Zaitune Maria Paula do Amaral, Barros Marilisa Berti de Azevedo, César Chester Luiz Galvão, Carandina Luana, Goldbaum Moisés
Faculdade de Ciências Médicas, Universidade Estadual de Campinas, CP 6111, Campinas, SP 13083-970, Brasil.
Cad Saude Publica. 2006 Feb;22(2):285-94. doi: 10.1590/s0102-311x2006000200006. Epub 2006 Feb 20.
The objective of this study was to assess the prevalence of reported hypertension among the elderly in Campinas, São Paulo, Brazil, identifying related factors, the use of healthcare services, and knowledge and practices related to treatment options. This was a cross-sectional population-based study, with stratified clustered multiple-stage sampling. Data analysis for the 426 individuals (60 years of age and older) considered the sampling design and outlining effect. Hypertension prevalence was 51.8% (46.4% in men and 55.9% in women) and was higher among the elderly with less education (55.9%), immigrants from other States (60.2%), and the overweight or obese (57.2%). The results indicate that healthcare services are ensuring access to medical care (71.6% have regular physician appointments) and medication (86.7% take their routine medication), without distinction as to socioeconomic status. However, social inequalities persist in knowledge and use of other measures to control blood pressure, like appropriate diet and exercise, which are also underused by more privileged socioeconomic strata.
本研究的目的是评估巴西圣保罗坎皮纳斯市老年人中报告的高血压患病率，确定相关因素、医疗服务的使用情况以及与治疗选择相关的知识和做法。这是一项基于人群的横断面研究，采用分层整群多阶段抽样。对426名60岁及以上个体的数据分析考虑了抽样设计和概述效应。高血压患病率为51.8%（男性为46.4%，女性为55.9%），在受教育程度较低的老年人（55.9%）、来自其他州的移民（60.2%）以及超重或肥胖者（57.2%）中更高。结果表明，医疗服务正在确保人们获得医疗护理（71.6%的人定期看医生）和药物治疗（86.7%的人服用常规药物），且不区分社会经济地位。然而，在控制血压的其他措施（如适当饮食和运动）的知识和使用方面，社会不平等仍然存在，而且社会经济地位较高的阶层对这些措施的使用也不足。
