scholarly journals Prevalence of erectile dysfunction among hypertensive and nonhypertensive Qatari men

Medicina ◽  
2007 ◽  
Vol 43 (11) ◽  
pp. 870 ◽  
Author(s):  
Abdulbari Bener ◽  
Abdullah Al-Ansari ◽  
Abdulla Al-Hamaq ◽  
Isam-Eldin Elbagi ◽  
Mustafa Afifi
Keyword(s):  
Blood Pressure ◽  
Health Care ◽  
Erectile Dysfunction ◽  
Primary Health Care ◽  
Sexual Function ◽  
Hypertensive Patients ◽  
Face To Face ◽  
Health Care Clinics ◽  
Primary Health ◽  
Matched Case

Objectives. The aim of this study was to investigate the prevalence of erectile dysfunction, its severity, and other sexual function domains in hypertensive and normotensive Qatari’s men and to estimate the association between hypertension and predictors of erectile dysfunction. Material and methods. A matched case-control study was conducted at the primary health care clinics during a period from May to October 2006. Four hundred twenty-five hypertensive patients and 425 age-matched normotensive attendants of primary health care clinics, aged 30– 75 years, were approached for the study. Of them, 296 hypertensive participants (74%) and 298 normotensive men (70.1%) gave their consent to participate in it. The mean age of the hypertensive participants was 54.8±11.5 years as compared to nonhypertensive participants with a mean age of 54.5±12.1 years. Face-to-face interviews were based on a questionnaire that included variables on age, sociodemographic status, educational level, occupation, cigarette smoking, and blood pressure. Hypertension was defined as mild for systolic blood pressure (SBP) 120–139 mmHg and diastolic blood pressure (DBP) 80–89 mmHg; moderate for SBP 140–159 mmHg and DBP 90–99 mmHg; and severe for SBP >160 mmHg and DBP >100 mmHg. All patients completed a detailed questionnaire addressing their general medical history, with special emphasis on hypertension (i.e., duration of hypertension, type of treatment, and presence of any complications). Sexual function was evaluated with the International Index of Erectile Function (IIEF). Results. Of the 296 hypertensive patients, 196 participants reported erectile dysfunction (66.2%), while among the 298 nonhypertensive participants, only 71 had erectile dysfunction (23.8%). Of the hypertensive participants studied, 25% had severe, 29.1% had moderate, and 12.1% had mild erectile dysfunction. The percentages of various sexual activity domains were highly significant and at higher risk among hypertensive patients than normotensive men (P<0.001). Frequency and severity of erectile dysfunction increased with advancing age. Conclusions. Our results have shown that the prevalence of erectile dysfunction was significantly higher in Qatari hypertensive men than in normotensive men. Age, level of education, diabetes mellitus, occupation, and duration of hypertension were considered statistically significant predictors of erectile dysfunction. Erectile dysfunction was more common in hypertensive individuals receiving antihypertensive treatment.

scholarly journals Factors associated with visit-to-visit variability of blood pressure in hypertensive patients at a Primary Health Care Service, Tabanan, Bali, Indonesia

2018 ◽  
Vol 6 (4) ◽  
pp. 191-199 ◽  
Author(s):  
Gusti Ayu Riska Pertiwi ◽  
Anak Agung Ngurah Aryawangsa ◽  
I Putu Yuda Prabawa ◽  
Ida Bagus Amertha Putra Manuaba ◽  
Agha Bhargah ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Health Care ◽  
Primary Health Care ◽  
Care Service ◽  
Health Care Service ◽  
Primary Health Care Service ◽  
Hypertensive Patients ◽  
Factors Associated ◽  
Primary Health

scholarly journals Trends of adequate hypertensive patients from 2017 to 2019 in Portuguese Primary Health Care

2021 ◽  
Vol 31 (Supplement_2) ◽  
Author(s):  
Fernando Roxo ◽  
Luiz Miguel Santiago
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Administration ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Face To Face ◽  
The North ◽  
Primary Health ◽  
Identity Card ◽  
The Mean

Abstract Background Arterial hypertension (AHT) adequate monitoring implies, follow-up, non-pharmacological and pharmacological therapeutic measures in the General Practice (GP). The Primary Health Care Identity Card (BI-CSP) platform collects wide-nation data, disaggregatable down to the level of the Regional Health Administration (RHA) and the Health Centres Cluster (HCC). We intended to study the trends of the indicator ‘Proportion of hypertensive patients with adequate monitoring’, April to June, 2017 to 2020, at the nationwide total and by RHA. Methods Cross-sectional observational study, of a sample of randomised HCC of each RHA. Data from April to June, 2017 to 2020, were collected from the BI-CSP for the health indicator. Trends were calculated for 2017 to 2019, for 2017 to 2020 and for the mean of the period 2017 to 2019 and 2020, nationwide and by RHA. Results At nation-wide level, a trends of Δ = +20.03 for 2017 and 2019, of Δ = -0.06 for 2017 and 2020 and of Δ = -0.18 for the mean of the triennial 2017–2019 period and 2020. At the RHA level, positive trends existed between 2017 and 2019. The trends between 2017 and 2020 were distinctively negative, more marked in the North (Δ = -27.33) but still positive for Algarve (Δ = +55.78). Conclusions The positive trends from 2017 to 2019 disappeared with the COVID19 pandemics. Harmful outcomes in the long term are so to be expected. RHA differences mean health inequities. Portuguese GP need new tactics to tackle the strategy of adequate control of AHT: Pro-activity in face-to-face consultations at well-defined times and distance contacts.

scholarly journals Factors Related With Blood Pressure Levels Of Hypertensive Patients Followed in a Primary Health Care Unit

