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Unawareness of hypertension and its determinants among 'quilombolas' (inhabitants of 'quilombos' - hinterland settlements founded by people of African origin) living in Southwest Bahia, Brazil

Authors :
Amanda Cristina de Souza Andrade
Waleska Teixeira Caiaffa
Cibele Comini César
Vanessa Moraes Bezerra
Source :
Ciência & Saúde Coletiva v.20 n.3 2015, Ciência & Saúde Coletiva, Associação Brasileira de Saúde Coletiva (ABRASCO), instacron:ABRASCO, Ciência & Saúde Coletiva, Vol 20, Iss 3, Pp 797-807 (2015)
Publication Year :
2015
Publisher :
FapUNIFESP (SciELO), 2015.

Abstract

This study sought to evaluate the prevalence of unawareness of arterial hypertension (AH) and associated factors among the quilombola population and to describe aspects of the non-pharmacological management of AH. It involved a cross-sectional study with a sample of 358 people with AH aged 18 years or more. AH was considered systolic blood pressure (BP) ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg and/or reported use of antihypertensive drugs. Unawareness of AH was classified as persons answering negatively when asked if they suffered from AH. Poisson regression was then used. The prevalence of unawareness of AH was 44.1% (95% CI: 38.9-49.3). Among those who already knew the diagnosis and had drug treatment only 24.8% had controlled BP. The unawareness of AH was positively associated with the male sex and Stage 1 of AH and negatively with increasing age, overweight, negative self-perception of health and medical visits. For non-pharmacological management, low percentages of quilombola reported appropriate standard recommendations of care. Arterial hypertension is a serious public health issue among the quilombola population, revealing great vulnerability in health due to poor levels of awareness, treatment and control.

Details

ISSN :
14138123
Volume :
20
Database :
OpenAIRE
Journal :
Ciência & Saúde Coletiva
Accession number :
edsair.doi.dedup.....06ffe6b0a056761018cbe0d1a6862d75
Full Text :
https://doi.org/10.1590/1413-81232015203.14342014