Pereira Marcia Regina, Coutinho Mário Sérgio Soares de Azeredo, Freitas Paulo F, D'Orsi Eleonora, Bernardi André, Hass Rafael
Universidade Federal de Santa Catarina, Florianópolis, Brasil.
Cad Saude Publica. 2007 Oct;23(10):2363-74. doi: 10.1590/s0102-311x2007001000011.
The aim of this study was to estimate the prevalence, awareness, treatment, and control of systemic arterial hypertension in the adult urban population of Tubarão, Santa Catarina, Brazil. The cross-sectional approach used a stratified sample, based on an initial list of electric power connections, resulting in the selection of 707 individuals over 18 years of age. A questionnaire was applied and arterial blood pressure was measured twice by medical students during home visits, using a mercury sphygmomanometer. The prevalence of arterial hypertension based on the Seventh Report of the Joint National Committee on the Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (arterial pressure > 140 x 90 mmHg) was 36.4%, increasing to 40.5% when including individuals on anti-hypertensive medication. Of the patients with high blood pressure, 55.6% were aware of their hypertension, 46.8% were on medication, and 10.1% had their blood pressure under control. The high estimated prevalence of hypertension, low level of unawareness, and less than ideal treatment and control levels emphasize the need for preventive measures in Tubarão.
本研究的目的是评估巴西圣卡塔琳娜州图巴朗市成年城市人口中系统性动脉高血压的患病率、知晓率、治疗率和控制率。横断面研究方法采用分层抽样，基于电力连接的初始清单，最终选定707名18岁以上个体。研究采用问卷调查，并由医学生在家庭访视期间使用汞柱式血压计测量两次动脉血压。根据美国国家联合委员会关于高血压预防、检测、评估和治疗的第七次报告（动脉压>140×90 mmHg），动脉高血压的患病率为36.4%，若将正在服用抗高血压药物的个体纳入计算，则患病率增至40.5%。在高血压患者中，55.6%知晓自己患有高血压，46.8%正在接受药物治疗，10.1%的血压得到控制。高血压的估计患病率较高、知晓率较低以及治疗和控制水平不理想，这凸显了图巴朗市采取预防措施的必要性。
