scholarly journals Hypertension care cascade in Chile: a serial cross-sectional study from national health surveys 2003-2010-2017.

2020 ◽  
Author(s):  
Alvaro Passi-Solar ◽  
Paula Margozzini ◽  
Jennifer S Mindell ◽  
Milagros A Ruiz ◽  
Carlos Valencia ◽  
...  
Keyword(s):  
National Health ◽  
Health Surveys ◽  
Antihypertensive Treatment ◽  
Universal Access ◽  
Cross Sectional ◽  
Hypertension Prevalence ◽  
Care Cascade ◽  
And Control ◽  
The Impact ◽  
National Health Surveys

Abstract Background: Data on trends in hypertension prevalence and indicators of attainment at each step of the care cascade are required in Chile. Aim : To quantify trends (2003-2017) in prevalence and in the proportion of individuals with hypertension attaining each step of the care cascade (awareness, treatment and control) among adults aged ≥17 years, and to assess the impact of lowering the blood pressure (BP) threshold on these indicators. Methods: We used data from three Chilean national health surveys (ENS 2003; 2010; 2017). Mean systolic (SBP) and diastolic (DBP) levels, hypertension prevalence (BP≥140/90 mmHg or use of antihypertensive treatment), and levels of awareness, treatment and control were assessed in each year. Logistic regression on pooled data was used to assess trends in hypertension prevalence and in its care cascade; linear regression was used to assess trends in SBP and DBP. We compared levels of hypertension prevalence using two sources to ascertain use of antihypertensive treatment (ATC codes from a detailed medicine inventory and self-reported use). The 2017 ACC/AHA guidelines were used to re-define hypertension using lower thresholds (BP≥130/80 mmHg or use of treatment). Results : Hypertension prevalence was 34.0%, 32.0% and 30.8% in 2003, 2010 and 2017, respectively. Mean SBP and DBP decreased over the 15-year period, except for SBP among females on treatment. Adopting the 2017 ACC/AHA guidelines would increase hypertension prevalence by 17% and 55% in absolute and relative terms, respectively. Levels of treated- and controlled-hypertension were significantly higher in 2017 than in 2003 (65% vs 41% for treatment; 34% vs 14% for control), while levels of awareness were stable (66% vs 59%). Gender disparities were evident, with higher awareness, treatment and control levels among females in 2003, 2010 and 2017. Conclusions: The introduction of universal access to care for hypertension in Chile in 2005 accounted partly for the rise in levels of treated- and controlled-hypertension since 2003. Lowering the BP threshold would substantially increase the financial public health challenge of further improving levels of attainment at each step of the care cascade. Innovative and collaborative strategies are needed to improve the management of hypertension, especially among males.

scholarly journals Hypertension care cascade in Chile: a serial cross-sectional study of national health surveys 2003-2010-2017

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Álvaro Passi-Solar ◽  
Paula Margozzini ◽  
Jennifer S. Mindell ◽  
Milagros Ruiz ◽  
Carlos A. Valencia-Hernandez ◽  
...  
Keyword(s):  
Blood Pressure ◽  
National Health ◽  
Health Surveys ◽  
Antihypertensive Treatment ◽  
Cross Sectional ◽  
Hypertension Prevalence ◽  
Care Cascade ◽  
And Control ◽  
The Impact ◽  
National Health Surveys

