Prevalence of high blood pressure measured in the Brazilian population, National Health Survey, 2013
Keywords:
Hypertension, Health surveys, Risk factors, Chronic disease, Cardiovascular diseaseAbstract
CONTEXT AND OBJECTIVE: High blood pressure (hypertension) is the most frequent cause of morbidity and a major risk factor for cardiovascular complications. The aim here was to describe the prevalence of blood pressure greater than or equal to 140/90 mmHg in the adult Brazilian population and federal states, along with self-reported information about previous medical diagnoses of hypertension, use of medication and medical care for hypertension control. DESIGN AND SETTING: Cross-sectional study analyzing information from the National Health Survey of 2013, relating to Brazil and its federal states. METHODS: The sample size was estimated as 81,254 households and information was collected from 64,348 households. The survey consisted of interviews, physical and laboratory measurements. Systolic blood pressure was considered to be high when it was ≥ 140 mmHg and diastolic blood pressure, ≥ 90 mmHg. RESULTS: It was found that 22.8% of the population has blood pressure measurements ≥ 140/90 mmHg. The proportion was higher among men than among women: 25.8% versus 20.0%. The frequency increased with age, reaching 47.1% in individuals over 75 years and was highest in the southeast and south. 43.2% reported previous medical diagnoses of hypertension and, of these, 81.4% reported using medication for hypertension and 69.6%, going to the doctor within the past year for pressure monitoring, thus showing regular medical follow-up. CONCLUSION: These results are important for supporting measures for preventing and treating hypertension in Brazil, with the aim of achieving the World Health Organization’s goal of reducing hypertension by 25% over the next decade.
Downloads
References
World Health Organization. Health statistics and information systems. Estimates for 2000-2012. Cause-specific mortality. Available from: http://www.who.int/healthinfo/global_burden_disease/estimates/en/index1.html Accessed in 2016 (Feb 15).
World Health Organization. Global status report on noncommunicable diseases 2010. Geneva; World Health Organization; 2011. Available from: http://apps.who.int/iris/bitstream/10665/44579/1/9789240686458_eng.pdf Accessed in 2016 (Feb 15).
Passos VMA, Assis TD, Barreto SM. Hipertensão arterial no Brasil: estimativa de prevalência a partir de estudos de base populacional [Hypertension in Brazil: estimates from population-based prevalence studies]. Epidemiol Serv Saúde. 2006;15(1):35-45.
Schmidt MI, Duncan BB, Azevedo e Silva G, et al. Chronic non-communicable diseases in Brazil: burden and current challenges. Lancet. 2011;377(9781):1949-61.
Malta DC, Morais Neto OL, Silva Junior JB. Apresentação do plano de ações estratégicas para o enfrentamento das doenças crônicas não transmissíveis no Brasil, 2011 a 2022 [Presentation of the strategic action plan for coping with chronic diseases in Brazil from 2011 to 2022]. Epidemiol Serv Saúde. 2011;20(4):425-38.
Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance System. National Center for Chronic Disease Prevention and Health Promotion. Available from: http://www.cdc.gov/BRFSS/ Accessed in 2016 (Feb 15).
Lima-Costa MF, Peixoto SV, Firmo JOA. Validade da hipertensão arterial auto-referida e seus determinantes (projeto Bambuí) [Validity of self-reported hypertension and its determinants (the Bambuí study)]. Rev Saúde Pública. 2004;38(5):637-42.
Andrade SSCA, Malta DC, Iser BM, Sampaio PC, Moura L. Prevalência da hipertensão arterial autorreferida nas capitais brasileiras em 2011 e análise de sua tendência no período de 2006 a 2011 [Prevalence of self-reported arterial hypertension in Brazilian capitals in 2011 and analysis of its trends in the period between 2006 and 2011]. Rev Bras Epidemiol. 2014;17(supl. 1):215-26.
Brandão A. Hipertensão: conceituação, epidemiologia e prevenção primária. Rev Bras Hipertens. 2010;17(1):7-10.
Chor D, Pinho Ribeiro AL, Sá Carvalho M, et al. Prevalence, Awareness, Treatment and Influence of Socioeconomic Variables on Control of High Blood Pressure: Results of the ELSA-Brasil Study. PLoS One. 2015;10(6):e0127382.
Lotufo PA. Melhorando o controle da hipertensão arterial. Dados iniciais do Estudo Longitudinal de Saúde do Adulto (ELSA-Brasil). Diagn Tratamento. 2015;20(3):85-7.
