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首页> 外文期刊>Journal of Clinical Medicine Research >Hypertension Prevalence, Awareness and Blood Pressure Control in Matao, Brazil: A Pilot Study in Partnership With the Brazilian Family Health Strategy Program
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Hypertension Prevalence, Awareness and Blood Pressure Control in Matao, Brazil: A Pilot Study in Partnership With the Brazilian Family Health Strategy Program

机译：巴西马岛的高血压患病率，意识和血压控制：与巴西家庭健康战略计划合作进行的一项初步研究

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Background: Around 30% of Brazilian population is hypertensive. Brazilian’s Family Health Strategy (FHS) is a community-based approach to provide primary health care and control chronic disease as hypertension. The aims of this pilot study were to study hypertension prevalence and awareness and to analyze the feasibility of FHS program with community healthy agents (CHA) to collect data about hypertensive subjects in Matao, Brazil.Methods: A cross-sectional study was conducted in subjects equal or older than 40 years old in a neighborhood belonging to FHS program. CHA were trained to collect data and to assess blood pressure (BP) with an automated device. Hypertension diagnosis was defined if systolic blood pressure ≥ 140 mm Hg or diastolic blood pressure ≥ 90 mm Hg or subject had previous use of hypertensive drug. Chi-square test and univariate logistic regression analysis were applied with significance level of 5% and a confidence interval of 95%.Results: In 625 subjects, hypertension prevalence was 68.8% and women (71.9%) were more hypertensive than men (63.2%) (P = 0.02). Prevalence of hypertension increased with age group, from 46.3% (40 - 49 years) to 82.5% (70 - 79 years) (P < 0.001). The overall prevalence of pre-hypertension was 40.1%: stage 1, 25.7% and stage 2, 17.0%. Hypertension awareness was 81.8% and 79.8% reported use of anti-hypertensive drugs. BP was not controlled in 61.8% and 67.7% of them was using anti-hypertensive drugs. CHA reported no difficulties to collect data and BP assessment with the automated device.Conclusion: We observed a high hypertension prevalence rate, awareness, and subjects with uncontrolled hypertension even with use of anti-hypertensive drugs. CHA from FHS program are a feasible option to BP control in future studies involving larger populations.J Clin Med Res. 2016;8(7):524-530doi: http://dx.doi.org/10.14740/jocmr2582w
机译：背景：约30％的巴西人口患有高血压。巴西的家庭健康策略（FHS）是一种基于社区的方法，可提供初级医疗保健并控制高血压等慢性病。这项初步研究的目的是研究高血压的患病率和意识，并分析使用社区健康代理（CHA）进行FHS计划以收集有关巴西马陶省高血压受试者数据的可行性。在属于FHS计划的社区中等于或大于40岁。 CHA经过培训可以使用自动设备收集数据并评估血压（BP）。如果收缩压≥140 mm Hg或舒张压≥90 mm Hg或受试者先前曾使用过高血压药物，则定义为高血压。应用卡方检验和单因素逻辑回归分析，显着性水平为5％，置信区间为95％。结果：在625名受试者中，高血压患病率为68.8％，女性（71.9％）的高血压程度高于男性（63.2％） ）（P = 0.02）。高血压患病率随年龄组增加，从46.3％（40-49岁）增至82.5％（70-79岁）（P <0.001）。高血压前期的总患病率为40.1％：第1阶段为25.7％，第2阶段为17.0％。高血压的知晓率为81.8％，有79.8％的人报告使用降压药。 61.8％的血压未得到控制，其中67.7％的患者使用了降压药。 CHA表示使用自动化设备收集数据和进行BP评估没有困难。结论：我们观察到高血压的患病率，知晓率较高，即使使用抗高血压药物，高血压患者也无法控制。来自FHS计划的CHA在未来涉及大量人群的研究中是控制BP的可行选择。《临床医学杂志》。 2016; 8（7）：524-530doi：http://dx.doi.org/10.14740/jocmr2582w

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