Abstract Background Trend data on hypertension prevalence and attainment indicators at each step of the care cascade (awareness, treatment, control) are required in Chile. This study aims to quantify trends (2003–2017) in prevalence and in the proportion of individuals with hypertension attaining each step of the care cascade among adults aged 17 years or older, and to assess the impact of lowering the blood pressure (BP) thresholds used to define elevated BP on these indicators. Methods We used data from 2003, 2010, and 2017 Chilean national health surveys. Each year we assessed levels of (1) mean systolic (SBP) and diastolic (DBP) blood pressure, (2) hypertension prevalence (BP ≥ 140/90 mmHg or use of antihypertensive treatment), and (3) awareness, treatment, and control. Logistic regression on pooled data was used to assess trends in binary outcomes; linear regression was used to assess trends in continuous SBP and DBP. We compared levels of hypertension prevalence using two sources to ascertain antihypertensive treatment (self-reported versus medicine inventory). The 2017 American College of Cardiology/American Heart Association (ACC/AHA) guidelines were used to re-define hypertension using lower thresholds (BP ≥ 130/80 mmHg). Results Hypertension prevalence was 34.0, 32.0 and 30.8% in 2003, 2010 and 2017, respectively. Levels of treated- and controlled-hypertension were significantly higher in 2017 than in 2003 (65% versus 41% for treatment, P < 0.001; 34% versus 14% for control, P < 0.001), while levels of awareness were stable (66% versus 59%, P = 0.130). Awareness, treatment, and control levels were higher among females in 2003, 2010, and 2017 (P < 0.001). Mean SBP and DBP decreased over the 15-year period, except for SBP among females on treatment. Adopting the 2017 ACC/AHA guidelines would increase hypertension prevalence by 17 and 55% in absolute and relative terms, respectively. Conclusions Chile has experienced a positive population-wide lowering in blood pressure distribution which may be explained partly by a significant rise in levels of treated- and controlled-hypertension since 2003. Lowering the thresholds used to define elevated BP would substantially increase the financial public health challenge of further improving attainment levels at each step of the care cascade. Innovative and collaborative strategies are needed to improve hypertension management, especially among males.

P1948Socioeconomic inequalities in the prevalence and management of hypertension: analyses of the Chilean National Health Surveys 2003, 2010 and 2017

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
A Passi ◽  
P Margozzini ◽  
J Mindell ◽  
M Ruiz ◽  
S Scholes
Keyword(s):  
Blood Pressure ◽  
National Health ◽  
Health Surveys ◽  
Universal Access ◽  
Hypertension Management ◽  
Hypertension Prevalence ◽  
Risk Of Death ◽  
Cardiovascular Morbidity And Mortality ◽  
And Control ◽  
National Health Surveys

Abstract Hypertension is the highest attributable risk of death worldwide, causing 7.1million deaths annually, and it is the primary cause of cardiovascular morbidity and mortality. In Chile, around one-in-three adults are living with this chronic health condition. Chilean evidence has shown inequalities in hypertension prevalence by various measures of socioeconomic position (SEP). However, information on SEP inequalities in the three key aspects of hypertension management (awareness, treatment, and control of high blood pressure), is only partially known. Purpose To assess SEP inequalities in hypertension prevalence and management in Chilean adults. Methods Data came from the Chilean National Health Surveys (ENS) 2003, 2010 and 2017. Years of formal education was used as the SEP measure. Age-and gender-specific Slope and Relative Indices of Inequalities (SII and RII) were calculated for the prevalence of hypertension (mean SBP ≥140mmHg, DBP ≥90mmHg, or current medication use to lower blood pressure) and for each management outcome. Results Analytical sample comprised 3,426; 4,838 and 5,373 participants aged ≥17y with blood pressure measurements for years 2003, 2010 and 2017, respectively. Prevalence of hypertension was 32.4%, 32.2% and 30.8% for the years 2003, 2010 and 2017, respectively. According to the SII and RII, males and females aged <65y showed higher hypertension prevalence among those with fewer years of education in 2003, 2010 and 2017. Among those classed as hypertensive, levels of awareness increased from 59.4% in 2003 to 65.9% in 2017. Over the same time period, levels of treatment increased from 39.0% to 65.2%, and levels of control increased from 14.1% to 23.9%. SEP inequalities in hypertension management – with better outcomes for the most educated – were highest among females aged ≥65y. Conclusion Introduction of universal access to care for hypertension in Chile in 2005 accounted partly for the rise of hypertension management levels since 2003. According to local and international strategies for the prevention and control of noncommunicable diseases, there is room for improvement. However, improvements should have a specific focus on SEP inequalities. Acknowledgement/Funding Chilean Ministry of Health

scholarly journals Trends in Diet Quality and Related Sociodemographic, Health, and Occupational Characteristics among Workers in Spain: Results from Three Consecutive National Health Surveys (2006–2017)

Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 522
Author(s):  
Silvia Portero de la Cruz ◽  
Jesús Cebrino
Keyword(s):  
National Health ◽  
Diet Quality ◽  
Health Surveys ◽  
Leisure Time Physical Activity ◽  
Cross Sectional Study ◽  
Quality Score ◽  
Quality Data ◽  
Economic Sectors ◽  
Cross Sectional ◽  
National Health Surveys

Poor dietary practices are commonly reported in working populations from different economic sectors, resulting in increased absenteeism and a decrease in productivity. The aims of this study were to describe the frequency of food consumption and diet quality in workers aged ≥16 years from 2006 to 2017 in Spain and to evaluate the factors associated with diet quality. A nationwide cross-sectional study was carried out among workers using data from the Spanish National Health Surveys in 2006 (n = 11,068), 2011 (n = 7497) and 2017 (n = 8890). Sociodemographic, occupational, and health-related variables were used as well as diet quality data. A multiple linear regression was performed to determine the characteristics related to overall diet quality. The percentage of workers who consumed vegetables, at most, once or twice per week decreased from 2006 to 2017 (p < 0.001). A lower diet quality score was related to the consumption of tobacco and alcohol and being aged ≥25 years old, while a higher diet quality score was linked to being a woman, having Spanish nationality, receiving optimal perceived social support, being physically active in one’s main occupation, doing leisure-time physical activity, and the type of contract.

scholarly journals Age, Period and Cohort Analysis of Smoking Prevalence in Iranian Population over a 25-Year Period

2021 ◽  
Vol 24 (1) ◽  
pp. 7-14
Author(s):  
Parisa Ghelichkhani ◽  
Masoud Baikpour ◽  
Kazem Mohammad ◽  
Fattah Hama Rahim Fattah ◽  
Nazila Rezaei ◽  
...  
Keyword(s):  
Health Surveys ◽  
Smoking Prevalence ◽  
Cohort Analysis ◽  
Age Groups ◽  
Daily Smoking ◽  
Birth Cohorts ◽  
Cross Sectional ◽  
Cross Sectional Studies ◽  
The Impact ◽  
National Health Surveys

Background: Current and daily smoking prevalence rates have been have investigated in several cross-sectional studies. However, analyses in terms of age-period-cohort (APC) have not been carried out. We assessed daily smoking dynamics over a 25-year period using the APC model. Methods: In our analyses, we used data from 214,652 people aged 15 to 64 years, collected by national health surveys conducted in 1990-1991, 1999, 2005, 2007, 2011 and 2016. The Intrinsic Estimator model was used to analyze the impact of APC on daily smoking prevalence. Results: Males were found to exhibit a higher prevalence of smoking compared to females (26.0% against 2.7%). Prevalence of smoking increased by age, peaking at the age groups of 40-44 in men and 45-49 in women, followed by a decreasing trend. The 1990 period had the highest prevalence in both genders, and the 2016 period had the lowest. The coefficients of birth cohort effects showed different patter19s of fluctuations in the two genders with the maximum and minimum coefficients for men calculated in the 1966-1970 and 1991-95 birth cohorts, and for females the 1931-1935 and 1971-1975 birth cohorts, respectively. Conclusion: We showed the impact of APC on daily tobacco smoking prevalence, and these factors should be considered when dealing with smoking.

scholarly journals Prevalence, awareness, treatment, and control of dyslipidemia among diabetes mellitus patients and predictors of optimal dyslipidemia control: results from the Korea National Health and Nutrition Examination Survey

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Seung Jae Kim ◽  
Oh. Deog Kwon ◽  
Kyung-Soo Kim
Keyword(s):  
Diabetes Mellitus ◽  
Optimal Control ◽  
National Health ◽  
Age Groups ◽  
Density Lipoprotein ◽  
Nutrition Examination Survey ◽  
Cross Sectional ◽  
Health And Nutrition ◽  
Factors Influencing ◽  
And Control