Brasil. Ministério da Saúde. Instituto Brasileiro de Geografia e Estatística. Ministério do Planejamento, Orçamento e Gestão. Pesquisa Nacional de Saúde: 2013. Percepção do estado de saúde, estilos de vida e doenças crônicas. Brasil, grandes regiões e unidades da federação. Rio de Janeiro: Instituto Brasileiro de Geografia e Estatística; 2014. Available from: ftp://ftp.ibge.gov.br/PNS/2013/pns2013.pdf. Accessed in 2016 (Feb 15).
Souza-Júnior PRB, Freitas MPS, Antonaci GA, Szwarcwald CL. Desenho da amostra da Pesquisa Nacional de Saúde 2013 [Sampling Design for the National Health Survey, 2013]. Epidemiol Serv Saúde. 2015;24(2)207-16.
Brasil. Ministério da Saúde. Instituto Brasileiro de Geografia e Estatística. Pesquisa Nacional de Saúde: 2013. Ciclos de Vida. Brasil e grandes regiões. Rio de Janeiro: Instituto Brasileiro de Geografia e Estatística; 2015. Available from: http://biblioteca.ibge.gov.br/visualizacao/livros/liv94522.pdf Accessed in 2016 (Feb 15).
Cooper R, Puras A, Tracy J, et al. Evaluation of an electronic blood pressure device for epidemiological studies. Blood Press Monit. 1997;2(1):35-40.
Pereira M, Lunet N, Azevedo A, Barros H. Differences in prevalence, awareness, treatment and control of hypertension between developing and developed countries. J Hypertens. 2009;27(5):963-75.
Lessa I, Magalhães L, Araújo MJ, et al. Hipertensão arterial na população adulta de Salvador (BA) - Brasil [Arterial hypertension in the adult population of Salvador (BA) - Brazil]. Arq Bras Cardiol. 2006;87(6):747-56.
Firmo JOA, Uchôa E, Lima-Costa MF. Projeto Bambuí: fatores associados ao conhecimento da condição de hipertenso entre idosos [The Bambuí Health and Aging Study (BHAS): factors associated with awareness of hypertension among older adults]. Cad Saúde Pública. 2004;20(2):512-21.
Barreto SM, Passos VMA, Firmo JOA, et al. Hypertension and clustering of cardiovascular risk factors in a community in Southeast Brazil -- The Bambuí Health and Ageing Study. Arq Bras Cardiol. 2001;77(6):576-81.
Paulucci TD Velasquez-Mendelez G, Bernal RIT, Lana FF, Malta DC. Análise do cuidado dispensado a portadores de hipertensão arterial em Belo Horizonte, segundo inquérito telefônico [Analysis of care given to patients with hypertension in Belo Horizonte, according to telephone survey]. Rev Bras Epidemiol. 2014;17(supl. 1):227-40.
Brasil. Instituto Brasileiro de Geografia e Estatística. Censo demográfico 2010. Available from: http://www.ibge.gov.br/home/estatistica/populacao/censo2010 Accessed in 2016 (Feb 15).
Nogueira D, Faerstein E, Coeli CM, et al. Reconhecimento, tratamento e controle da hipertensão arterial: estudo Pró-Saúde, Brasil [Awareness, treatment, and control of arterial hypertension: Pró-Saúde study, Brazil]. Rev Panam Salud Pública. 2010;27(2):103-9.
World Health Organization. Noncommunicable diseases and mental health. Global action plan for the prevention and control of NCDs 2013-2020. Geneva: World Health Organization; 2013. Available from: http://apps.who.int/iris/bitstream/10665/94384/1/9789241506236_eng.pdf?ua=1 Accessed in 2016 (Feb 15).
Mancia G, Parati G. Office compared with ambulatory blood pressure in assessing response to antihypertensive treatment: a meta-analysis. J Hypertens. 2004;22(3):435-45.
Nascimento LR, Molina M C, Faria CP, Cunha R S, Mill JG. Reprodutibilidade da pressão arterial medida no ELSA-Brasil com a monitorização pressórica de 24h [Reproducibility of arterial pressure measured in the ELSA-Brasil with 24-hour pressure monitoring]. Rev Saúde Pública. 2013;47(supl. 2):113-21.
Malta DC, Silva Junior JB. O plano de ações estratégicas para o enfrentamento das doenças crônicas não transmissíveis no Brasil e a definição das metas globais para o enfrentamento dessas doenças até 2025: uma revisão [Brazilian strategic action plan to combat chronic non-communicable diseases and the global targets set to confront these diseases by 2025: a review]. Epidemiol Serv Saúde. 2013;22(1):151-64