scholarly journals Prevalence of high blood pressure measured in the Brazilian population, National Health Survey, 2013

2016 ◽  
Vol 134 (2) ◽  
pp. 163-170 ◽  
Author(s):  
Deborah Carvalho Malta ◽  
Nadir Baltazar dos Santos ◽  
Rosângela Durso Perillo ◽  
Célia Landmann Szwarcwald
Keyword(s):  
Blood Pressure ◽  
High Blood Pressure ◽  
National Health ◽  
Health Survey ◽  
National Health Survey ◽  
Brazilian Population ◽  
World Health ◽  
Cross Sectional ◽  
Federal States ◽  
Medical Diagnoses

ABSTRACT: CONTEXT AND OBJECTIVE: High blood pressure (hypertension) is the most frequent cause of morbidity and a major risk factor for cardiovascular complications. The aim here was to describe the prevalence of blood pressure greater than or equal to 140/90 mmHg in the adult Brazilian population and federal states, along with self-reported information about previous medical diagnoses of hypertension, use of medication and medical care for hypertension control. DESIGN AND SETTING: Cross-sectional study analyzing information from the National Health Survey of 2013, relating to Brazil and its federal states. METHODS: The sample size was estimated as 81,254 households and information was collected from 64,348 households. The survey consisted of interviews, physical and laboratory measurements. Systolic blood pressure was considered to be high when it was ≥ 140 mmHg and diastolic blood pressure, ≥ 90 mmHg. RESULTS: It was found that 22.8% of the population has blood pressure measurements ≥ 140/90 mmHg. The proportion was higher among men than among women: 25.8% versus 20.0%. The frequency increased with age, reaching 47.1% in individuals over 75 years and was highest in the southeast and south. 43.2% reported previous medical diagnoses of hypertension and, of these, 81.4% reported using medication for hypertension and 69.6%, going to the doctor within the past year for pressure monitoring, thus showing regular medical follow-up. CONCLUSION: These results are important for supporting measures for preventing and treating hypertension in Brazil, with the aim of achieving the World Health Organization's goal of reducing hypertension by 25% over the next decade.

scholarly journals Cut-off points of anthropometric markers associated with hypertension in the Brazilian population: National Health Survey, 2013

2019 ◽  
Vol 22 (12) ◽  
pp. 2147-2154 ◽  
Author(s):  
Ana Paula Alves de Souza ◽  
Paulo Rogério Melo Rodrigues ◽  
Ana Paula Muraro ◽  
Naiara Ferraz Moreira ◽  
Rosely Sichieri ◽  
...  
Keyword(s):  
Blood Pressure ◽  
National Health ◽  
Health Survey ◽  
Roc Curve ◽  
Cross Sectional Study ◽  
National Health Survey ◽  
Brazilian Population ◽  
Cross Sectional ◽  
Waist To Height Ratio ◽  
Anthropometric Markers

AbstractObjectiveTo identify cut-off points for waist circumference (WC), waist-to-height ratio (WHtR) and BMI associated with hypertension in the Brazilian adult and elderly population.DesignCross-sectional study. The receiver-operating characteristic (ROC) curve was used to determine the cut-off points of WC, WHtR and BMI in the prediction of hypertension. Those who had systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg and those who reported use of antihypertensive medication were considered hypertensive.SettingBrazil.ParticipantsParticipants from the National Health Survey, the Brazilian household-based survey conducted in 2013, of both sexes and age ≥20 years.ResultsCut-off points for WC and WHtR increased with age in both sexes. WC cut-off limits ranged between 88·0 and 95·9 cm in men and between 85·0 and 93·2 cm in women. For WHtR, cut-off scores ranged from 0·51 to 0·58 for men and from 0·53 to 0·61 for women. Additionally, the area under the ROC curve (AUC) for all age and sex groups was greater than 0·60 while the lower limit of the AUC 95 % CI for both WC and WHtR was not less than 0·50. The performance of BMI was similar to that of indicators of fat location.ConclusionsAll analysed anthropometric indicators had similar performance in identifying hypertension in the Brazilian population.

scholarly journals Urinary sodium‐to‐potassium ratio and body mass index in relation to high blood pressure in a national health survey in Chile

