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Hypertension Prevalence, Awareness, Treatment, and Control in Selected LMIC Communities: Results From the NHLBI/UHG Network of Centers of Excellence for Chronic Diseases

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dc.contributor.author Irazola, Vilma-E.
dc.contributor.author Gutierrez, Laura
dc.contributor.author Bloomfield, Gerald
dc.contributor.author Carrillo-Larco, Rodrigo-M.
dc.contributor.author Dorairaj, Prabhakaran
dc.contributor.author Gaziano, Thomas
dc.contributor.author Levitt, Naomi-S.
dc.contributor.author Miranda, J. Jaime
dc.contributor.author Ortiz, Antonio-Bernabe
dc.contributor.author Steyn, Krisela
dc.contributor.author Wu, Yangfeng
dc.contributor.author Xavier, Denis
dc.contributor.author Yan, Lijing-L.
dc.contributor.author He, Jiang
dc.contributor.author Rubinstein, Adolfo
dc.date.accessioned 2019-02-06T14:45:35Z
dc.date.available 2019-02-06T14:45:35Z
dc.date.issued 2016
dc.identifier.uri https://hdl.handle.net/20.500.12866/5091
dc.description.abstract BACKGROUND: Hypertension is the leading cause of cardiovascular disease and premature death worldwide. The prevalence of this public health problem is increasing in low- and middle-income countries (LMICs) in both urban and rural communities. OBJECTIVE: The aim of this study was to examine hypertension prevalence, awareness, treatment, and control in adults 35 to 74 years of age from urban and rural communities in LMICs in Africa, Asia, and South America. METHODS: The authors analyzed data from 7 population-based cross-sectional studies in selected communities in 9 LMICs that were conducted between 2008 and 2013. Age- and sex-standardized prevalence rates of pre-hypertension and hypertension were calculated. The prevalence rates of awareness, treatment, and control of hypertension were estimated overall and by subgroups of age, sex, and educational level. RESULTS: In selected communities, age- and sex-standardized prevalence rates of hypertension among men and women 35 to 74 years of age were 49.9% (95% confidence interval [CI]: 42.3% to 57.4%) in Kenya, 54.9% (95% CI: 51.3% to 58.4%) in South Africa, 52.5% (95% CI: 50.1% to 54.8%) in China, 32.5% (95% CI: 31.7% to 33.3%) in India, 42.3% (95% CI: 40.4% to 44.2%) in Pakistan, 45.4% (95% CI: 43.6% to 47.2%) in Argentina, 39.9% (95% CI: 37.8% to 42.1%) in Chile, 19.2% (95% CI: 17.8% to 20.5%) in Peru, and 44.1% (95% CI: 41.6% to 46.6%) in Uruguay. The proportion of awareness varied from 33.5% in India to 69.0% in Peru, the proportion of treatment among those who were aware of their hypertension varied from 70.8% in South Africa to 93.3% in Pakistan, and the proportion of blood pressure control varied from 5.3% in China to 45.9% in Peru. CONCLUSIONS: The prevalence of hypertension varies widely in different communities. The rates of awareness, treatment, and control also differ in different settings. There is a clear need to focus on increasing hypertension awareness and control in LMICs. en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartof urn:issn:2211-8179
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Developing Countries en_US
dc.subject Health Knowledge, Attitudes, Practice en_US
dc.subject Adult en_US
dc.subject Aged en_US
dc.subject Antihypertensive Agents/therapeutic use en_US
dc.subject Argentina/epidemiology en_US
dc.subject Chile/epidemiology en_US
dc.subject China/epidemiology en_US
dc.subject Cross-Sectional Studies en_US
dc.subject Female en_US
dc.subject Humans en_US
dc.subject Hypertension/drug therapy/epidemiology en_US
dc.subject India/epidemiology en_US
dc.subject Kenya/epidemiology en_US
dc.subject Male en_US
dc.subject Middle Aged en_US
dc.subject National Heart, Lung, and Blood Institute (U.S.) en_US
dc.subject Pakistan/epidemiology en_US
dc.subject Peru/epidemiology en_US
dc.subject Prehypertension/epidemiology en_US
dc.subject Prevalence en_US
dc.subject Public-Private Sector Partnerships en_US
dc.subject South Africa/epidemiology en_US
dc.subject United States en_US
dc.subject Uruguay/epidemiology en_US
dc.title Hypertension Prevalence, Awareness, Treatment, and Control in Selected LMIC Communities: Results From the NHLBI/UHG Network of Centers of Excellence for Chronic Diseases en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1016/j.gheart.2015.12.008
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00 es_PE
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.04


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