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Postgraduate Medicine Publication details, including instructions for authors and subscription information: http://www.tandfonline.com/loi/ipgm20
Prevalence and treatment of hypertension in urban and riverside areas in Porto Velho, the Brazilian Amazon ab
b
b
Raitany Costa Almeida , Diego Jordão Lino Dias , Karime Tuyane Pinheiro Deguchi , Carlos b
a
Henrique Spesia & Otavio Rizzi Coelho a 1
Department of Internal Medicine, School of Medical Sciences, State University of Campinas (UNICAMP), Sao Paulo, Brazil b 2
Department of Medicine, Federal University of Rondonia, Rondonia, Brazil Published online: 28 May 2015.
Click for updates To cite this article: Raitany Costa Almeida, Diego Jordão Lino Dias, Karime Tuyane Pinheiro Deguchi, Carlos Henrique Spesia & Otavio Rizzi Coelho (2015) Prevalence and treatment of hypertension in urban and riverside areas in Porto Velho, the Brazilian Amazon, Postgraduate Medicine, 127:1, 66-72 To link to this article: http://dx.doi.org/10.1080/00325481.2015.993574
PLEASE SCROLL DOWN FOR ARTICLE Taylor & Francis makes every effort to ensure the accuracy of all the information (the “Content”) contained in the publications on our platform. However, Taylor & Francis, our agents, and our licensors make no representations or warranties whatsoever as to the accuracy, completeness, or suitability for any purpose of the Content. Any opinions and views expressed in this publication are the opinions and views of the authors, and are not the views of or endorsed by Taylor & Francis. The accuracy of the Content should not be relied upon and should be independently verified with primary sources of information. Taylor and Francis shall not be liable for any losses, actions, claims, proceedings, demands, costs, expenses, damages, and other liabilities whatsoever or howsoever caused arising directly or indirectly in connection with, in relation to or arising out of the use of the Content. This article may be used for research, teaching, and private study purposes. Any substantial or systematic reproduction, redistribution, reselling, loan, sub-licensing, systematic supply, or distribution in any form to anyone is expressly forbidden. Terms & Conditions of access and use can be found at http:// www.tandfonline.com/page/terms-and-conditions
http://informahealthcare.com/pgm ISSN: 0032-5481 (print), 1941-9260 (electronic) Postgrad Med, 2015; 127(1): 66– 2015 Informa UK, Ltd. DOI: 10.1080/00325481.2015.993574
ORIGINAL RESEARCH
Prevalence and treatment of hypertension in urban and riverside areas in Porto Velho, the Brazilian Amazon Raitany Costa Almeida1,2, Diego Jordão Lino Dias2, Karime Tuyane Pinheiro Deguchi2, Carlos Henrique Spesia2 & Otavio Rizzi Coelho1 1
Downloaded by [Emory University] at 02:40 24 August 2015
2
Department of Internal Medicine, School of Medical Sciences, State University of Campinas (UNICAMP), Sao Paulo, Brazil, and Department of Medicine, Federal University of Rondonia, Rondonia, Brazil
Abstract
Keywords:
Introduction: Hypertension (HTN) is a preventable cause of cardiovascular morbidity and mortality. Objectives: To compare the prevalence, awareness, treatment, and control of HTN among urban and riverside populations in Porto Velho, Amazon region. Methods: We conducted a crosssectional study between July and December 2013 based on a household survey of individuals aged 35–80 years. Interviews by using a standardized questionnaire, and blood pressure (BP), weight, height, and waist circumference measurements were performed. HTN was defined when individuals reported having the disease, received antihypertensive medications, or had a systolic BP ‡ 140 mm Hg or diastolic BP ‡ 90 mm Hg. Awareness was based on self-reports and the use of antihypertensive medications. Control was defined as a BP £ 140/90 mm Hg. Results: Among the 1410 participants, 750 (53.19%) had HTN and 473 (63.06%) had diagnosis awareness, of whom 404 (85.41%) received pharmacological treatment but with low control rate. The prevalence and treatment rates were higher in the urban areas (55.48% vs. 48.87% [p = 0.02] and 61.25% vs. 52.30% [p < 0.01], respectively). HTN awareness was higher in the riverside area (61.05% vs. 67.36% ; p < 0.01), but the control rates showed no statistically significant difference (22.11% vs. 23.43% ; p = 0.69). Conclusion: HTN prevalence was higher in the urban population than in the riverside population. Of the hypertensive individuals in both areas,
Postgraduate Medicine Publication details, including instructions for authors and subscription information: http://www.tandfonline.com/loi/ipgm20
Prevalence and treatment of hypertension in urban and riverside areas in Porto Velho, the Brazilian Amazon ab
b
b
Raitany Costa Almeida , Diego Jordão Lino Dias , Karime Tuyane Pinheiro Deguchi , Carlos b
a
Henrique Spesia & Otavio Rizzi Coelho a 1
Department of Internal Medicine, School of Medical Sciences, State University of Campinas (UNICAMP), Sao Paulo, Brazil b 2
Department of Medicine, Federal University of Rondonia, Rondonia, Brazil Published online: 28 May 2015.
