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Social disparities explain differences in hypertension prevalence, detection and control in Colombia

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dc.contributor.authorCamacho López, Paul Anthonyspa
dc.contributor.authorGómez Arbeláez, Diegospa
dc.contributor.authorMolina, Dora I.spa
dc.contributor.authorSánchez Vallejo, Gregoriospa
dc.contributor.authorArcos, Edgarspa
dc.contributor.authorNarvaez, Claudiaspa
dc.contributor.authorGarcía, Henryspa
dc.contributor.authorPérez, Maritzaspa
dc.contributor.authorHernández, Erick A.spa
dc.contributor.authorDurán Parra, Myriamspa
dc.contributor.authorCure, Carlosspa
dc.contributor.authorSotomayor Rubio, Aristidesspa
dc.contributor.authorRico, Alvarospa
dc.contributor.authorDavid Venegas, Tannia-Melissaspa
dc.contributor.authorCohen, Daniel Dylanspa
dc.contributor.authorRangarajan, Sumathyspa
dc.contributor.authorYusuf, Salimspa
dc.contributor.authorLopez-Jaramillo, Patriciospa
dc.date.accessioned2019-07-29T20:14:13Zspa
dc.date.available2019-07-29T20:14:13Zspa
dc.date.issued2016-08-12spa
dc.description9 pspa
dc.description.abstractObjective: Hypertension is the principal risk factor for cardiovascular diseases. The global Prospective Urban Rural Epidemiology study showed that the levels of awareness, treatment and control of this condition are very low worldwide and show large regional variations related to a country’s income index. The aim of the present analysis was to identify associations between sociodemographic, geographic, anthropometric, behavioral and clinical factors and the awareness, treatment and control of hypertension within Colombia – a high-middle income country which participated in the global Prospective Urban Rural Epidemiology study. Methods and results: The sample comprised 7485 individuals aged 35–70 years (mean age 50.8 years, 64% women). Mean SBP and DBP were 129.12 21.23 and 80.39 11.81 mmHg, respectively. The overall prevalence of hypertension was 37.5% and was substantially higher amongst participants with the lowest educational level, who had a 25% higher prevalence (<0.001). Hypertension awareness, treatment amongst those aware, and control amongst those treated were 51.9, 77.5 and 37.1%, respectively. The prevalence of hypertension was higher amongst those with a higher BMI (<0.001) or larger waist–hip ratio (<0.001). Being male, younger, a rural resident and having a low level of education was associated with significantly lower hypertension awareness, treatment and control. The use of combination therapy was very low (27.5%) and was significantly lower in rural areas and amongst those with a low income. Conclusion: Overall Colombia has a high prevalence of hypertension in combination with very low levels of awareness, treatment and control; however, we found large variations within the country that appear to be associated with sociodemographic disparities.eng
dc.format.mimetypeapplication/pdfspa
dc.identifier.doi10.1097/HJH.0000000000001115spa
dc.identifier.issn1473-5598spa
dc.identifier.issn0263-6352spa
dc.identifier.urihttps://repositorio.udes.edu.co/handle/001/3485spa
dc.language.isoengspa
dc.relation.ispartofJournal of Hypertensionspa
dc.rightsDerechos Reservados - The Authors, Journal of Hypertension, 2016spa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.creativecommonsAtribución-NoComercial 4.0 Internacional (CC BY-NC 4.0)spa
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/spa
dc.sourcehttps://www.researchgate.net/publication/309872785_Social_disparities_explain_differences_in_hypertension_prevalence_detection_and_control_in_Colombia/link/5c093b47a6fdcc494fde293a/downloadeng
dc.subject.proposalAwarenesseng
dc.subject.proposalColombiaspa
dc.subject.proposalControleng
dc.subject.proposalHypertensioneng
dc.subject.proposalPrevalenceeng
dc.subject.proposalSocial disparitieseng
dc.subject.proposalTreatmenteng
dc.titleSocial disparities explain differences in hypertension prevalence, detection and control in Colombiaeng
dc.typeArtículo de revistaspa
dc.type.coarhttp://purl.org/coar/resource_type/c_6501spa
dc.type.contentTextspa
dc.type.driverinfo:eu-repo/semantics/articlespa
dc.type.redcolhttp://purl.org/redcol/resource_type/ARTspa
dc.type.versioninfo:eu-repo/semantics/publishedVersionspa
dspace.entity.typePublication
oaire.accessrightshttp://purl.org/coar/access_right/c_abf2spa
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85spa
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