Response to Letter to the Editor Regarding “Hypertension Awareness, Treatment, and Control in Mexico: An Opportunistic Medical Student-led Blood Pressure Screening Campaign – A Cross-Sectional Study”

Background: Hypertension is still a growing public health problem in Mexico. An estimated 151% increase in the number of individuals with hypertension is expected for 2050 if actions are not taken in the country. The aim of this study is to describe hypertension awareness, treatment, control and its associated factors in participants of an opportunistic medical student-led blood pressure screening campaign in Mexico. Methods: A cross-sectional study, using convenience sampling was performed, including participants aged 18 years and older from 15 Mexican states. Each participant completed a questionnaire about risk factors and had three BP measurements taken. Hypertension was defined as ≥140/90 mmHg. Multiple imputation with linear regression was performed where data was missing. Results: From a population of 2 545 participants, 623 (24.5%) participants had hypertension. Of those with hypertension, 81.9% had a previous diagnosis of hypertension and only 16.1% were not on medication at the time of screening; 61% were controlled, 121% were uncontrolled patients and 18% were not aware they had hypertension. High marginalization was found to have the biggest proportion of uncontrolled cases (33%), while the number of unaware hypertensives in very low marginalization states doubled the national figure. More than half the participants taking antihypertensive agents were on a single medication, achieving control in almost 8 in 10 patients. Conclusion: It is important to continue making and supporting awareness raising campaigns in different settings across the country to generate more evidence and lead to better programs for improving hypertension detection in Mexico.

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Prevalence and Associated Risk Factors of Hypertension: A Cross-Sectional Study in Urban Varanasi

International Journal of Hypertension ◽

10.1155/2017/5491838 ◽

2017 ◽

Vol 2017 ◽

pp. 1-10 ◽

Cited By ~ 20

Author(s):

Shikha Singh ◽

Ravi Shankar ◽

Gyan Prakash Singh

Keyword(s):

Blood Pressure ◽

Public Health Problem ◽

Cross Sectional Study ◽

Major Public Health Problem ◽

Sectional Study ◽

Hypertension Status ◽

Cross Sectional ◽

Multistage Sampling ◽

Associated Risk Factors ◽

And Control

Hypertension is a major public health problem and important area of research due to its high prevalence and being major risk factor for cardiovascular diseases and other complications.Objectives. (1) To assess the prevalence of hypertension and its associated factors and (2) to estimate awareness, treatment, and adequacy of control of hypertension among study subjects.Methods and Materials. A community based cross-sectional study with multistage sampling design was conducted among urban population of Varanasi. A modified WHO STEPS interview schedule on 640 study subjects aged 25–64 years was used.Results. The prevalence of hypertension was 32.9% (male: 40.9%, female: 26.0%). Mean systolic and diastolic BP were 124.25 ± 15.05 mmHg and 83.45 ± 9.49 mmHg, respectively. Higher odds of being hypertensive were found in male subjects, eldest age group, married subjects, subjects of upper socioeconomic status, illiterate subjects, and retired subjects. Tobacco and alcohol consumption, overweight, obesity, and abdominal obesity were also associated with hypertension. Out of the total hypertensive 211 subjects, only 81 (38.4%) were aware about their hypertension status; out of those, 57 (70.4%) were seeking treatment and 20 (35.08%) had their blood pressure adequately controlled.Conclusion. Around one-third of the subjects were hypertensive and half of the study subjects were prehypertensive in this area. The awareness, treatment, and control of high blood pressure were also very low.

