Centro de Desenvolvimento e Planejamento Regional, Universidade Federal de Minas Gerais. Av. Presidente Antônio Carlos 6.627 3º andar, Pampulha. 31270-901 Belo Horizonte MG Brasil.
Departamento de Economia, Universidade Federal do Paraná. Curitiba PR Brasil.
Cien Saude Colet. 2021 Sep;26(9):4007-4019. doi: 10.1590/1413-81232021269.08092021. Epub 2021 Apr 22.
The global burden and the prevalence of systemic arterial hypertension (SAH) have increased over the last two decades, especially in low- and middle-income countries, and are a concern to health authorities. This study analyzed the prevalence of SAH reported by Brazilian adults in 2008, 2013, and 2019, and individual disease control in 2013 and 2019. Data from the National Household Sample Survey (2008) and National Health Survey (2013-2019) were employed. We calculated the disease's prevalence ratios using Poisson regression, adjusted for sociodemographic characteristics. Regarding health care and PHC organization indicators, we calculated proportions by gender, age group, ethnicity, and region. The results reveal persistent regional inequalities, with lower prevalence in the North and Northeast and higher prevalence in the Southeast and South. While the health care access and use indicators are positive, reflecting PHC improvements in recent years, we highlight the importance of adopting multifaceted SAH prevention and control strategies in the country.
在过去的二十年中，全球范围内的系统性动脉高血压（SAH）负担和患病率都有所增加，尤其是在低收入和中等收入国家，这引起了卫生当局的关注。本研究分析了 2008 年、2013 年和 2019 年巴西成年人报告的 SAH 患病率，以及 2013 年和 2019 年的个体疾病控制情况。该研究使用了全国家庭抽样调查（2008 年）和国家健康调查（2013-2019 年）的数据。我们使用泊松回归计算了疾病的患病率比，并根据社会人口统计学特征进行了调整。关于医疗保健和初级卫生保健组织指标，我们按性别、年龄组、种族和地区计算了比例。结果显示存在持续的地区不平等现象，北部和东北部的患病率较低，东南部和南部的患病率较高。虽然医疗保健获取和使用指标为正，反映了近年来初级卫生保健的改善，但我们强调了在该国采取多方面的 SAH 预防和控制策略的重要性。
