Universidad Peruana Cayetano Heredia

The "rule of halves" does not apply in Peru: Awareness, treatment, and control of hypertension and diabetes in rural, urban, and rural-to-urban migrants

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dc.contributor.author Lerner, Alana G.
dc.contributor.author Bernabé Ortiz, Antonio
dc.contributor.author Gilman, Robert Hugh
dc.contributor.author Smeeth, Liam
dc.contributor.author Miranda, J. Jaime
dc.date.accessioned 2022-01-04T20:29:56Z
dc.date.available 2022-01-04T20:29:56Z
dc.date.issued 2013
dc.identifier.uri https://hdl.handle.net/20.500.12866/10421
dc.description.abstract Objective: To determine the awareness, treatment, and control of hypertension and diabetes by migration status. Design: Cross-sectional study, secondary analyses of the PERU MIGRANT study. Patients: Rural, rural-to-urban migrants, and urban participants. Main Outcome Measures: Awareness, treatment, and control of hypertension and diabetes mellitus were calculated using weights to account for participant’s group size. Results: Of 205 of the 987 (weighted prevalence 24.1%, 95% confidence interval: 21.1%–27.1%) participants identified as hypertensive, 48.3% were aware of their diagnosis, 40% of them were receiving treatment, and 30.4% of those receiving treatment were controlled. Diabetes was present in 33 of the 987 (weighted prevalence 4.6%, 95% confidence interval: 3.1%–6%), and diabetes awareness, treatment, and control were 71.1%, 40.6%, and 7.7%, respectively. Suboptimal control rates, defined as those not meeting blood pressure or glycaemia targets among those with the condition, were 95.1% for hypertension and 97% for diabetes. Higher awareness, treatment, and control rates, for both hypertension and diabetes, were observed in rural-to-urban migrants and urban participants compared with rural participants. However, treatment rates were much lower among migrants compared with the urban group. Conclusions: These results identify major unmet needs in awareness, treatment, and control of hypertension and diabetes. Particular challenges are lack of awareness of both hypertension and diabetes in rural areas, and poor levels of treatment and control among people who have migrated from rural into urban areas. en_US
dc.language.iso eng
dc.publisher Wolters Kluwer Health
dc.relation.ispartofseries Critical Pathways in Cardiology
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Cross-Sectional Studies en_US
dc.subject Health Knowledge, Attitudes, Practice en_US
dc.subject human en_US
dc.subject Hypertension en_US
dc.subject Peru en_US
dc.subject prevalence en_US
dc.subject Adult en_US
dc.subject Prevalence en_US
dc.subject Rural Population en_US
dc.subject priority journal en_US
dc.subject urban area en_US
dc.subject diabetes mellitus en_US
dc.subject Diabetes Mellitus en_US
dc.subject Sex Factors en_US
dc.subject migration en_US
dc.subject Transients and Migrants en_US
dc.subject Urban Population en_US
dc.subject blood pressure en_US
dc.subject article en_US
dc.subject awareness en_US
dc.subject rural area en_US
dc.subject disease control en_US
dc.subject Risk factors en_US
dc.subject Cardiovascular diseases en_US
dc.subject Rural health en_US
dc.subject Urban health en_US
dc.title The "rule of halves" does not apply in Peru: Awareness, treatment, and control of hypertension and diabetes in rural, urban, and rural-to-urban migrants en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1097/HPC.0b013e318285ef60
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.04
dc.relation.issn 1535-2811


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