Universidade Tiradentes, Aracaju, SE - Brazil.
Arq Bras Cardiol. 2019 Aug 15;113(3):383-390. doi: 10.5935/abc.20190143. eCollection 2019.
The quilombolas are groups formed by black ancestry individuals, living in a context of social vulnerability due to low socioeconomic level, which influences health care and the development of chronic diseases.
To assess the prevalence of systemic arterial hypertension and its association with cardiovascular risk factors in the quilombola population in the State of Sergipe, Brazil.
Study design was cross sectional, involving the administration of a questionnaire to individuals aged ≥ 18 years, in 15 quilombola communities of the State of Sergipe, Brazil. A value of two-sided p < 0.05 was considered statistically significant.
sA total of 390 individuals were evaluated, 72.3% of whom were women, with a mean age of 44.7 years. The prevalence of hypertension was 26% (with a confidence interval of 95% [95% CI]: 22-30), with no significant sex-related differences. The age was associated with arterial hypertension (95% CI: 1.03-1.06), systolic (95% CI: 1.04-1.07) and diastolic (IC 95%: 1.01-1.04) arterial hypertension. The level of body mass index was associated with arterial hypertension (95% CI: 1.00-1.11) and diastolic arterial hypertension (95% CI: 1.03-1.17). Economic class was associated with diastolic arterial hypertension (95% CI: 1.22-5.03).
The prevalence of arterial hypertension in the quilombola communities was high. Its association with cardiovascular risk factors indicates the need to improve access to healthcare services.
quilombolas 是由具有黑人血统的个体组成的群体,由于社会经济水平低,生活在社会脆弱的环境中,这影响了他们的医疗保健和慢性病的发展。
评估巴西塞尔希培州 quilombola 人群中系统性动脉高血压的患病率及其与心血管危险因素的相关性。
研究设计为横断面研究,涉及对巴西塞尔希培州 15 个 quilombola 社区中年龄≥18 岁的个体进行问卷调查。双侧 p<0.05 被认为具有统计学意义。
共评估了 390 名个体,其中 72.3%为女性,平均年龄为 44.7 岁。高血压患病率为 26%(95%置信区间[95%CI]:22-30),性别间无显著差异。年龄与动脉高血压(95%CI:1.03-1.06)、收缩压(95%CI:1.04-1.07)和舒张压(95%CI:1.01-1.04)相关。体重指数水平与动脉高血压(95%CI:1.00-1.11)和舒张压动脉高血压(95%CI:1.03-1.17)相关。经济阶层与舒张压动脉高血压(95%CI:1.22-5.03)相关。
quilombola 社区的动脉高血压患病率较高。其与心血管危险因素的相关性表明,需要改善医疗保健服务的可及性。