Hernández-Hernández R, Armas-Padilla M C, Armas-Hernández M J, Velasco M
Clinical Pharmacology Unit, Center of Biomedical Research, School of Medicine, Universidad Centroccidental Lisandro Alvarado, Barquisimeto, Venezuela.
J Hum Hypertens. 2000 Apr;14 Suppl 1:S2-5. doi: 10.1038/sj.jhh.1000978.
Since 1950 all countries of the Latin-American subcontinent have experienced very important changes in several health indicators, in the demographic, epidemiological, socio-cultural and way of living profiles. The proportion of the population over 65 years old tend to be low in the Latin American countries in contrast to developed countries. Cardiovascular diseases are the main cause of death in most of the Latin American countries at a similar rate to that of the developed world. As infectious diseases are reduced, cardiovascular diseases takes their place as the main cause of death in Latin American countries. Prevalence of hypertension in different reports show variations from 40 to 8% in the adult population, but on average 20 to 23% of the adult population have elevated blood pressure. This prevalence is similar to reports in the developed world. However there is considerable variability in each country and its regions so it is important that local studies of prevalence and local factors in the development of hypertension are investigated. The degree of awareness, treatment and control of hypertension is lower than that reported in the developed world, and it is important to establish programmes to attend to this public health problem, from prevention to treatment, from primary care to higher levels of attention.
自1950年以来,拉丁美洲次大陆的所有国家在若干健康指标、人口统计学、流行病学、社会文化和生活方式方面都经历了非常重要的变化。与发达国家相比,拉丁美洲国家65岁以上人口的比例往往较低。在大多数拉丁美洲国家,心血管疾病是主要死因,其比例与发达国家相似。随着传染病减少,心血管疾病在拉丁美洲国家取代传染病成为主要死因。不同报告中高血压在成年人口中的患病率从40%到8%不等,但平均而言,20%至23%的成年人口血压升高。这一患病率与发达国家的报告相似。然而,每个国家及其地区存在相当大的差异,因此对高血压患病率及高血压发病的当地因素进行本地研究很重要。高血压的知晓率、治疗率和控制率低于发达国家报告的水平,建立从预防到治疗、从初级保健到更高护理水平的应对这一公共卫生问题的项目很重要。