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Prevalence, awareness, treatment and control of high blood pressure in a cohort in Northern Andean Peru.

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dc.contributor.author Sanchez-Samaniego, Giuliana
dc.contributor.author Hartinger Peña, Stella Maria
dc.contributor.author Mäusezahl, Daniel
dc.contributor.author Hattendorf, Jan
dc.contributor.author Fink, Günther
dc.contributor.author Probst-Hensch, Nicole
dc.coverage.spatial San Marcos, Cajamarca, Perú
dc.date.accessioned 2023-12-07T22:33:25Z
dc.date.available 2023-12-07T22:33:25Z
dc.date.issued 2023
dc.identifier.uri https://hdl.handle.net/20.500.12866/14719
dc.description.abstract BACKGROUND: Gaps exist along the high blood pressure (HBP) diagnosis-treatment-control pathway in high, low and middle-income countries. OBJECTIVE: To determine the prevalence of HBP and to describe the levels of awareness, control and treatment of HBP in the rural Peruvian Andes. METHODS: This cross-sectional study is embedded into a multigenerational cohort. We analysed data of all adult participants aged ≥ 30 years (n = 2752) who answered a baseline health and lifestyle questionnaire and underwent a physical examination, which included three blood pressure readings. HBP was defined as measured systolic or diastolic blood pressure (BP) ≥140 and/or 90 mm Hg and/or self-reported physician-diagnosed hypertension and/or self-reported antihypertensive intake. The determinants of the prevalence of HBP, unawareness of HBP and uncontrolled HBP were assessed using mixed-effect logistic regressions. RESULTS: HBP was present in 18.9% of the participants. Of those with measured HBP, 72.2% were unaware of their HBP. Among those with a diagnosed or medically treated hypertension, 58.4% had uncontrolled HBP. The prevalence of HBP was higher in women (OR: 1.12, CI: 1.02-1.24), increased with age (OR: 1.01, CI: 1.01-1.01) and the presence of family history of hypertension (OR: 1.15, CI: 1.08-1.24), and decreased with healthier lifestyle score (OR: 0.93, CI: 0.91-0.95). Unawareness of HBP was lower among women (OR: 0.56, CI: 0.38-0.83), higher among participants living over 3000 m Above Sea Level (OR: 1.15, CI: 1.03-1.27) and decreased with age (OR: 0.99, CI: 0.98-0.99). CONCLUSIONS: Unawareness of HBP was high, few HTN patients received treatment and BP remained high in the presence of antihypertensive treatment. en_US
dc.language.iso eng
dc.publisher Taylor and Francis
dc.relation.ispartofseries Global Health Action
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Hypertension en_US
dc.subject Awareness en_US
dc.subject Control en_US
dc.subject High-altitude en_US
dc.subject Andes en_US
dc.subject.mesh Hipertensión
dc.subject.mesh Concienciación
dc.subject.mesh Altitud
dc.subject.mesh Ecosistema Andino
dc.title Prevalence, awareness, treatment and control of high blood pressure in a cohort in Northern Andean Peru. en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1080/16549716.2023.2285100
dc.relation.issn 1654-9880


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