Estudio de prevalencia, conocimiento y control de la hipertensión arterial en barrios vulnerables de Argentina
Year: 2024
Type: article
Study design: Observational Study
Abstract: INTRODUCTION: Hypertension (HTN) represents the primary individual risk factor, contributing significantly to the global burden of cardiovascular diseases (CVD). In our country, epidemiological research has highlighted substantial variations in the prevalence of these risk factors across different populations. However, there is a lack of epidemiological studies assessing exclusive cardiovascular risk factors within vulnerable neighborhoods characterized by extremely limited economic resources, sociocultural challenges, and inadequate healthcare access. METHODS: A multicenter cross-sectional observational study was conducted among individuals residing in economically deprived and marginalized communities, including informal settlements and underprivileged neighborhoods. Simple random sampling of households was employed. Blood pressure measurements, anthropometric assessments, and epidemiological, economic, and sociocultural questionnaires were administered. Results encompass prevalence rates, awareness levels, and blood pressure control across diverse regions. Logistic regression was utilized to identify independent variables influencing primary outcomes. RESULTS: A total of 989 participants were analyzed. The overall prevalence of hypertension was 48.2%. About 82% had a body mass index (BMI) >25. Approximately 45.3% had less than 6 years of formal education. Independent association was established between education levels below 6 years and higher hypertension prevalence. Among hypertensive individuals, 44% were unaware of their condition, with only 17.2% achieving control, correlated with having health insurance and a higher educational background. Merely 24% were receiving combined therapy. CONCLUSION: The prevalence of hypertension within vulnerable neighborhoods is alarmingly high, surpassing rates in other social strata. Knowledge, treatment, and control levels of hypertension are suboptimal, comparable to other populations. Inadequate use of combination therapy was observed. This study underscores the urgent need for targeted interventions addressing cardiovascular risk factors in poor areas to mitigate the burden of CVD.
Source: Hipertensión y Riesgo Vascular
Authors: W.G. Espeche, M. Marin, C. Romero, N. Renna, S. Vissani, G. Blanco, S.P. Pantalena, D. Cesario, E. Diez, C. Grasso, E. Garzon, J. Barochiner, M. Ruise, J. Minetto, N. Mazzei, E. Ramirez, M. Rojas, P. Carrera Ramos, M.S. Gimenez, M. Rivarola, N. Rada, A. Deffacci, B.C. Leiva Sisnieguez, J. Vissani, R. Bercovsky, M.A. Tenuta, C. Martinez, G. Cerri, R. Salazar, L. Graziani, T. Cornavaca, M.R. Salazar
Institutions: Ministerio de Salud - Provincia de Buenos Aires, Sociedad Argentina de Hipertensión Arterial, Emory University, Consejo Nacional de Investigaciones Científicas y Técnicas, Universidad Nacional de Cuyo, Instituto de Medicina y Biología Experimental de Cuyo, Hospital Privado, Hospital Italiano de Buenos Aires, Universidad Maimónides, Gobierno de la Provincia de Mendoza
Language: Spanish
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W4392576235