Prevalence, awareness, treatment and control of hypertension in rural and urban communities in Latin American countries

LAMELAS, PABLO; DIAZ, RAFAEL; ORLANDINI, ANDRES; AVEZUM, ALVARO; OLIVEIRA, GUSTAVO; MATTOS, ANTONIO; LANAS, FERNANDO; SERON, PAMELA; OLIVEROS, MARIA J.; LOPEZ-JARAMILLO, PATRICIO; OTERO, JOHANNA; CAMACHO, PAUL; MIRANDA, JAIME; BERNABE-ORTIZ, ANTONIO; MALAGA, GERMAN; IRAZOLA, VILMA; GUTIERREZ, LAURA; RUBINSTEIN, ADOLFO; CASTELLANA, NOELIA; RANGARAJAN, SUMATHY; YUSUF, SALIM

JOURNAL OF HYPERTENSION

LIPPINCOTT WILLIAMS & WILKINS

Año: 2019 vol. 37 p. 1813 - 1821

0263-6352

Objectives: The objective is to describe hypertension (HTN) prevalence, awareness, treatment and control in urban and rural communities in Latin America to inform public and policy-makers. Methods: Cross-sectional analysis from urban (n=111) and rural (n=93) communities including 33 276 participants from six Latin American countries (Argentina, Brazil, Chile, Colombia, Peru and Uruguay) were included. HTN was defined as self-reported HTN on blood pressure (BP) medication or average BP over 140/90 mmHg, awareness as self-reported HTN, and controlled as those with BP under 140/90 mmHg. Results: Mean age was 52 years, 60% were Female and 32% belonged to rural communities. HTN prevalence was 44.0%, with the lowest rates in Peru (17.7%) and the highest rates in Brazil (52.5%). 58.9% were aware of HTN diagnosis and 53.3% were receiving treatment. Prevalence of HTN were higher in urban (44.8%) than rural (42.1%) communities in all countries. Most participants who were aware of HTN were receiving medical treatment (90.5%), but only 37.6% of patients receiving medical treatment had their BP controlled (