Sociodemographic disparities in hypertension prevalence

results from the first Portuguese National Health Examination Survey

Translated title of the contribution: Disparidades sociodemográficas da prevalência de hipertensão: resultados do primeiro Portuguese Health Examination Survey

Ana Paula Rodrigues, Vânia Gaio, Irina Kislaya, Sidsel Graff-Iversen, Eugénio Cordeiro, Ana Clara Silva, Sónia Namorado, Marta Barreto, Ana Paula Gil, Liliana Antunes, Ana Santos, José Pereira Miguel, Baltazar Nunes, Carlos Matias Dias

Research output: Contribution to journalArticle

1 Citation (Scopus)
3 Downloads (Pure)

Abstract

© 2019 Sociedade Portuguesa de Cardiologia Introduction: Cardiovascular disease is an important cause of death and disability worldwide, and hypertension is responsible for at least 45% of all deaths due to heart disease and 51% of deaths due to stroke. This study aimed to estimate and describe the distribution of prevalence, awareness, treatment and control of hypertension in the Portuguese population in 2015. Methods: A national survey using a representative sample of 4911 individuals residing in Portugal and aged between 25 and 74 years was implemented. Trained nurses performed a health interview and a physical examination, including blood pressure measurement (right arm, three measurements at 1-min intervals). The prevalence of hypertension was stratified by gender, age group, marital status, education, occupation and type of residential area. Associations between hypertension prevalence and sociodemographic factors were assessed using bivariate and multivariate Poisson regression. Results: The overall hypertension prevalence was 36.0%. The highest rates were observed in males (39.6%), in individuals aged between 65 and 74 years (71.3%), and in those with low levels of education (62.6%) and with no formal occupation (64.5%). Among hypertensive individuals, 69.8% were aware of their condition and 69.4% were under treatment, of whom 71.3% were controlled. Rates of awareness and medical treatment were significantly higher among women and older individuals. Conclusions: A large majority of the adult Portuguese population are likely to reach blood pressure levels defined as hypertension in adulthood. Significant differences in hypertension prevalence were found according to gender, age and socioeconomic status, which highlights the importance of population strategies in public health policies.
Original languageMultiple languages
Pages (from-to)547-555
Number of pages9
JournalRevista Portuguesa de Cardiologia
Volume38
Issue number8
DOIs
Publication statusPublished - 1 Aug 2019

Fingerprint

Health Surveys
Hypertension
Occupations
Population
Blood Pressure
Education
Portugal
Marital Status
Public Policy
Health Policy
Social Class
Physical Examination
Cause of Death
Heart Diseases
Cardiovascular Diseases
Therapeutics
Public Health
Age Groups
Stroke
Nurses

Keywords

  • Awareness
  • Control
  • Hypertension
  • INSEF 2015
  • Portugal

Cite this

@article{a9d7303e20a146ad8e47c28e011b8c22,
title = "Sociodemographic disparities in hypertension prevalence: results from the first Portuguese National Health Examination Survey",
abstract = "{\circledC} 2019 Sociedade Portuguesa de Cardiologia Introduction: Cardiovascular disease is an important cause of death and disability worldwide, and hypertension is responsible for at least 45{\%} of all deaths due to heart disease and 51{\%} of deaths due to stroke. This study aimed to estimate and describe the distribution of prevalence, awareness, treatment and control of hypertension in the Portuguese population in 2015. Methods: A national survey using a representative sample of 4911 individuals residing in Portugal and aged between 25 and 74 years was implemented. Trained nurses performed a health interview and a physical examination, including blood pressure measurement (right arm, three measurements at 1-min intervals). The prevalence of hypertension was stratified by gender, age group, marital status, education, occupation and type of residential area. Associations between hypertension prevalence and sociodemographic factors were assessed using bivariate and multivariate Poisson regression. Results: The overall hypertension prevalence was 36.0{\%}. The highest rates were observed in males (39.6{\%}), in individuals aged between 65 and 74 years (71.3{\%}), and in those with low levels of education (62.6{\%}) and with no formal occupation (64.5{\%}). Among hypertensive individuals, 69.8{\%} were aware of their condition and 69.4{\%} were under treatment, of whom 71.3{\%} were controlled. Rates of awareness and medical treatment were significantly higher among women and older individuals. Conclusions: A large majority of the adult Portuguese population are likely to reach blood pressure levels defined as hypertension in adulthood. Significant differences in hypertension prevalence were found according to gender, age and socioeconomic status, which highlights the importance of population strategies in public health policies.",
keywords = "Awareness, Control, Hypertension, INSEF 2015, Portugal",
author = "Rodrigues, {Ana Paula} and V{\^a}nia Gaio and Irina Kislaya and Sidsel Graff-Iversen and Eug{\'e}nio Cordeiro and Silva, {Ana Clara} and S{\'o}nia Namorado and Marta Barreto and Gil, {Ana Paula} and Liliana Antunes and Ana Santos and Miguel, {Jos{\'e} Pereira} and Baltazar Nunes and Dias, {Carlos Matias}",
year = "2019",
month = "8",
day = "1",
doi = "10.1016/j.repc.2018.10.012",
language = "Multiple languages",
volume = "38",
pages = "547--555",
journal = "Revista Portuguesa de Cardiologia",
issn = "0870-2551",
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number = "8",

