Document Detail


Factors associated with knowledge and control of arterial hypertension in the Canary Islands.
MedLine Citation:
PMID:  22209706     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION AND OBJECTIVES: To analyze the factors associated with knowledge and control of hypertension in the adult population of the Canary Islands (18-75 years).
METHODS: We recruited a random sample of the general population aged ≥18 years. Hypertension was defined as systolic/diastolic blood pressure ≥140/90 mmHg or known hypertension (self-declared, or controlled hypertension <140/90 mmHg). The bivariate association of known and controlled hypertension with age, sex, anthropometry, serum lipids, medication, and lifestyle was corroborated by adjusting a multivariate logistic model.
RESULTS: We included 6675 participants. The prevalence of hypertension was higher in men (40% vs 31%, P<.001), who also had a lower frequency of treated and controlled hypertension. Female sex (P<.001), age ≥55 years (P<.001), obesity (P<.001), and diabetes (P<.001) were associated with known hypertension. The modifiable factors that, in spite of treatment, increased the risk of poor control of hypertension were alcohol consumption (>30 g/day, odds ratio [OR]=2.4, P<.001; >15-≤30 g/day, OR=2, P=.009; >5-≤15, g/day, OR=1.83, P=.004), obesity (body mass index ≥30, OR=2, P=.003; >24.9-<30, OR=1.7, P=.024), serum cholesterol >250 mg/dL (OR=1.6, P=.006) and elevated heart rate (>80 bpm, OR=1.45, P=.045; >70-≤80 bpm, OR=1.36, P=.038).
CONCLUSIONS: The awareness of hypertension increases with frequent use of the health system and with factors associated with known hypertension: female sex, age, underlying health problems. The modifiable factors associated with poor control of known hypertension are alcohol consumption, obesity, elevated heart rate, and hypercholesterolemia.
Authors:
María C Rodríguez Pérez; Antonio Cabrera de León; Raquel M Morales Torres; Santiago Domínguez Coello; José J Alemán Sánchez; Buenaventura Brito Díaz; Ana González Hernández; Delia Almeida González
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2011-12-30
Journal Detail:
Title:  Revista española de cardiología (English ed.)     Volume:  65     ISSN:  1885-5857     ISO Abbreviation:  Rev Esp Cardiol (Engl Ed)     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-02-22     Completed Date:  2012-07-02     Revised Date:  2012-12-31    
Medline Journal Info:
Nlm Unique ID:  101587954     Medline TA:  Rev Esp Cardiol (Engl Ed)     Country:  Spain    
Other Details:
Languages:  eng; spa     Pagination:  234-40     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Sociedad Española de Cardiología. Published by Elsevier Espana. All rights reserved.
Affiliation:
Unidad de Investigación, Gerencia de Atención Primaria, Hospital Universitario Ntra. Sra. de La Candelaria, Santa Cruz de Tenerife, Spain.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Alcohol Drinking / epidemiology
Antihypertensive Agents / therapeutic use
Blood Pressure / physiology
Cross-Sectional Studies
Female
Health Knowledge, Attitudes, Practice*
Hemodynamics / physiology
Humans
Hypercholesterolemia / complications,  epidemiology
Hypertension / drug therapy,  epidemiology*,  therapy*
Logistic Models
Male
Middle Aged
Motor Activity
Obesity / epidemiology
Risk Factors
Social Class
Spain / epidemiology
Young Adult
Chemical
Reg. No./Substance:
0/Antihypertensive Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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