Hypertension control and related factors at primary care located in the west side of the city of Sao Paulo, Brazil

dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorPIERIN, Angela Maria Geraldo
dc.contributor.authorMARRONI, Sandra Nara
dc.contributor.authorTAVEIRA, Luzi Aparecida Faleiros
dc.contributor.authorBENSENOR, Isabela Judith Martins
dc.date.accessioned2017-11-27T16:23:39Z
dc.date.available2017-11-27T16:23:39Z
dc.date.issued2011
dc.description.abstractThe objective of this study was to characterize blood pressure control of 440 hypertensive patients. The subjects were interviewed and had their blood pressure measurement by means of an automatic device. The results showed that 45.5% had an adequate blood pressure control. People under control were different (p<0.05) from those without control: the ones under blood pressure control were mainly women, younger, with a shorter time of disease, with previous treatment for hypertension, less interruptions in treatment and more conscious about the importance of physical activities. They also rarely forgot to take the medicines in the right time, generally using less than, 3 or more antihypertensive drugs, with family history of cardiovascular diseases, reporting physical activity more frequently and less sadness. The multivariate analysis revealed a statistically significant association of uncontrolled hypertension with previous treatment (OR = 2.26; IC 95%, 1.4 - 3.6), no family history of cardiovascular diseases (OR = 2.2; IC 95%, 1.3 - 3.5) and unaware of the importance of physical activities for blood pressure control (OR = 3.5; IC 95%, 1.1 - 10.8). Blood pressure control was associated with biological variables, behavior and information about hypertension as a risk factor and its treatment.
dc.description.abstractRealizou-se estudo para caracterizar o controle de hipertensos atendidos na atenção primária com amostra de 440 hipertensos. Os hipertensos foram entrevistados e a medida da pressão foi realizada com aparelho automático validado. A relação entre as variáveis classificatórias foi avaliada com o teste qui-quadrado e posterior análise multivariada. Os resultados mostraram que o controle da hipertensão arterial foi de 45,5% e se associou (p<0,05) a mulheres, idade menos elevada,menos tempo de doença, já ter feito tratamento para hipertensão, menos interrupção do tratamento, conhecimento sobre a importância dos exercícios físicos, raramente deixar de tomar remédio na hora certa, menor número de drogas anti-hipertensivas prescritas, antecedentes para doenças cardíacas, prática de exercícios físicos e menos tristeza. A análise de regressão logística mostrou que a falta de controle da hipertensão foi dependente de tratamento anterior para hipertensão (OR = 2,26;IC 95%, 1,4 - 3,6), falta de conhecimento sobre prática de atividade física (OR = 3,5; IC 95%, 1,1- 10,8) e ausência de antecedente familiar para problemas cardíacos (OR = 2,2; IC 95%, 1,3 - 3,5). Menos da metade dos hipertensos estava controlada e o controle se associou a variáveis biológicas,tratamento, atitudes e conhecimento sobre a hipertensão e seu tratamento.
dc.description.indexMEDLINE
dc.identifier.citationCIENCIA & SAUDE COLETIVA, v.16, suppl.1, p.1389-1400, 2011
dc.identifier.issn1413-8123
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/22666
dc.language.isopor
dc.publisherABRASCO
dc.relation.ispartofCiencia & Saude Coletiva
dc.rightsopenAccess
dc.rights.holderCopyright ABRASCO
dc.subjectHypertension
dc.subjectControl
dc.subjectCompliance
dc.subjectHipertensão
dc.subjectControle
dc.subjectAdesão
dc.subject.otherblood-pressure
dc.subject.otherpersistence
dc.subject.wosPublic, Environmental & Occupational Health
dc.titleHypertension control and related factors at primary care located in the west side of the city of Sao Paulo, Brazil
dc.title.alternativeControle da hipertensão arterial e fatores associados na atenção primária em Unidades Básicas de Saúde localizadas na Região Oeste da cidade de São Paulo
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.author.externalPIERIN, Angela Maria Geraldo:Univ Sao Paulo, Escola Enfermagem, Dept Enfermagem Med Cirurgica, BR-05403000 Sao Paulo, Brazil
hcfmusp.author.externalMARRONI, Sandra Nara:Ctr Univ Unirg, Leme, SP, Brazil
hcfmusp.author.externalTAVEIRA, Luzi Aparecida Faleiros:Ctr Univ Nove Julho, Sao Paulo, Brazil
hcfmusp.citation.scopus24
hcfmusp.contributor.author-fmusphcISABELA JUDITH MARTINS BENSEñOR
hcfmusp.description.beginpage1389
hcfmusp.description.endpage1400
hcfmusp.description.issuesuppl 1
hcfmusp.description.volume16
hcfmusp.origemWOS
hcfmusp.origem.pubmed21503490
hcfmusp.origem.scopus2-s2.0-79955690687
hcfmusp.origem.wosWOS:000289644000074
hcfmusp.publisher.cityRIO DE JANEIRO
hcfmusp.publisher.countryBRAZIL
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