2012 ◽  
Vol 22 (1) ◽  
pp. 37-44
Author(s):  
Yasemin Kılıç Öztürk ◽  
Faruk Öztürk ◽  
Şefik Zeytunlü ◽  
Ali Savaş Miran ◽  
Yasin Demir
Keyword(s):  
Blood Pressure ◽  
Health Care ◽  
Primary Health Care ◽  
Hypertensive Patients ◽  
Primary Health ◽  
Health Care Unit

scholarly journals Hypertension Management in Primary Health Care Centres: Blood Pressure Control and Classes of Antihypertensive Medication, Khartoum State, 2018

2021 ◽  
Vol 6 (1) ◽  
pp. 30-36
Author(s):  
Maha A. G. Magboul ◽  
◽  
Egbal A. B. A. Karaig ◽  
Ibtisam A. Ali ◽  
◽  
...  
Keyword(s):  
Blood Pressure ◽  
Health Care ◽  
Primary Health Care ◽  
Combined Therapy ◽  
Combined Treatment ◽  
P Value ◽  
Aged Patients ◽  
Hypertensive Patients ◽  
Primary Health ◽  
Study Results

Background In Sudan, the delivery of care based on the primary health care (PHC) level, which is the first contact with the health system. PHC is the level at which the modifiable risk factors for hypertension are addressed together with the treatment of known hypertensive patients. Objective To assess the management of hypertension in PHC in Khartoum State, 2018. Material and Methods The study was a descriptive cross-section, health centre’s based that covered six PHC centres in Khartoum State. The study interviewed all diagnosed Sudanese hypertensive patients more than 18-years of age who attended the selected PHC centres. The research team collected data using a structured questionnaire and measuring the blood pressure (BP) with a mercury sphygmomanometer. The study variables were demographic characteristics and disease features as independent variables and hypertension control as the dependent variable. The statistician analyzed the data using the statistical package for the Social Science version 21.0 and the Chi-square (χ) test to obtain the p value to test the association between the addressed variables. The study group adopt ethical considerations throughout the study. Results Of the 384 hypertensive patients interviewed in this study, 57% were females and 47.7% were more than 60-years of age. A large percent of the subjects were either primary educated or illiterate (32.6%, 19.8% respectively). More than half of the hypertensive patients (52.1%) were uncontrolled and 52.9% had no comorbidities. Diabetes was predominant (39.3%) among those who had comorbidities. The majority of the patients (92.7%) were adherent to the medication. Of the studied patients, 58.1% used monotherapy. The most controlled patients were the elderly and middle-aged patients and the highly educated patients (p=0.005). Patients with a duration less than five-years were more likely to be controlled (p=0.036). The majority of the patients who used combined treatment were found to be controlled. Conclusion This study concluded that the high prevalence of uncontrolled hypertensive patients attending PHC was mainly attributed to the use of monotherapy, presence of comorbidities and medication non-adherence. The latter is related to patients’ ignorance, financial constraints and dislike of using many drugs during the day. In addition, the use of combined therapy, elder age and high education were factors for better control.

scholarly journals Erectile Dysfunction in Brazilian Primary Health Care: Dealing with Medicalization

2017 ◽  
Vol 12 (2) ◽  
pp. 431-440 ◽  
Author(s):  
Antônio Augusto Dall’Agnol Modesto ◽  
Marcia Thereza Couto
Keyword(s):  
Health Care ◽  
Erectile Dysfunction ◽  
Primary Health Care ◽  
Adult Male ◽  
Sexual Problem ◽  
Primary Health ◽  
Medical Associations ◽  
Comprehensive Primary Health Care ◽  
Hidden Agenda ◽  
Semistructured Interviews

Erectile dysfunction (ED) is a common sexual problem and has been attracting growing interest from the field of medicine. The pharmaceutical industry works together with medical associations to popularize the theme, emphasizing individual enhancement and medication, besides reinforcing an idea of a male sexuality defined by the ability to have an erection and penetrate. Patients worried about erection problems search for general practitioners (GPs), frequently without a clear complaint, and a comprehensive primary health care (PHC) must be capable of dealing with these issues considering medicalization and disease mongering. This article discusses how PHC physicians take (and might take) care of men with erection problems, and how users perceive it and search for help in two cities in the State of São Paulo, Brazil. The qualitative research, performed in five PHC services, included semistructured interviews with 16 GPs and 15 adult male users. The adult male users were invited by their doctors during consultations where questions about prostate, ED, or other sexual problems arose. Interviews were transcribed and submitted for content analysis. In addition, the five participating services were observed with help of a specific script. Results indicate that ED is frequently a hidden agenda and that doctors have trouble approaching the problem, usually focusing on the biological aspects. Based on empirical data and literature, this work indicates some measures to qualify the care of men with ED in PHC which includes contemplating users’ questions, respecting their autonomy, avoiding an antidrug stance, and considering drug and nondrug approaches as a continuum of resources.

scholarly journals Antimicrobial prescribing patterns in a group of private primary health care clinics in South Africa

2007 ◽  
Vol 12 (1) ◽  
Author(s):  
Norah L Katende-Kyenda ◽  
Martie S Lubbe ◽  
Jan HP Serfontein ◽  
Ilse Truter
Keyword(s):  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
Prescribing Patterns ◽  
Antimicrobial Prescribing ◽  
Health Care Clinics ◽  
Primary Health

The aim of this study was to investigate the prescribing of antimicrobials in private primary health care in South Africa. ABSTRAK Die doel met hierdie studie was om die voorskryfpatrone van antimikrobiese middels in private primêre gesondheidsorginrigtings in Suid-Afrika te ondersoek.

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