as non-treatment is associated with clinical and sociodemographic aspects. The aim of this study was to investigate the factors associated with non-treatment of AH and gender differences in hypertensive individuals from the ELSA-Brasil cohort. The study was conducted with 5,743 baseline hypertensive cohort participants. AH was considered if there was a previous diagnosis or if systolic blood pressure (SBP) was ≥140 and/or diastolic BP (DBP) was ≥90 mmHg. Sociodemographic and anthropometric data, lifestyle, comorbidities, and use of antihypertensive medications were evaluated through interviews and in-person measurements. Treatment with renin-angiotensin-aldosterone system inhibitors (RAASi) or other antihypertensive medications and non-treatment were evaluated with multivariate logistic regression. Non-treatment was observed in 32.8% of hypertensive individuals. Of the 67.7% treated individuals, 41.1% received RAASi. Non-treatment was associated with alcohol consumption in women (OR=1.41; 95%CI 1.15-1.73; P=0.001), lowest schooling level in men (OR=1.70; 95%CI 1.32-2.19; P<0.001), and younger age groups in men and women (strongest association in males aged 35-44 years OR=4.58, 95%CI 3.17-6.6, P<0.001). Among those using RAASi, a higher proportion of white, older individuals, and with more comorbidities was observed. The high percentage of non-treatment, even in this civil servant population, indicated the need to improve the treatment cascade for AH. Public health policies should consider giving special attention to gender roles in groups at higher risk of non-treatment to reduce inequities related to AH in Brazil.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hipertensión / Antihipertensivos Tipo de estudio: Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Female / Humans / Male País/Región como asunto: America do sul / Brasil Idioma: En Revista: Braz J Med Biol Res Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hipertensión / Antihipertensivos Tipo de estudio: Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Female / Humans / Male País/Región como asunto: America do sul / Brasil Idioma: En Revista: Braz J Med Biol Res Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil