Prevalence, awareness, treatment and control of high blood pressure in a cohort in Northern Andean Peru

Background Gaps exist along the high blood pressure (HBP) diagnosis-treatment-control pathway in high, low and middle-income countries. Objective To determine the prevalence of HBP and to describe the levels of awareness, control and treatment of HBP in the rural Peruvian Andes. Methods This cross-s...

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Main Authors: Giuliana Sanchez-Samaniego (Author), Stella Maria Hartinger (Author), Daniel Mäusezahl (Author), Jan Hattendorf (Author), Günther Fink (Author), Nicole Probst-Hensch (Author)
Format: Book
Published: Taylor & Francis Group, 2023-12-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Giuliana Sanchez-Samaniego  |e author 
700 1 0 |a Stella Maria Hartinger  |e author 
700 1 0 |a Daniel Mäusezahl  |e author 
700 1 0 |a Jan Hattendorf  |e author 
700 1 0 |a Günther Fink  |e author 
700 1 0 |a Nicole Probst-Hensch  |e author 
245 0 0 |a Prevalence, awareness, treatment and control of high blood pressure in a cohort in Northern Andean Peru 
260 |b Taylor & Francis Group,   |c 2023-12-01T00:00:00Z. 
500 |a 1654-9880 
500 |a 10.1080/16549716.2023.2285100 
520 |a Background Gaps exist along the high blood pressure (HBP) diagnosis-treatment-control pathway in high, low and middle-income countries. Objective To determine the prevalence of HBP and to describe the levels of awareness, control and treatment of HBP in the rural Peruvian Andes. Methods This cross-sectional study is embedded into a multigenerational cohort. We analysed data of all adult participants aged ≥ 30 years (n = 2752) who answered a baseline health and lifestyle questionnaire and underwent a physical examination, which included three blood pressure readings. HBP was defined as measured systolic or diastolic blood pressure (BP) ≥140 and/or 90 mm Hg and/or self-reported physician-diagnosed hypertension and/or self-reported antihypertensive intake. The determinants of the prevalence of HBP, unawareness of HBP and uncontrolled HBP were assessed using mixed-effect logistic regressions. Results HBP was present in 18.9% of the participants. Of those with measured HBP, 72.2% were unaware of their HBP. Among those with a diagnosed or medically treated hypertension, 58.4% had uncontrolled HBP. The prevalence of HBP was higher in women (OR: 1.12, CI: 1.02-1.24), increased with age (OR: 1.01, CI: 1.01-1.01) and the presence of family history of hypertension (OR: 1.15, CI: 1.08-1.24), and decreased with healthier lifestyle score (OR: 0.93, CI: 0.91-0.95). Unawareness of HBP was lower among women (OR: 0.56, CI: 0.38-0.83), higher among participants living over 3000 m Above Sea Level (OR: 1.15, CI: 1.03-1.27) and decreased with age (OR: 0.99, CI: 0.98-0.99). Conclusions Unawareness of HBP was high, few HTN patients received treatment and BP remained high in the presence of antihypertensive treatment. 
546 |a EN 
690 |a hypertension 
690 |a awareness 
690 |a control 
690 |a high-altitude 
690 |a andes 
690 |a Public aspects of medicine 
690 |a RA1-1270 
655 7 |a article  |2 local 
786 0 |n Global Health Action, Vol 16, Iss 1 (2023) 
787 0 |n http://dx.doi.org/10.1080/16549716.2023.2285100 
787 0 |n https://doaj.org/toc/1654-9880 
856 4 1 |u https://doaj.org/article/8fba1f14bde94096afb3dbc2979b0977  |z Connect to this object online.