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Prevalence, awareness, treatment, control and risk factors associated with hypertension in Lebanese adults: A cross sectional study

Global Cardiology Science and Practice ◽

10.21542/gcsp.2018.6 ◽

2018 ◽

Vol 2018 (1) ◽

Cited By ~ 4

Author(s):

Bouchra Bakr Mouhtadi ◽

Reem Mohamad Najib Kanaan ◽

Mohammad Iskandarani ◽

Mohamad Khaled Rahal ◽

Dalal Hammoud Halat

Keyword(s):

Risk Factors ◽

Blood Pressure ◽

Adult Population ◽

Significant Risk ◽

Cross Sectional Study ◽

Current Status ◽

Public Health Issue ◽

Sectional Study ◽

Cross Sectional ◽

And Control

Background: The prevention and control of hypertension is an essential component for reducing cardiovascular disease burden. Hypertension is an important public health issue, yet few studies have examined its current status among the Lebanese population. Objective: To examine the prevalence, awareness, treatment and control of hypertension and its associated risk factors among Lebanese adults. Methods: A cross-sectional study was conducted between December 2014, and May 2015, on adults from the five districts of Lebanon. Multistage sampling was used to enroll participants. Hypertension was defined as an average of two blood pressure (BP) measurements with systolic/diastolic blood pressure of at least 140/90 mm Hg, using an automated digital device, or the use of antihypertensive medication. A questionnaire was used to assess hypertension risk factors, awareness, treatment and control. Results: Of the 1362 Lebanese adults interviewed, 399 (29.3%) had hypertension. Of these, 106 (26.5%) were aware of their condition. Sixty-nine patients (65%) of those aware, were receiving treatment, and 38 (55%) participants from those treated were controlled. The significant risk factors were sex, gender, age, family history of hypertension, obesity, and a low level of education. Conclusions: Hypertension is prevalent among the Lebanese adult population and is multifactorial, but remains incompletely recognized, leading to insufficient control. Hypertension was highly prevalent in males in the age category 18-29 years. These findings show that improvements in detection, treatment, and control of hypertension among Lebanese adults, is much needed.

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Hypertension awareness, treatment and control in Ghana: a cross-sectional study

Ethnicity and Health ◽

10.1080/13557858.2018.1439898 ◽

2018 ◽

Vol 25 (5) ◽

pp. 702-716 ◽

Cited By ~ 4

Author(s):

Olutobi Adekunle Sanuade ◽

Raphael Baffour Awuah ◽

Mawuli Kushitor

Keyword(s):

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Hypertension Awareness ◽

And Control

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Prevalence and Predictors of Blood Pressure Screening in Karachi: A Cross-sectional Study

Cureus ◽

10.7759/cureus.2967 ◽

2018 ◽

Cited By ~ 1

Author(s):

Marium Mehmood ◽

Aleena Mesiah ◽

Fizza Z Raza ◽

Zainab Junaid ◽

Munira Jamali ◽

...

Keyword(s):

Blood Pressure ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Blood Pressure Screening

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Prevalence of hypertension amongst spouses in urban area of Nagpur city, Maharashtra, India

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20180947 ◽

2018 ◽

Vol 5 (4) ◽

pp. 1381

Author(s):

Amit V. Deshpande ◽

Sanjeev M. Chaudhary

Keyword(s):

Blood Pressure ◽

Environmental Factors ◽

Urban Area ◽

Married Couples ◽

Cross Sectional Study ◽

Cross Sectional ◽

Hypertension Awareness ◽

And Control ◽

Current Guidelines ◽

Husband And Wife

Background: Students of human biology share an interest in studies of family clusters of heart disease and its antecedents. The recent inclusion of husband and wife pairs (spouse pairs) has added a new dimension to earlier studies of first degree relatives. Blood pressure is influenced by environmental factors operating within genetic limits. Since married couples share a similar environment, the study can identify environmental factors. This study was done to find out prevalence and control of hypertension among spouses in urban area of Nagpur.Methods: This was a community based cross sectional study conducted in urban area of Nagpur city. 260 couples in whom both husband and wife were of age 30 or more were included. Blood pressure was measured and classified as per WHO guidelines.Results: Prevalence of hypertension was found to be 51.9% among husbands and 40.8% among wives. 57.8% husbands and 50.9% wives were unaware of their hypertensive status. Among those who were aware, 35.1% husbands and 15.4% wives had their blood pressure.Conclusions: The observation suggests need for targeting married couples as a unit of intervention for hypertension awareness and control. This study also emphasizes the need to increase the knowledge of current guidelines for detection and treatment of hypertension among physicians.

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