Social disparities explain differences in hypertension prevalence, detection and control in Colombia

Camacho, Paul Anthony; Gómez-Arbeláez, Diego; Molina, Dora I.; Sánchez, G.; Arcos, Édgar; Narváez, Claudia; García, Henry; Pérez, Maritza; Hernandez, E; Duran, Myriam; Cure, Carlos; Sotomayor, A; Rico, A.; David, T; Cohen, Daniel D.; Rangarajan, Sumathy; Yusuf, Salim; López‐Jaramillo, Patricio

doi:10.1097/hjh.0000000000001115

Cited by 43 publications

(67 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Hypoxia of high altitude is considered a risk factor for HTN, although there is controversy about this issue 10,11 . In Colombian and Peruvian cohorts, individuals living at altitudes higher that 2,000 meters above sea level had lower frequency of hypertension in relation to individuals living at low altitude 12,13 . In Colombia, the prevalence of HTN in individuals participating of the PURE study was 36.0% in the altitude communities while at sea level was 44.8% 12 .…”

Section: Discussionmentioning

confidence: 99%

Low levels of awareness, treatment, and control of hypertension in Andean communities of Ecuador

Félix

Baldeón

Zertuche

et al. 2020

J of Clinical Hypertension

Self Cite

View full text Add to dashboard Cite

Cardiovascular diseases (CVD) are the principal cause of mortality in low-medium-income countries (LMIC). 1 Globally, hypertension (HTN) is the main modifiable risk factor for CVD with a population attributable risk of 32.5% (42.7% for coronary heart disease, 38.9% for stroke, and 21.9% for heart failure). 2 Currently, HTN is common in LMIC where the percentages of awareness, treatment, and control of the disease are very low, 3 particularly in Latin America. 4 Few population studies on HTN prevalence have been carried out in Ecuador, and however, it is not known the rates of awareness, treatment, and control of HTA. 5 Thus, the aim of the present study was to determine the prevalence, awareness, treatment, and control of HTA and the association with socioeconomic , nutritional, and lifestyle habits in urban and rural communities of Pichincha province in Ecuador, that are included in the Prospective Urban and Rural Epidemiology (PURE) study. 4 2 | ME THODS 2.1 | Study design and participants Ecuadorian participants (n = 2020) are part of the international cohort of the PURE study, coordinated by the Population Health

show abstract

Section: Discussionmentioning

confidence: 99%

Low levels of awareness, treatment, and control of hypertension in Andean communities of Ecuador

Félix

Baldeón

Zertuche

et al. 2020

J of Clinical Hypertension

Self Cite

View full text Add to dashboard Cite

show abstract

“…Aunque no se encontraron otros estudios que compararan diversas zonas urbanas 64 , en el país, sí se han reportado diferencias entre lo urbano y lo rural. En su estudio, Camacho, et al , encontraron que las personas residentes en las zonas rurales de Colombia con menor desarrollo socioeconómico cumplían menos con el tratamiento que quienes vivían en zonas urbanas 65 .…”

Section: Discussionunclassified

El estrés crónico como mediador de la relación entre la posición socioeconómica y el cumplimiento del tratamiento farmacológico de pacientes hipertensos

et al. 2020

View full text Add to dashboard Cite

Introducción. La hipertensión arterial sistémica es un problema de salud pública en el mundo. En Colombia, su prevalencia es del 25 % y la mortalidad es alta. Los factores psicosociales que afectan el cumplimiento del tratamiento farmacológico no han sido estudiados suficientemente. En otros países, se ha estudiado el papel del estrés crónico en la relación entre la posición socioeconómica y el cumplimiento del tratamiento farmacológico antihipertensivo.Objetivo. Examinar el papel del estrés crónico como mediador de la relación entre la posición socioeconómica y el cumplimiento del tratamiento farmacológico, en pacientes hipertensos de 45 a 70 años en el 2015 y el 2016.Materiales y métodos. Se hizo un estudio transversal de una población de pacientes hipertensos. Los datos provienen de la muestra seleccionada para el programa “De todo corazón” en Bogotá, Medellín y Quibdó. El análisis estadístico de los datos se hizo mediante análisis factorial y regresiones multivariadas.Resultados. Los resultados confirmaron una asociación positiva entre la posición socioeconómica y el grado de cumplimiento del tratamiento farmacológico, y una relación negativa entre la primera y el estrés crónico. Además, se evidenció que el estrés tiene una asociación negativa con el grado de cumplimiento.Conclusiones. Los resultados sugieren que el estrés no es un mediador entre la posición socioeconómica y el cumplimiento del tratamiento farmacológico antihipertensivo en Colombia. Se requieren estudios adicionales para confirmar estas relaciones con una muestra más amplia.

