Fiório Cleiton Eduardo, Cesar Chester Luiz Galvão, Alves Maria Cecilia Goi Porto, Goldbaum Moisés
Faculdade de Medicina, Universidade de São Paulo - São Paulo (SP), Brasil.
Faculdade de Saúde Pública, Universidade de São Paulo - São Paulo (SP), Brasil.
Rev Bras Epidemiol. 2020 Jun 5;23:e200052. doi: 10.1590/1980-549720200052. eCollection 2020.
To analyze the behavior of the prevalence of hypertension in the city of São Paulo and its associated factors.
The present study used data from the Health Survey in the Municipality of São Paulo (ISA Capital), a population-based cross-sectional study conducted in São Paulo. Data from 1,667 and 3,184 individuals were analyzed in 2003 and 2015, respectively, aged 20 years and over. Descriptive analyzes of the prevalence of hypertension were performed with 95% confidence intervals. Simple and multiple analyzes were performed to analyze the possible associations with socioeconomic, demographic and lifestyle variables by Poisson regression.
The prevalence of hypertension increased from 17.2% in 2003 to 23.2% in 2015. The associated variables with hypertension were: gender (females); age (60 years old and over); marital status (married, separated and widowed); having a religion; low education level; being born in the state of São Paulo (except capital); nutritional status (low weight, overweight and obesity); former smokers.
The prevalence of self-reported hypertension increased significantly in the study period. Considering this disease's impact on society, knowing its current prevalence and identifying its main associated factors, the need to intensify the efforts to prevent it disease is evident in order to mitigate damage to individuals and impact on public expenditure.
分析圣保罗市高血压患病率的变化情况及其相关因素。
本研究使用了圣保罗市健康调查(ISA Capital)的数据,这是一项在圣保罗市进行的基于人群的横断面研究。分别对2003年的1667名和2015年的3184名20岁及以上个体的数据进行了分析。对高血压患病率进行了描述性分析,并给出95%置信区间。通过泊松回归进行单因素和多因素分析,以分析与社会经济、人口统计学和生活方式变量之间的可能关联。
高血压患病率从2003年的17.2%上升至2015年的23.2%。与高血压相关的变量包括:性别(女性);年龄(60岁及以上);婚姻状况(已婚、分居和丧偶);有宗教信仰;教育水平低;出生在圣保罗州(首府除外);营养状况(体重过轻、超重和肥胖);既往吸烟者。
在研究期间,自我报告的高血压患病率显著上升。鉴于这种疾病对社会的影响,了解其当前患病率并确定其主要相关因素,显然需要加大预防力度,以减轻对个人的损害并降低对公共支出的影响。