2020 ◽  
Vol 22 (6) ◽  
pp. 1041-1049
Author(s):  
Giovanna Valentino ◽  
Camila Hernández ◽  
Rodrigo Tagle ◽  
Lorena Orellana ◽  
Marcela Adasme ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Body Mass Index ◽  
Body Mass ◽  
High Blood Pressure ◽  
National Health ◽  
Health Survey ◽  
National Health Survey ◽  
Urinary Sodium

scholarly journals Control of Glucose, Blood Pressure, and Cholesterol among Adults with Diabetes: The Brazilian National Health Survey

2021 ◽  
Vol 10 (15) ◽  
pp. 3428
Author(s):  
Rodrigo Citton P. dos Reis ◽  
Bruce B. Duncan ◽  
Célia Landmann Szwarcwald ◽  
Deborah Carvalho Malta ◽  
Maria Inês Schmidt
Keyword(s):  
Blood Pressure ◽  
National Health ◽  
Health Survey ◽  
Ldl Cholesterol ◽  
National Health Survey ◽  
Adherence To Treatment ◽  
Cvd Risk ◽  
Related Factors ◽  
Duration Of Diabetes ◽  
Basic Standards

ABC (glucose, blood pressure and LDL-cholesterol) goals are basic standards of diabetes care. We aimed to assess ABC control and related factors in a representative sample of Brazilian adults with diabetes. We analyzed 465 adults with known diabetes in the Brazilian National Health Survey. The targets used were <7% for glycated hemoglobin (A1C); <140/90 mmHg for blood pressure; and <100 mg/dL for LDL-C, with stricter targets for the latter two for those with high cardiovascular (CVD) risk. Individual goals were attained by 46% (95% CI, 40.3–51.6%) for A1C, 51.4% (95% CI, 45.7–57.1%) for blood pressure, and 40% (95% CI, 34.5–45.6%) for LDL-C. The achievement of all three goals was attained by 12.5% (95% CI, 8.9–16.2%). Those with high CVD risk attained blood pressure and LDL-C goals less frequently. A1C control improved with increasing age and worsened with greater duration of diabetes. Achievement of at least two ABC goals decreased with increasing BMI and greater duration of diabetes. In sum, about half of those with known diabetes achieved each ABC goal and only a small fraction achieved all three goals. Better access and adherence to treatment and strategies to personalize goals according to specific priorities are of the essence.

scholarly journals Use of and access to health services in Brazil, 2013 National Health Survey

2017 ◽  
Vol 51 (suppl 1) ◽  
Author(s):  
Sheila Rizzato Stopa ◽  
Deborah Carvalho Malta ◽  
Camila Nascimento Monteiro ◽  
Célia Landmann Szwarcwald ◽  
Moisés Goldbaum ◽  
...  
Keyword(s):  
Health Services ◽  
National Health ◽  
Health Survey ◽  
National Health Survey ◽  
Brazilian Population ◽  
Access To Health Services ◽  
Level Of Education ◽  
Head Of Household ◽  
Access To Health ◽  
Use Of Health Services

ABSTRACT OBJECTIVE To analyze the use of health services in the Brazilian population by sociodemographic factors, according to data from the 2013 Brazilian National Health Survey. METHODS The study analyzed data from 205,000 Brazilian citizens in all age groups who participated in the Brazilian National Health Survey, a cross-sectional study carried out in 2013. Prevalence and confidence intervals were estimated for indicators related to access to and use of health services according to age group, level of education of head of household, and Brazilian macroregions. RESULTS Among individuals who sought health services in the two weeks prior to the survey, 95.3% (95%CI 94.9–95.8) received care in their first visit. Percentages were higher in the following groups: 60 years of age and over; head of household with complete tertiary education; living in the South and Southeast regions. In addition, 82.5% (95%CI 81.2–83.7) of individuals who received health care and prescriptions were able to obtain all the necessary medicines, 1/3 of them from SUS. Less than half the Brazilian population (44.4%; 95%CI 43.8–45.1) visited a dentist in the 12 months prior to the survey, with smaller percentages among the following groups: 60 years of age or older; head of household with no education or up to incomplete elementary; living in the North region of Brazil. CONCLUSIONS People living in the South and Southeast regions still have greater access to health services, as do those whose head of household has a higher level of education. The (re)formulation of health policies to reduce disparities should consider differences encountered between regions and social levels.

