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首页> 外文期刊>Revista de Saúde Pública >Adequate control of hypertension among older adults: ELSI-Brazil
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Adequate control of hypertension among older adults: ELSI-Brazil

机译：老年人高血压的充分控制：ELSI-巴西

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OBJECTIVE To estimate the prevalence of adequate control of hypertension among older adults and to examine its association with predisposing and enabling factors and the need to use health services. METHODS The analysis was carried out with 4,148 participants (≥ 50 years) from the baseline of the Brazilian Longitudinal Study of Aging (ELSI-Brazil), who reported being hypertensive and using antihypertensive medication. Adequate control of hypertension was defined as systolic and diastolic blood pressure below 140 mmHg and 90 mmHg, respectively. The following exploratory variables were included: age, sex, health behaviors, and body mass index (predisposing factors); region of residence, rural or urban residence, education level, socioeconomic status of the household, and coverage by private health plan (enabling factors); and medical diagnosis of diabetes (need). The multivariate analysis was performed using Poisson regression and binary logistic regression. RESULTS The prevalence of adequate control of hypertension was equal to 51.1% (95%CI 48.5–53.6). After adjusting for potential confounders, we observed statistically significant associations (p 0.05) for education level 4 years [prevalence ratio (PR) = 1.12 in relation to the lowest level], highest quintile of the socioeconomic status (PR = 1.22 in relation to the lowest quintile), coverage by private health plan (PR = 1.13), residence in the South (PR = 1.19) and Midwest regions (PR = 1.20) in relation to the Southeast region, and obesity (PR = 1.10). CONCLUSIONS Half of the population studied had adequate control of hypertension. The improvement of this control is an important challenge, which should consider overcoming social and regional inequalities associated with it.
机译：目的评估老年人对高血压的适当控制的流行程度，并研究其与诱发因素和促成因素的关系以及使用卫生服务的必要性。方法从巴西纵向老龄化研究（ELSI-Brazil）的基线开始，对4148名参与者（≥50岁）进行了分析，他们报告患有高血压并且正在使用降压药。充分控制高血压的定义为收缩压和舒张压分别低于140 mmHg和90 mmHg。以下探索性变量包括：年龄，性别，健康行为和体重指数（诱发因素）;居住地区，农村或城市居住地区，受教育程度，家庭的社会经济状况以及私人保健计划的覆盖范围（有利因素）;和糖尿病的医学诊断（需要）。使用泊松回归和二元逻辑回归进行多元分析。结果适当控制高血压的患病率为51.1％（95％CI 48.5-53.6）。在对潜在的混杂因素进行调整之后，我们观察到教育水平> 4年的统计学关联性（p <0.05）[患病率（PR）= 1.12（相对于最低水平）]，最高五分之一的社会经济地位（PR = 1.22）到最低的五分之一人口），私人医疗保健计划的覆盖率（PR = 1.13），居住在南部（PR = 1.19）和中西部地区（PR = 1.20）以及东南部地区（PR = 1.10）。结论研究的一半人口有足够的高血压控制能力。改善这种控制是一项重要的挑战，应考虑克服与之相关的社会和地区不平等现象。

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