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Prevalence, awareness, treatment and control of hypertension in rural and urban communities in Latin American countries

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dc.contributor.author Lamelas, Pablo
dc.contributor.author Diaz, Rafael
dc.contributor.author Orlandini, Andres
dc.contributor.author Avezum, Alvaro
dc.contributor.author Oliveira, Gustavo
dc.contributor.author Mattos, Antonio
dc.contributor.author Lanas, Fernando
dc.contributor.author Seron, Pamela
dc.contributor.author Oliveros, Maria J.
dc.contributor.author Lopez-Jaramillo, Patricio
dc.contributor.author Otero, Johanna
dc.contributor.author Camacho, Paul
dc.contributor.author Miranda, J. Jaime
dc.contributor.author Bernabé Ortiz, Antonio
dc.contributor.author Málaga Rodríguez, Germán Javier
dc.contributor.author Irazola, Vilma
dc.contributor.author Gutierrez, Laura
dc.contributor.author Rubinstein, Adolfo
dc.contributor.author Castellana, Noelia
dc.contributor.author Rangarajan, Sumathy
dc.contributor.author Yusuf, Salim
dc.date.accessioned 2019-07-04T17:00:21Z
dc.date.available 2019-07-04T17:00:21Z
dc.date.issued 2019
dc.identifier.uri https://hdl.handle.net/20.500.12866/6885
dc.description.abstract OBJECTIVES: The objective is to describe hypertension (HTN) prevalence, awareness, treatment and control in urban and rural communities in Latin America to inform public and policy-makers. METHODS: Cross-sectional analysis from urban (n = 111) and rural (n = 93) communities including 33 276 participants from six Latin American countries (Argentina, Brazil, Chile, Colombia, Peru and Uruguay) were included. HTN was defined as self-reported HTN on blood pressure (BP) medication or average BP over 140/90 mmHg, awareness as self-reported HTN, and controlled as those with BP under 140/90 mmHg. RESULTS: Mean age was 52 years, 60% were Female and 32% belonged to rural communities. HTN prevalence was 44.0%, with the lowest rates in Peru (17.7%) and the highest rates in Brazil (52.5%). 58.9% were aware of HTN diagnosis and 53.3% were receiving treatment. Prevalence of HTN were higher in urban (44.8%) than rural (42.1%) communities in all countries. Most participants who were aware of HTN were receiving medical treatment (90.5%), but only 37.6% of patients receiving medical treatment had their BP controlled (<140/<90 mmHg), with the rates being higher in urban (39.6%) than in rural (32.4%) communities. The rate of use of two or more drugs was low [36.4%, lowest in Argentina (29.6%) and highest in Brazil (44.6%)]. Statin use was low (12.3%), especially in rural areas (7.0%). Most modifiable risk factors were higher in people with HTN than people without HTN. CONCLUSION: HTN prevalence is high but BP control is low in Latin America, with marked differences between countries and between urban and rural settings. There is an urgent need for systematic approaches for better detection, treatment optimization and risk factor modification among those with HTN in Latin America. en_US
dc.language.iso eng
dc.publisher Wolters Kluwer Health
dc.relation.ispartofseries Journal of Hypertension
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject blood pressure en_US
dc.subject hypertension en_US
dc.subject Latin America en_US
dc.title Prevalence, awareness, treatment and control of hypertension in rural and urban communities in Latin American countries en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1097/HJH.0000000000002108
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.27
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.04
dc.relation.issn 1473-5598


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