P3415Will less developed countries be capable of giving high-quality universal coverage to cardiovascular disease survivors? Results from a national health survey, Chile ENS 2016–2017

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
P Margozzini ◽  
A Passi ◽  
M Kruk ◽  
G Danaei
Keyword(s):  
Blood Pressure ◽  
Cardiovascular Disease ◽  
Health Care ◽  
Quality Of Care ◽  
National Health ◽  
Health Survey ◽  
Universal Coverage ◽  
National Health Survey ◽  
High Quality

Abstract Background Chilean Health System has fully implemented Universal Health Coverage (UHC) for acute cardiovascular events since 2005. Age-adjusted cardiovascular mortality has decreased, but there is limited information about coverage and quality of chronic health care given to cardiovascular disease (CVD) survivors at the national level. Purpose To assess the prevalence and quality of care in Chilean adult CVD survivors. Methods Chilean National Health Survey 2016–2017 (ENS 2016–2017) is a random stratified multistage sample of non-institutionalized population over 14 years (n=6240). Age, education, gender, rural/urban and geographical area weighted prevalence of CVD survivors (self-reported medical diagnosis of myocardial infarction or cerebrovascular attack) were calculated. High quality of care was defined as meeting six criteria simultaneously: under 70mg% LDL- C level, statin use, aspirin use, blood pressure under 130/80 mmHg, HgA1C<7 or 8 (>74-year-old) and non-smoking. Quality of care was explored using multivariate linear and logistic regression adjusting by age, gender, education and year of diagnosis (before or after UHC). Results Weighted national prevalence of CVD survivors in over 20-year-old population was 6.1%. The sample size for the CVD survivor analyses was n=455. 28.7% of CVS had their first event before the year 2005 (n=141). Overall 27.9% had LDL-C under 70mg%, 37.8% used statins, 41.4% used aspirin, 37.8% had controlled blood pressure, 78.3% were non-smokers and 84.3% had good glycemic control. National “high quality of care” prevalence in CVD survivors was 0.3%, 0.4% and 0.1% for men and women respectively. LDL and Blood pressure control prevalence (meet both criteria simultaneously) was 4,4%. In the adjusted multivariate model age was associated to a higher number of quality criteria achievement. Conclusion The number of CVD survivors in Chile is a huge challenge for the health care system. Universal coverage does not guarantee the quality of chronic life long care. Specific surveillance in high-risk population is needed to assess the system's effectiveness and accountability. Acknowledgement/Funding ENS 2016-2017 was funded by the chilean Ministry of Health (MINSAL)

Beneficial association between active travel and metabolic syndrome in Latin-America: A cross-sectional analysis from the Chilean National Health Survey 2009–2010

2018 ◽  
Vol 107 ◽  
pp. 8-13 ◽  
Author(s):  
Kabir P. Sadarangani ◽  
Astrid Von Oetinger ◽  
Carlos Cristi-Montero ◽  
Andrea Cortínez-O'Ryan ◽  
Nicolás Aguilar-Farías ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Latin America ◽  
National Health ◽  
Health Survey ◽  
Active Travel ◽  
National Health Survey ◽  
Cross Sectional ◽  
Cross Sectional Analysis ◽  
Sectional Analysis

scholarly journals Biopsychosocial inequality, active lifestyle and chronic health conditions: a cross-sectional National Health Survey 2013 in Brazil

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Marcello Barbosa Otoni Gonçalves Guedes ◽  
Rodolpho Nunes Araújo ◽  
Lídia Reniê Fernandes da Silva ◽  
Diego Neves Araujo ◽  
Sanderson José Costa de Assis ◽  
...  
Keyword(s):  
National Health ◽  
Health Survey ◽  
Cox Regression ◽  
Prevalence Ratio ◽  
Cross Sectional Study ◽  
National Health Survey ◽  
Active Lifestyle ◽  
Cross Sectional ◽  
Physically Active ◽  
Active Behavior