}

Sociodemographic disparities in hypertension prevalence : results from the first Portuguese National Health Examination Survey. / Rodrigues, Ana Paula; Gaio, Vânia; Kislaya, Irina; Graff-Iversen, Sidsel; Cordeiro, Eugénio; Silva, Ana Clara; Namorado, Sónia; Barreto, Marta; Gil, Ana Paula; Antunes, Liliana; Santos, Ana; Miguel, José Pereira; Nunes, Baltazar; Dias, Carlos Matias.

In: Revista Portuguesa de Cardiologia, Vol. 38, No. 8, 01.08.2019, p. 547-555.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Sociodemographic disparities in hypertension prevalence

T2 - results from the first Portuguese National Health Examination Survey

AU - Rodrigues, Ana Paula

AU - Gaio, Vânia

AU - Kislaya, Irina

AU - Graff-Iversen, Sidsel

AU - Cordeiro, Eugénio

AU - Silva, Ana Clara

AU - Namorado, Sónia

AU - Barreto, Marta

AU - Gil, Ana Paula

AU - Antunes, Liliana

AU - Santos, Ana

AU - Miguel, José Pereira

AU - Nunes, Baltazar

AU - Dias, Carlos Matias

PY - 2019/8/1

Y1 - 2019/8/1

N2 - © 2019 Sociedade Portuguesa de Cardiologia Introduction: Cardiovascular disease is an important cause of death and disability worldwide, and hypertension is responsible for at least 45% of all deaths due to heart disease and 51% of deaths due to stroke. This study aimed to estimate and describe the distribution of prevalence, awareness, treatment and control of hypertension in the Portuguese population in 2015. Methods: A national survey using a representative sample of 4911 individuals residing in Portugal and aged between 25 and 74 years was implemented. Trained nurses performed a health interview and a physical examination, including blood pressure measurement (right arm, three measurements at 1-min intervals). The prevalence of hypertension was stratified by gender, age group, marital status, education, occupation and type of residential area. Associations between hypertension prevalence and sociodemographic factors were assessed using bivariate and multivariate Poisson regression. Results: The overall hypertension prevalence was 36.0%. The highest rates were observed in males (39.6%), in individuals aged between 65 and 74 years (71.3%), and in those with low levels of education (62.6%) and with no formal occupation (64.5%). Among hypertensive individuals, 69.8% were aware of their condition and 69.4% were under treatment, of whom 71.3% were controlled. Rates of awareness and medical treatment were significantly higher among women and older individuals. Conclusions: A large majority of the adult Portuguese population are likely to reach blood pressure levels defined as hypertension in adulthood. Significant differences in hypertension prevalence were found according to gender, age and socioeconomic status, which highlights the importance of population strategies in public health policies.

AB - © 2019 Sociedade Portuguesa de Cardiologia Introduction: Cardiovascular disease is an important cause of death and disability worldwide, and hypertension is responsible for at least 45% of all deaths due to heart disease and 51% of deaths due to stroke. This study aimed to estimate and describe the distribution of prevalence, awareness, treatment and control of hypertension in the Portuguese population in 2015. Methods: A national survey using a representative sample of 4911 individuals residing in Portugal and aged between 25 and 74 years was implemented. Trained nurses performed a health interview and a physical examination, including blood pressure measurement (right arm, three measurements at 1-min intervals). The prevalence of hypertension was stratified by gender, age group, marital status, education, occupation and type of residential area. Associations between hypertension prevalence and sociodemographic factors were assessed using bivariate and multivariate Poisson regression. Results: The overall hypertension prevalence was 36.0%. The highest rates were observed in males (39.6%), in individuals aged between 65 and 74 years (71.3%), and in those with low levels of education (62.6%) and with no formal occupation (64.5%). Among hypertensive individuals, 69.8% were aware of their condition and 69.4% were under treatment, of whom 71.3% were controlled. Rates of awareness and medical treatment were significantly higher among women and older individuals. Conclusions: A large majority of the adult Portuguese population are likely to reach blood pressure levels defined as hypertension in adulthood. Significant differences in hypertension prevalence were found according to gender, age and socioeconomic status, which highlights the importance of population strategies in public health policies.

KW - Awareness

KW - Control

KW - Hypertension

KW - INSEF 2015

KW - Portugal

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DO - 10.1016/j.repc.2018.10.012

M3 - Article

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SP - 547

EP - 555

JO - Revista Portuguesa de Cardiologia

JF - Revista Portuguesa de Cardiologia

SN - 0870-2551

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ER -