[Social, clinical and psychosocial determinants associated with uncontrolled arterial hypertension in older adults. SABE Survey Colombia 2016]. / Determinantes sociales, clínicos y psicosociales asociados a hipertensión arterial no controlada en adultos mayores. Encuesta SABE Colombia 2016.

OBJECTIVE: To evaluate sociodemographic, clinical and psychosocial characteristics that are associated with uncontrolled arterial hypertension (HANC) in older adults in Colombia. METHODS: Secondary analysis of data from the National Survey of Health, Welfare and Aging (SABE Colombia 2016), in which men and women aged 60 years or older in the country who were not institutionalized were interviewed. The dependent variable was uncontrolled hypertension (HANC) (≥140/90mm Hg). The SABE survey surveyed 23694 older adults; 11264 had a diagnosis of arterial hypertension (HTA) and were taking antihypertensive medication. On the other hand, 5106 older adults, randomly selected, had their blood pressure taken. Participants previously diagnosed with HTA under medical management with antihypertensives and who had had their blood pressure taken at the same time were included, resulting in a sample of 2656 participants. Sociodemographic, clinical and psychosocial characteristics were evaluated. Univariate, bivariate, and multivariate analyzes with logistic regression were performed. RESULTS: One thousand one hundred eighty-eight (44.7%) participants presented HANC. A higher prevalence of HANC was observed in adults older than 74 years (OR 1.31; 95% CI 1.09-1.57) and lower prevalence in residents of urban areas (OR 0.55; 95% CI 0.42-0.71). CONCLUSIONS: Age over 74 years and living in a rural area were identified as variables associated with inadequate blood pressure control in non-institutionalized older adults in Colombia.

Determinantes sociales, clínicos y psicosociales asociados a hipertensión arterial no controlada en adultos mayores. Encuesta SABE Colombia 2016 / Social, clinical and psychosocial determinants associated with uncontrolled arterial hypertension in older adults. SABE Survey Colombia 2016

Objetivo: Evaluar características sociodemográficas, clínicas y psicosociales que se asocian con la hipertensión arterial no controlada (HANC) en adultos mayores en Colombia.Métodos: Análisis secundario de datos de la Encuesta Nacional de Salud, Bienestar y Envejecimiento (SABE) Colombia 2016, en la que se entrevistaron a varones y mujeres de 60 años o más en el país, quienes no se encontraban institucionalizados. La variable dependiente fue la hipertensión arterial no controlada (HANC) (≥140/90mmHg). La encuesta SABE encuestó a 23.694 adultos mayores; 11.264 tenían diagnóstico de hipertensión arterial (HTA) y estaban tomando medicación antihipertensiva. Por otro lado, a 5.106 adultos mayores, seleccionados de manera aleatoria, les realizaron toma de la presión arterial. Se incluyeron participantes previamente diagnosticados con HTA en manejo médico con anti-hipertensivos y que al mismo tiempo se les hubiese tomado la presión arterial resultando una muestra final de 2.656 participantes a los que se les evaluaron características sociodemográficas, clínicas y psicosociales. Se realizó un análisis univariado, bivariado y multivariado con regresión logística.Resultados: Mil ciento ochenta y ocho (44,7%) participantes presentaron HANC. Se observó una mayor prevalencia de HANC en adultos mayores de 74 años (OR: 1,31; IC 95%: 1,09-1,57) y menor prevalencia en los residentes en zonas urbanas (OR: 0,55; IC 95%: 0,42-0,71).Conclusiones: La edad mayor a 74 años y residir en área rural fueron identificados como variables asociadas a un inadecuado control de la presión arterial en adultos mayores no institucionalizados en Colombia. (AU)

Objective: To evaluate sociodemographic, clinical and psychosocial characteristics that are associated with uncontrolled arterial hypertension (HANC) in older adults in Colombia.Methods: Secondary analysis of data from the National Survey of Health, Welfare and Aging (SABE Colombia 2016), in which men and women aged 60 years or older in the country who were not institutionalized were interviewed. The dependent variable was uncontrolled hypertension (HANC) (≥140/90mm Hg). The SABE survey surveyed 23694 older adults; 11264 had a diagnosis of arterial hypertension (HTA) and were taking antihypertensive medication. On the other hand, 5106 older adults, randomly selected, had their blood pressure taken. Participants previously diagnosed with HTA under medical management with antihypertensives and who had had their blood pressure taken at the same time were included, resulting in a sample of 2656 participants. Sociodemographic, clinical and psychosocial characteristics were evaluated. Univariate, bivariate, and multivariate analyzes with logistic regression were performed.Results: One thousand one hundred eighty-eight (44.7%) participants presented HANC. A higher prevalence of HANC was observed in adults older than 74 years (OR 1.31; 95% CI 1.09-1.57) and lower prevalence in residents of urban areas (OR 0.55; 95% CI 0.42–0.71).Conclusions: Age over 74 years and living in a rural area were identified as variables associated with inadequate blood pressure control in non-institutionalized older adults in Colombia. (AU)