AbstractThis study estimated the biopsychosocial factors related to active physical behavior in the Brazilian population with and without chronic non-transmissible disease (NCD). Cross-sectional study of the National Health Survey (NHS) in Brazil, with 60,202 individuals in 2013. Participants were randomly selected by complex sampling. The outcome was physically active behavior measured by performing a minimum of 150 min of physical exercise per week. The independent variables were social and psychological characteristics, lifestyle and health. Cox regression was applied to estimate the prevalence ratio (PR). There are 29,666 (48.3%; 95% CI 47.0–50.0) participants reported having NCD. Not being a smoker or alcoholic, living in an urban area (PR = 1.44; CI95% 1.23–1.68/PR = 1.38; CI95% 1.08–1.75), having informal social support (PR = 1.26; CI95% 1.10–1.44/PR = 1.19; CI95% 1.05–1.34), A social class (PR = 0.43; CI95% 0.25–0.73/PR = 0.46; CI95% 0.26–0.80), high schooling (PR = 0.34; CI95% 0.23–0.51/PR = 0.33; CI95% 0.24–0.46) as well as paid work (PR = 0.87; CI95% 0.78–0.96/PR = 0.89; CI95% 0.79–0.99) are more associated with active lifestyle in both groups. However, only in the group without NCD, the male sex (PR = 1.42; CI95% 1.28–1.57), no having some disability (PR = 1.31; CI95% 1.03–1.66) and having private health insurance (PR = 1.26; CI95% 1.13–1.41) were more associated with active behavior, while in the group with NCD, being elderly (PR = 1.22; CI95% 1.05–1.42), not be white (PR = 0.85; CI95% 0.77–0.95) and not having restful sleep (PR = 1.23; CI95% 1.08–1.40) are associated with active lifestyle. People with and without NCD in Brazil have very close active behavior, however, some biopsychosocial factors such as: sex, age, lifestyle, socioeconomic level are unevenly associated with the active lifestyle in the groups. Thus, therapeutic or preventive proposals as well as public policies for health promotion must observe these distinctions when elaborating their actions.

scholarly journals Number of remaining teeth and its association with educational level in Chilean adults: data from the National Health Survey 2016-2017

2020 ◽  
Author(s):  
Paula Margozzini ◽  
Rodrigo Berrios ◽  
Rosario García-Huidobro ◽  
Claudia Véliz ◽  
Carolina del Valle ◽  
...  
Keyword(s):  
National Health ◽  
Health Survey ◽  
Educational Level ◽  
Tooth Loss ◽  
Cross Sectional Study ◽  
National Health Survey ◽  
Cross Sectional ◽  
Main Independent Variable ◽  
Functional Dentition ◽  
Chilean Population

Abstract Background: Several population studies have addressed oral health inequity-related issues. Edentulism, functional dentition and number of remaining teeth have been linked to different socioeconomic level measurements. The aim of this study was to evaluate the association between educational level (EL) and tooth loss in the Chilean population aged 15 years old and above, based on the recent data collected from the 2016-2017 National Health Survey (ENS 2016-2017). Methods: The sample for this cross-sectional study comprised 5473 subjects. The main independent variable in the study was educational level (LEL: low, MEL: medium, HEL: high). In order to measure tooth loss number of remaining teeth, edentulism and functional dentition were considered. Based on a multivariate logistic regression, it was possible to obtain odds ratios (OR) and, therefore, to assessing the condition of dentition according to the subject’s EL. As to the number of teeth variable, multiple linear regressions were conducted. The analyses were carried out in the SPSS 24.0 program considering the complex sampling design of ENS 2016-2017. Results: When comparing LEL subjects with HEL subjects, the adjusted difference in the number of remaining teeth was 3.11 for maxilla and 1.72 for mandible. An individual with a LEL had a 7.51 [3.50-16.10] and 6.06 [2.68-13.68] times higher risk of upper edentulism and lower edentulism than a HEL individual respectively. Regarding functional dentition, the adjusted OR in HEL subjects was 13.33 [8.02-22.15] and in MEL subjects was 2.81 [2.03-3.87], compared to LEL results. Conclusions: LEL was associated with a significant tooth loss in the Chilean population. Regardless of age, subjects with a LEL obtained a lower mean of number of remaining teeth, higher prevalence of edentulism and lower prevalence of functional dentition.

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