Mean blood pressure according to the hypertension care cascade: Analysis of six national health surveys in Peru
Background: While we have good evidence about the hypertension care cascade, we do not know the mean blood pressure (BP) in these groups. We described the mean BP in four groups based on the hypertension care cascade at the national and sub-national levels in Peru. Methods: Descriptive analysis of s...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-09-01
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| Series: | The Lancet Regional Health. Americas |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667193X21000089 |
| _version_ | 1819121302926000128 |
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| author | Rodrigo M. Carrillo-Larco Wilmer Cristobal Guzman-Vilca Antonio Bernabe-Ortiz |
| author_facet | Rodrigo M. Carrillo-Larco Wilmer Cristobal Guzman-Vilca Antonio Bernabe-Ortiz |
| author_sort | Rodrigo M. Carrillo-Larco |
| collection | DOAJ |
| description | Background: While we have good evidence about the hypertension care cascade, we do not know the mean blood pressure (BP) in these groups. We described the mean BP in four groups based on the hypertension care cascade at the national and sub-national levels in Peru. Methods: Descriptive analysis of six national health surveys. Blood pressure was measured twice and the second record herein analysed. We defined four groups: i) people with self-reported hypertension diagnosis receiving antihypertensive medication; ii) people with self-reported hypertension diagnosis not receiving antihypertensive medication; iii) people unaware they have hypertension with blood pressure ≥140 or 90 mmHg; and iv) otherwise healthy people. Findings: There were 125,066 people; mean age was 49.8 years and there were more women (51.7%). At the national level, in men and women and throughout the study period, we observed that the mean systolic BP (SBP) was the highest in people unaware they have hypertension; the mean SBP was similar between those with and without antihypertension medication, yet slightly higher in the former group. At the sub-national level, even though the mean SBP in the unaware group was usually the highest, there were some regions and years in which the mean SBP was the highest in the untreated and treated groups. Interpretation: These results complement the hypertension care cascade with a clinically relevant parameter: mean BP. The results point where policies may be needed to secure effective interventions to control hypertension in Peru, suggesting that improving early diagnosis and treatment coverage could be priorities. Funding: Wellcome Trust (214185/Z/18/Z). |
| first_indexed | 2024-12-22T06:34:25Z |
| format | Article |
| id | doaj.art-fe62f9cb0b8f476891af5f4f92d5d029 |
| institution | Directory Open Access Journal |
| issn | 2667-193X |
| language | English |
| last_indexed | 2024-12-22T06:34:25Z |
| publishDate | 2021-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | The Lancet Regional Health. Americas |
| spelling | doaj.art-fe62f9cb0b8f476891af5f4f92d5d0292022-12-21T18:35:38ZengElsevierThe Lancet Regional Health. Americas2667-193X2021-09-011100016Mean blood pressure according to the hypertension care cascade: Analysis of six national health surveys in PeruRodrigo M. Carrillo-Larco0Wilmer Cristobal Guzman-Vilca1Antonio Bernabe-Ortiz2Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK; CRONICAS Centre of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru; Correspondence author: Rodrigo M. Carrillo-Larco, MD, Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London.CRONICAS Centre of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru; School of Medicine “Alberto Hurtado”, Universidad Peruana Cayetano Heredia, Lima, Peru; Sociedad Científica de Estudiantes de Medicina Cayetano Heredia (SOCEMCH), Universidad Peruana Cayetano Heredia, Lima, PeruCRONICAS Centre of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru; Universidad Científica del Sur, Lima, PeruBackground: While we have good evidence about the hypertension care cascade, we do not know the mean blood pressure (BP) in these groups. We described the mean BP in four groups based on the hypertension care cascade at the national and sub-national levels in Peru. Methods: Descriptive analysis of six national health surveys. Blood pressure was measured twice and the second record herein analysed. We defined four groups: i) people with self-reported hypertension diagnosis receiving antihypertensive medication; ii) people with self-reported hypertension diagnosis not receiving antihypertensive medication; iii) people unaware they have hypertension with blood pressure ≥140 or 90 mmHg; and iv) otherwise healthy people. Findings: There were 125,066 people; mean age was 49.8 years and there were more women (51.7%). At the national level, in men and women and throughout the study period, we observed that the mean systolic BP (SBP) was the highest in people unaware they have hypertension; the mean SBP was similar between those with and without antihypertension medication, yet slightly higher in the former group. At the sub-national level, even though the mean SBP in the unaware group was usually the highest, there were some regions and years in which the mean SBP was the highest in the untreated and treated groups. Interpretation: These results complement the hypertension care cascade with a clinically relevant parameter: mean BP. The results point where policies may be needed to secure effective interventions to control hypertension in Peru, suggesting that improving early diagnosis and treatment coverage could be priorities. Funding: Wellcome Trust (214185/Z/18/Z).http://www.sciencedirect.com/science/article/pii/S2667193X21000089Cardiovascular riskPopulation health metricsCardio-metabolic risk factors |
| spellingShingle | Rodrigo M. Carrillo-Larco Wilmer Cristobal Guzman-Vilca Antonio Bernabe-Ortiz Mean blood pressure according to the hypertension care cascade: Analysis of six national health surveys in Peru The Lancet Regional Health. Americas Cardiovascular risk Population health metrics Cardio-metabolic risk factors |
| title | Mean blood pressure according to the hypertension care cascade: Analysis of six national health surveys in Peru |
| title_full | Mean blood pressure according to the hypertension care cascade: Analysis of six national health surveys in Peru |
| title_fullStr | Mean blood pressure according to the hypertension care cascade: Analysis of six national health surveys in Peru |
| title_full_unstemmed | Mean blood pressure according to the hypertension care cascade: Analysis of six national health surveys in Peru |
| title_short | Mean blood pressure according to the hypertension care cascade: Analysis of six national health surveys in Peru |
| title_sort | mean blood pressure according to the hypertension care cascade analysis of six national health surveys in peru |
| topic | Cardiovascular risk Population health metrics Cardio-metabolic risk factors |
| url | http://www.sciencedirect.com/science/article/pii/S2667193X21000089 |
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