Zangirolani Lia Thieme Oikawa, Assumpção Daniela de, Medeiros Maria Angélica Tavares de, Barros Marilisa Berti Azevedo
Instituto Saúde e Sociedade, Universidade Federal de São Paulo, Santos, SP, Brasil,
Departamento de Saúde Coletiva, Faculdade de Ciências Médicas, Unicamp, Campinas, SP, Brasil.
Cien Saude Colet. 2018 Apr;23(4):1221-1232. doi: 10.1590/1413-81232018234.16442016.
Evaluate the prevalence of self-reported hypertension in adults aged 20 to 59 years as well as identify associated factors, the use of health services and disease control practices according to the possession or not of a private healthcare plan.
A population-based, cross-sectional study was conducted in the city of Campinas, Brazil, involving 957 adults.
The prevalence of self-reported hypertension was 14.1%, with greater frequencies found among women, individuals aged ≥ 40 years, those who declared their skin color to be black, those with less schooling, those who did not practice active leisure activities, ex-smokers, overweight or obese individuals and those who rated their own health as not being excellent/very good. No inequalities were detected between individuals with hypertension covered by a private healthcare plan or the Brazilian public healthcare system with regard to access to services, the use of disease-controlling medications and having received counseling on how to manage the disease. However, differences were found regarding the practice of physical activity and diet.
Despite the equity disclosed in access to health care, the present findings demonstrate that an insufficient proportion of adults adopt changes in lifestyle to control hypertension, underscoring the central role of public health administrators.
评估20至59岁成年人自我报告的高血压患病率，以及根据是否拥有私人医疗保健计划确定相关因素、医疗服务利用情况和疾病控制措施。
在巴西坎皮纳斯市开展了一项基于人群的横断面研究，涉及957名成年人。
自我报告的高血压患病率为14.1%，在女性、年龄≥40岁的个体、宣称自己肤色为黑色的人、受教育程度较低的人、不进行积极休闲活动的人、已戒烟者、超重或肥胖个体以及那些认为自己健康状况并非优秀/非常好的人中发现的频率更高。在拥有私人医疗保健计划或巴西公共医疗保健系统的高血压患者之间，在获得服务、使用疾病控制药物以及接受疾病管理咨询方面未发现不平等情况。然而，在体育活动和饮食方面发现了差异。
尽管在获得医疗保健方面显示出公平性，但目前的研究结果表明，采用生活方式改变来控制高血压的成年人比例不足，凸显了公共卫生管理人员的核心作用。