Abstract Background This study aimed to investigate the prevalence, awareness, treatment, and control rates of dyslipidemia and identify the predictors of optimal control (low-density lipoprotein cholesterol < 100 mg/dL) among patients with diabetes mellitus (DM). Methods A cross-sectional study was conducted using the representative Korea National Health and Nutrition Examination Survey (2014–2018). Overall, 4311 patients with DM, aged ≥19 years, and without cardiovascular diseases were selected, and the prevalence, awareness, treatment, and control rates of dyslipidemia were calculated. Univariate and multivariate logistic regression analyses were conducted to evaluate the factors influencing the optimal control of dyslipidemia. Results Dyslipidemia was prevalent in 83.3% of patients with DM, but the awareness and treatment rates were 36.5 and 26.9%, respectively. The control rate among all patients with dyslipidemia was 18.8%, whereas it was 61.1% among those being treated. Prevalence and awareness rates were also significantly higher in women than in men. Dyslipidemia was most prevalent in those aged 19–39 years, but the rates of awareness, treatment, and control among all patients with dyslipidemia in this age group were significantly lower than those in other age groups. The predictors of optimal control were age ≥ 40 years [range 40–49 years: adjusted odds ratio (aOR) 3.73, 95% confidence interval (CI) 1.43–9.72; 50–59 years: aOR 6.25, 95% CI 2.50–15.65; 60–69 years: aOR 6.96, 95% CI 2.77–17.44; 70–79 years: aOR 9.21, 95% CI 3.58–23.74; and ≥ 80 years: aOR 4.43, 95% CI 1.60–12.27]; urban living (aOR 1.44, 95% CI 1.15–1.80); higher body mass index (aOR 1.27, 95% CI 1.13–1.42); lower glycated hemoglobin levels (aOR 0.71, 95% CI 0.67–0.76); hypertension (aOR 1.53, 95% CI 1.22–1.92); poorer self-rated health status (aOR 0.72, 95% CI 0.62–0.84); and receiving regular health check-ups (aOR 1.58, 95% CI 1.25–2.00). Conclusions Most patients with DM were diagnosed with dyslipidemia, but many were unaware of or untreated for their condition. Therefore, their control rate was suboptimal. Thus, by understanding factors influencing optimal control of dyslipidemia, physicians should make more effort to encourage patients to undergo treatment and thus, adequately control their dyslipidemia.

scholarly journals Hypertension prevalence, associated factors, treatment, and control in rural Cameroon: a cross-sectional study

2020 ◽  
Author(s):  
Larissa Pone Simo ◽  
Valirie Ndip Agbor ◽  
Jean Jacques Noubiap ◽  
Orlin Pagnol Nana ◽  
Pride Swiri-Muya Nkosu ◽  
...  
Keyword(s):  
Rural Communities ◽  
Rural Community ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hypertension Prevalence ◽  
History Of ◽  
Family History Of Hypertension ◽  
And Control

Abstract Introduction: Sub-Saharan Africa is experiencing a surge in the burden of hypertension, and rural communities seem to be increasingly affected by the epidemic. Objectives: We aimed to determine the prevalence of hypertension, its associated factors, as well as its awareness, treatment, and control rates in rural communities of the Baham Health District (BHD), Cameroon.Design: A community-based cross-sectional study.Setting: Participants from five health areas in the BHD were recruited from August to October 2018.Participants: Consenting participants aged 18 years or older were included. Results: We included 526 participants in this study. The median age of the participants was 53.0 (IQR = 35 – 65) years and 67.1% were female. The prevalence of hypertension was 40.9% (95% confidence interval [CI] = 36.7 – 45.1) were hypertensive with no gender disparity. The overall age-standardised prevalence of hypertension was 23.9% (95% CI = 20.3 – 27.5). Five-year increase in age (adjusted odd’s ratio [AOR] = 1.34; 95% CI = 1.23 – 1.44), family history of hypertension (AOR = 2.22; 95% CI = 1.37 – 3.60), and obesity were associated with higher odds of hypertension (AOR = 2.57; 95% CI = 1.40 – 4.69).The rates of awareness, treatment, and control of hypertension were 37.2% (95% CI = 31.0 – 43.9), 20.9% (95% CI = 16.0 – 26.9), and 22.2% (95% CI = 15.2 – 46.5), respectively.Conclusion: The high hypertension prevalence in this rural community is associated with contrastingly low awareness, treatment, and control rates. Age, family history of hypertension, and obesity are the major drivers of hypertension in this community. Veracious policies are needed to improve awareness, prevention, diagnosis, treatment, and control of hypertension in this rural community.

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