Clinical and treatment profiles of arterial hypertension in Mexico during the COVID-19 pandemic: a cross-sectional survey endorsed by the "Collaborative Group on Arterial Hypertension".
Front Public Health
; 12: 1385349, 2024.
Article
en En
| MEDLINE
| ID: mdl-39071149
ABSTRACT
Background:
Arterial hypertension is highly prevalent in Mexico; nevertheless, there are limited insights regarding its management during the COVID-19 pandemic. Here, we estimate the prevalence of clinical and treatment profiles of arterial hypertension and explore associated factors for undiagnosed and uncontrolled hypertension using a cross-sectional survey endorsed by the Collaborative Group on Arterial Hypertension from the Mexican Institute of Social Security.Methods:
Our survey was conducted from May to November 2021 using the May-Measurement Month 2021 protocols of the International Society of Hypertension. Arterial hypertension (defined as blood pressure [BP] ≥140/90 mmHg, previous diagnosis, or taking antihypertensives) and its clinical and treatment profiles were classified according to the World Hypertension League Expert Committee. Mixed-effects logistic regression models were used to explore associated factors for undiagnosed and uncontrolled hypertension.Results:
Among 77,145 screened participants (women 62.4%; median age 46 [IQR 32-59] years), the prevalence of arterial hypertension was 35.7% (95% CI 35.3-36.0, n = 27,540). Among participants with arterial hypertension, 30.9% (95% CI 30.4-31.5, n = 8,533) were undiagnosed, 6.6% (95% CI 6.3%-6.9%, n = 1,806) were diagnosed but untreated, 43.4% (95% CI 42.9-44.0, n = 11,965) had uncontrolled hypertension, and only 19% (95% CI 18.6%-19.5%, n = 5,236) achieved hypertension control (BP < 130/80 mmHg). Explored associated factors for undiagnosed and uncontrolled hypertension include being men, living in the central and southern regions, lower educational attainments, higher use of pharmacological agents, and previous COVID-19 infection.Conclusion:
Our findings suggest that adverse arterial hypertension profiles, mainly undiagnosed and uncontrolled hypertension, were highly prevalent during the context of the COVID-19 pandemic in Mexico.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
COVID-19
/
Hipertensión
/
Antihipertensivos
Límite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
Mexico
Idioma:
En
Revista:
Front Public Health
Año:
2024
Tipo del documento:
Article
País de afiliación:
México
Pais de publicación:
Suiza