Your browser doesn't support javascript.
Prevalence of hypertension and possible risk factors of hypertension unawareness among individuals aged 30-75 years from two Panamanian provinces: Results from population-based cross-sectional studies, 2010 and 2019.
Del Rio, Angela Isabel; Moreno Velásquez, Ilais; Roa, Reina; Montenegro Mendoza, Roger; Motta, Jorge; Quintana, Hedley K.
  • Del Rio AI; Gorgas Memorial Institute for Health Studies, Panama City, Panama.
  • Moreno Velásquez I; Ministry of Health, Panama City, Panama.
  • Roa R; Gorgas Memorial Institute for Health Studies, Panama City, Panama.
  • Montenegro Mendoza R; Max-Delbrück-Center for Molecular Medicine in the Helmholtz Association (MDC), Molecular Epidemiology Research Group, Berlin, Germany.
  • Motta J; Gorgas Memorial Institute for Health Studies, Panama City, Panama.
  • Quintana HK; Ministry of Health, Panama City, Panama.
PLoS One ; 17(11): e0276222, 2022.
Article in English | MEDLINE | ID: covidwho-2140588
ABSTRACT

BACKGROUND:

Recent estimates of hypertension in Panama remain unknown. We aim to describe the variation in prevalence and unawareness of hypertension in two Panamanian provinces using two different cross-sectional population-based studies and to investigate risk factors associated with hypertension unawareness.

METHODS:

Data were derived from a sub-national study conducted in the provinces of Panama and Colon (PREFREC-2010 [2,733 participants]) and from a nationally representative study (ENSPA-2019), in which we restricted our analyses to the same provinces (4,653 participants). Individuals aged 30-75 years who had (a) self-reported history of hypertension or (b) blood pressure (BP) ≥140/90mmHg or (c) a combination or both were classified as hypertensive. Participants with BP≥140/90mmHg who denied a history of hypertension were considered unaware of the condition. Multivariable logistic regression models were used to estimate the association between risk factors and unawareness, expressed as odds ratios (OR) and 95% confidence interval (CI).

FINDINGS:

In 2010, the prevalence and unawareness of hypertension in men were 51.6% (95% CI 45.7-57.5) and 32.3% (25.4-40.1), respectively, and in women 46.0% (42.1-49.9) and 16.1% (12.6-20.4), respectively. In 2019, the prevalence and unawareness of hypertension in men were 46.5% (42.1-51.0) and 52.3% (45.9-58.6), and in women 42.1% (39.6-44.7) and 33.3% (29.8-37.0). Men (2010 and 2019), age <50 years (2010 and 2019), having no/primary education (2010), and living in a non-urban region (2019) were positively associated with hypertension unawareness, whereas obesity (2010), physical inactivity (2010), family history of hypertension (2019), and BP assessment in the year before study enrollment (2010 and 2019) were inversely associated with hypertension unawareness.

INTERPRETATION:

Benefits of a decrease in the prevalence of hypertension are being undermined by an increase in hypertension unawareness. Actions should be encouraged to strengthen the implementation of the existing healthcare program for cardiovascular risk factor control.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Hypertension Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Female / Humans / Male Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2022 Document Type: Article Affiliation country: Journal.pone.0276222

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Hypertension Type of study: Observational study / Prognostic study / Randomized controlled trials Limits: Female / Humans / Male Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2022 Document Type: Article Affiliation country: Journal.pone.0276222