[Non-pharmacological management of hypertension in Southern Brazil].

Cad Saude Publica

Programa de Pós-graduação em Saúde Coletiva, Universidade do Vale do Rio dos Sinos, São Leopoldo, Brasil.

Published: August 2006

AI Article Synopsis

  • A population-based study in Pelotas, Brazil, assessed the characteristics and management of hypertension in adults aged 20 to 69, revealing that 19.3% were hypertensive.
  • Among hypertensive individuals, a significant number (44.1%) consistently visited the same doctor, but many exhibited poor lifestyle habits, including high rates of sedentarism (85.5%), excessive fat consumption (48.2%), and smoking (47.4%).
  • The study highlighted that clinical management was largely inadequate (74.7%), with better outcomes seen in women, those over 50, higher socioeconomic groups, non-smokers, and diabetics, reflecting disparities in healthcare access based on socioeconomic status.

Article Abstract

A cross-sectional population-based study was carried out among individuals aged 20 to 69 years in the urban area of Pelotas, Rio Grande do Sul, Brazil. The objective was to analyze characteristics of hypertensive patients in relation to management of arterial hypertension. Among the 1,968 interviewees, 380 were hypertensive (19.3%), and 44.1% of these always consulted the same physician. Of the entire sample, 85.5% were sedentary, 48.2% showed excessive fat consumption, and 47.4% smoked. Most physicians recommend the following: lowering salt consumption (98.4%), cessation of alcohol consumption (93.7%), for losing weight, diet and consumption of low-fat food (88.2%), smoking cessation (73.2%), and physical activity (68.9%). The clinical management was classified as inadequate in 284 individuals (74.7%). Increased probability of adequate management was found among: women, individuals > 50 years, upper and middle-class patients, non-smokers, and patients with diabetes mellitus. Some findings showed positive aspects, but differences according to socioeconomic status evidenced lack of equity in care.

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Source
http://dx.doi.org/10.1590/s0102-311x2006000800021DOI Listing

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