Prevalence, trends, and factors associated with hypertensive crisis among Peruvian adults
There are few studies focused on the epidemiology of hypertensive crisis at the population level in resource-constrained settings. This study aimed to determine the prevalence and trends over time of hypertensive crisis, as well as the factors associated with this condition among adults. A secondary...
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| Format: | Article |
| Language: | English |
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Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
2024-02-01
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| Series: | Cadernos de Saúde Pública |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2024000201406&lng=en&tlng=en |
| _version_ | 1797302320654974976 |
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| author | Victor Calderon-Ocon Fiorella Cueva-Peredo Antonio Bernabe-Ortiz |
| author_facet | Victor Calderon-Ocon Fiorella Cueva-Peredo Antonio Bernabe-Ortiz |
| author_sort | Victor Calderon-Ocon |
| collection | DOAJ |
| description | There are few studies focused on the epidemiology of hypertensive crisis at the population level in resource-constrained settings. This study aimed to determine the prevalence and trends over time of hypertensive crisis, as well as the factors associated with this condition among adults. A secondary data analysis was carried out using the Peruvian Demographic and Family Health Survey (ENDES). Hypertensive crisis was defined based on the presence of systolic (≥ 180mmHg) or diastolic (≥ 110mmHg) blood pressure, regardless of previous diagnosis or medication use. The factors associated with our outcome were evaluated using multinomial logistic regression, and the trend of hypertensive crisis was evaluated using the Cochrane-Armitage test. Data from 260,167 participants were analyzed, with a mean age of 44.2 (SD: 16.9) years and 55.5% were women. Hypertension prevalence was 23% (95%CI: 22.7-23.4) and, among them, 5.7% (95%CI: 5.4-5.9) had hypertensive crisis, with an overall prevalence of 1.5% (95%CI: 1.4-1.6). From 2014 to 2022, a significant decrease in the prevalence of hypertensive crisis was observed, from 1.7% in 2014 to 1.4% in 2022 (p = 0.001). In the multivariable model, males, increasing age, living in urban areas, high body mass index, and self-reported type 2 diabetes were positively associated with hypertensive crisis, whereas higher educational level, socioeconomic status, and high altitude were inversely associated. There is a need to improve strategies for the diagnosis, treatment, and control of hypertension, especially hypertensive crisis. |
| first_indexed | 2024-03-07T23:35:06Z |
| format | Article |
| id | doaj.art-10aa46ed6c704ef680f9b952c3265875 |
| institution | Directory Open Access Journal |
| issn | 1678-4464 |
| language | English |
| last_indexed | 2024-03-07T23:35:06Z |
| publishDate | 2024-02-01 |
| publisher | Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz |
| record_format | Article |
| series | Cadernos de Saúde Pública |
| spelling | doaj.art-10aa46ed6c704ef680f9b952c32658752024-02-20T07:40:43ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública1678-44642024-02-0140210.1590/0102-311xen155123Prevalence, trends, and factors associated with hypertensive crisis among Peruvian adultsVictor Calderon-Oconhttps://orcid.org/0000-0002-3409-7440Fiorella Cueva-Peredohttps://orcid.org/0000-0001-9244-2962Antonio Bernabe-Ortizhttps://orcid.org/0000-0002-6834-1376There are few studies focused on the epidemiology of hypertensive crisis at the population level in resource-constrained settings. This study aimed to determine the prevalence and trends over time of hypertensive crisis, as well as the factors associated with this condition among adults. A secondary data analysis was carried out using the Peruvian Demographic and Family Health Survey (ENDES). Hypertensive crisis was defined based on the presence of systolic (≥ 180mmHg) or diastolic (≥ 110mmHg) blood pressure, regardless of previous diagnosis or medication use. The factors associated with our outcome were evaluated using multinomial logistic regression, and the trend of hypertensive crisis was evaluated using the Cochrane-Armitage test. Data from 260,167 participants were analyzed, with a mean age of 44.2 (SD: 16.9) years and 55.5% were women. Hypertension prevalence was 23% (95%CI: 22.7-23.4) and, among them, 5.7% (95%CI: 5.4-5.9) had hypertensive crisis, with an overall prevalence of 1.5% (95%CI: 1.4-1.6). From 2014 to 2022, a significant decrease in the prevalence of hypertensive crisis was observed, from 1.7% in 2014 to 1.4% in 2022 (p = 0.001). In the multivariable model, males, increasing age, living in urban areas, high body mass index, and self-reported type 2 diabetes were positively associated with hypertensive crisis, whereas higher educational level, socioeconomic status, and high altitude were inversely associated. There is a need to improve strategies for the diagnosis, treatment, and control of hypertension, especially hypertensive crisis.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2024000201406&lng=en&tlng=enHypertensionHypertensive CrisisPrevalenceHealth Survey |
| spellingShingle | Victor Calderon-Ocon Fiorella Cueva-Peredo Antonio Bernabe-Ortiz Prevalence, trends, and factors associated with hypertensive crisis among Peruvian adults Cadernos de Saúde Pública Hypertension Hypertensive Crisis Prevalence Health Survey |
| title | Prevalence, trends, and factors associated with hypertensive crisis among Peruvian adults |
| title_full | Prevalence, trends, and factors associated with hypertensive crisis among Peruvian adults |
| title_fullStr | Prevalence, trends, and factors associated with hypertensive crisis among Peruvian adults |
| title_full_unstemmed | Prevalence, trends, and factors associated with hypertensive crisis among Peruvian adults |
| title_short | Prevalence, trends, and factors associated with hypertensive crisis among Peruvian adults |
| title_sort | prevalence trends and factors associated with hypertensive crisis among peruvian adults |
| topic | Hypertension Hypertensive Crisis Prevalence Health Survey |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2024000201406&lng=en&tlng=en |
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