Click for updates To cite this article: Raitany Costa Almeida, Diego Jordão Lino Dias, Karime Tuyane Pinheiro Deguchi, Carlos Henrique Spesia & Otavio Rizzi Coelho (2015) Prevalence and treatment of hypertension in urban and riverside areas in Porto Velho, the Brazilian Amazon, Postgraduate Medicine, 127:1, 66-72 To link to this article: http://dx.doi.org/10.1080/00325481.2015.993574
PLEASE SCROLL DOWN FOR ARTICLE Taylor & Francis makes every effort to ensure the accuracy of all the information (the “Content”) contained in the publications on our platform. However, Taylor & Francis, our agents, and our licensors make no representations or warranties whatsoever as to the accuracy, completeness, or suitability for any purpose of the Content. Any opinions and views expressed in this publication are the opinions and views of the authors, and are not the views of or endorsed by Taylor & Francis. The accuracy of the Content should not be relied upon and should be independently verified with primary sources of information. Taylor and Francis shall not be liable for any losses, actions, claims, proceedings, demands, costs, expenses, damages, and other liabilities whatsoever or howsoever caused arising directly or indirectly in connection with, in relation to or arising out of the use of the Content. This article may be used for research, teaching, and private study purposes. Any substantial or systematic reproduction, redistribution, reselling, loan, sub-licensing, systematic supply, or distribution in any form to anyone is expressly forbidden. Terms & Conditions of access and use can be found at http:// www.tandfonline.com/page/terms-and-conditions
http://informahealthcare.com/pgm ISSN: 0032-5481 (print), 1941-9260 (electronic) Postgrad Med, 2015; 127(1): 66– 2015 Informa UK, Ltd. DOI: 10.1080/00325481.2015.993574
ORIGINAL RESEARCH
Prevalence and treatment of hypertension in urban and riverside areas in Porto Velho, the Brazilian Amazon Raitany Costa Almeida1,2, Diego Jordão Lino Dias2, Karime Tuyane Pinheiro Deguchi2, Carlos Henrique Spesia2 & Otavio Rizzi Coelho1 1
Downloaded by [Emory University] at 02:40 24 August 2015
2
Department of Internal Medicine, School of Medical Sciences, State University of Campinas (UNICAMP), Sao Paulo, Brazil, and Department of Medicine, Federal University of Rondonia, Rondonia, Brazil
Abstract
Keywords:
Introduction: Hypertension (HTN) is a preventable cause of cardiovascular morbidity and mortality. Objectives: To compare the prevalence, awareness, treatment, and control of HTN among urban and riverside populations in Porto Velho, Amazon region. Methods: We conducted a crosssectional study between July and December 2013 based on a household survey of individuals aged 35–80 years. Interviews by using a standardized questionnaire, and blood pressure (BP), weight, height, and waist circumference measurements were performed. HTN was defined when individuals reported having the disease, received antihypertensive medications, or had a systolic BP ‡ 140 mm Hg or diastolic BP ‡ 90 mm Hg. Awareness was based on self-reports and the use of antihypertensive medications. Control was defined as a BP £ 140/90 mm Hg. Results: Among the 1410 participants, 750 (53.19%) had HTN and 473 (63.06%) had diagnosis awareness, of whom 404 (85.41%) received pharmacological treatment but with low control rate. The prevalence and treatment rates were higher in the urban areas (55.48% vs. 48.87% [p = 0.02] and 61.25% vs. 52.30% [p < 0.01], respectively). HTN awareness was higher in the riverside area (61.05% vs. 67.36% ; p < 0.01), but the control rates showed no statistically significant difference (22.11% vs. 23.43% ; p = 0.69). Conclusion: HTN prevalence was higher in the urban population than in the riverside population. Of the hypertensive individuals in both areas,