show abstract

“…They are also expressions of fundamental within-country differences between rural and urban communities in hypertension awareness, diagnosis, treatment, and management [19,23,51], and effective use and appropriateness of medications for controlling hypertension for the SSA populations. Current guidelines are generally extrapolations of findings among people of African descent living in Western countries [23,32], despite differences in prevailing influential country-specific factors affecting hypertension risk, including ecological factors [74-82], community endowments [83,84], and social disparities [85], above and beyond social and economic inequalities [86]. Indeed, advances in a wide range of biomedical, biological, behavioral, and social sciences have been expanding our understanding of how early and continuing environmental influences (the ecology) and genetic predispositions (the biologic program) independently or synergistically affect human behaviors, functions, and lifelong health [79,83,87-89].…”

Section: Discussionmentioning

confidence: 99%

Diagnosis, Prevalence, Awareness, Treatment, Prevention, and Control of Hypertension in Cameroon: Protocol for a Systematic Review and Meta-Analysis of Clinic-Based and Community-Based Studies

et al. 2017

View full text Add to dashboard Cite

BackgroundHypertension holds a unique place in population health and health care because it is the leading cause of cardiovascular disease and the most common noncommunicable condition seen in primary care worldwide. Without effective prevention and control, raised blood pressure significantly increases the risk of stroke, myocardial infarction, chronic kidney disease, heart failure, dementia, renal failure, and blindness. There is an urgent need for stakeholders—including individuals and families—across the health system, researchers, and decision makers to work collaboratively for improving prevention, screening and detection, diagnosis and evaluation, awareness, treatment and medication adherence, management, and control for people with or at high risk for hypertension. Meeting this need will help reduce the burden of hypertension-related disease, prevent complications, and reduce the need for hospitalization, costly interventions, and premature deaths.ObjectiveThis review aims to synthesize evidence on the epidemiological landscape and control of hypertension in Cameroon, and to identify elements that could potentially inform interventions to combat hypertension in this setting and elsewhere in sub-Saharan Africa.MethodsThe full search process will involve several steps, including selecting relevant databases, keywords, and Medical Subject Headings (MeSH); searching for relevant studies from the selected databases; searching OpenGrey and the Grey Literature Report for gray literature; hand searching in Google Scholar; and soliciting missed publications (if any) from relevant authors. We will select qualitative, quantitative, or mixed-methods studies with data on the epidemiology and control of hypertension in Cameroon. We will include published literature in French or English from electronic databases up to December 31, 2016, and involving adults aged 18 years or older. Both facility and population-based studies on hypertension will be included. Two reviewers of the team will independently search, screen, extract data, and assess the quality of selected studies using suitable tools. Selected studies will be analyzed by narrative synthesis, meta-analysis, or both, depending on the nature of the data retrieved in line with the review objectives.ResultsThis review is part of an ongoing research program on disease prevention and control in the context of the dual burden of communicable and noncommunicable diseases in Africa. The first results are expected in 2017.ConclusionsThis review will provide a comprehensive assessment of the burden of hypertension and control measures that have been designed and implemented in Cameroon. Findings will form the knowledge base relevant to stakeholders across the health system and researchers who are involved in hypertension prevention and control in the community and clinic settings in Cameroon, as a yardstick for similar African countries.Trial RegistrationPROSPERO registration number: CRD42017054950; http://www.crd.york.ac.uk/PROSPERO/ display_record.asp?ID=CRD42017054950 (...

show abstract

Social disparities explain differences in hypertension prevalence, detection and control in Colombia

Abstract: Overall Colombia has a high prevalence of hypertension in combination with very low levels of awareness, treatment and control; however, we found large variations within the country that appear to be associated with sociodemographic disparities.

Cited by 43 publications

References 36 publications

Low levels of awareness, treatment, and control of hypertension in Andean communities of Ecuador

Low levels of awareness, treatment, and control of hypertension in Andean communities of Ecuador

El estrés crónico como mediador de la relación entre la posición socioeconómica y el cumplimiento del tratamiento farmacológico de pacientes hipertensos

Diagnosis, Prevalence, Awareness, Treatment, Prevention, and Control of Hypertension in Cameroon: Protocol for a Systematic Review and Meta-Analysis of Clinic-Based and Community-Based Studies

Contact Info

Product

Resources

About