Zattar Luciana Carmen, Boing Antonio Fernando, Giehl Maruí Weber Corseuil, d'Orsi Eleonora
Centro de Ciências da Saúde, Universidade Federal de Santa Catarina, Florianópolis, Brasil.
Cad Saude Publica. 2013 Mar;29(3):507-21. doi: 10.1590/s0102-311x2013000300009.
The aim of this study was to describe prevalence, awareness, and treatment of high blood pressure (HBP) and associated factors among the elderly in Florianópolis, Santa Catarina State, Brazil. This cross-sectional population-based study used a complex sampling design. HBP was defined as elevated blood pressure (by direct measurement), use of antihypertensive medication, or prior diagnosis. The association of outcomes with independent variables was assessed by Poisson regression. One-thousand seven hundred and five participants were interviewed. Of these, 84.6% presented HBP, 77.5% were aware of their condition, and 79.1% were on antihypertensive medication. Prevalence of HBP was associated with age, functional capacity, and body mass index (BMI). Awareness of the condition was associated with age, gender, BMI, self-rated health, and recent medical consultation. Treatment was associated with gender, functional capacity, self-rated health, and recent medical consultation. Although public health policies should include everyone, unequal distribution of HBP in the population should be addressed through targeted preventive, diagnostic, and therapeutic measures.
本研究旨在描述巴西圣卡塔琳娜州弗洛里亚诺波利斯市老年人高血压（HBP）的患病率、知晓率、治疗情况及相关因素。这项基于人群的横断面研究采用了复杂抽样设计。HBP定义为血压升高（通过直接测量）、使用抗高血压药物或既往诊断。通过泊松回归评估结果与自变量之间的关联。共对1705名参与者进行了访谈。其中，84.6%患有HBP，77.5%知晓自己的病情，79.1%正在服用抗高血压药物。HBP的患病率与年龄、功能能力和体重指数（BMI）相关。病情知晓率与年龄、性别、BMI、自我健康评价和近期就医情况相关。治疗情况与性别、功能能力、自我健康评价和近期就医情况相关。尽管公共卫生政策应覆盖所有人，但人群中HBP分布不均的问题应通过有针对性的预防、诊断和治疗措施加以解决。
