Addressing global disparities in blood pressure control: perspectives of the International Society of Hypertension
Raised blood pressure (BP) is the leading cause of preventable death in the world. Yet, its global prevalence is increasing, and it remains poorly detected, treated, and controlled in both high- and low-resource settings. From the perspective of members of the International Society of Hypertension b...
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| Format: | Article |
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Oxford University Press
2023
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| _version_ | 1825939364867211264 |
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| author | Ching, Siew Mooi Jafar, Tazeen H. Poulter, Neil R. Damasceno, Albertino Alsaid, Jafar |
| author_facet | Ching, Siew Mooi Jafar, Tazeen H. Poulter, Neil R. Damasceno, Albertino Alsaid, Jafar |
| author_sort | Ching, Siew Mooi |
| collection | UPM |
| description | Raised blood pressure (BP) is the leading cause of preventable death in the world. Yet, its global prevalence is increasing, and it remains poorly detected, treated, and controlled in both high- and low-resource settings. From the perspective of members of the International Society of Hypertension based in all regions, we reflect on the past, present, and future of hypertension care, highlighting key challenges and opportunities, which are often region-specific. We report that most countries failed to show sufficient improvements in BP control rates over the past three decades, with greater improvements mainly seen in some high-income countries, also reflected in substantial reductions in the burden of cardiovascular disease and deaths. Globally, there are significant inequities and disparities based on resources, sociodemographic environment, and race with subsequent disproportionate hypertension-related outcomes. Additional unique challenges in specific regions include conflict, wars, migration, unemployment, rapid urbanization, extremely limited funding, pollution, COVID-19-related restrictions and inequalities, obesity, and excessive salt and alcohol intake. Immediate action is needed to address suboptimal hypertension care and related disparities on a global scale. We propose a Global Hypertension Care Taskforce including multiple stakeholders and societies to identify and implement actions in reducing inequities, addressing social, commercial, and environmental determinants, and strengthening health systems implement a well- designed customized quality-of-care improvement framework. |
| first_indexed | 2024-12-09T02:17:31Z |
| format | Article |
| id | upm.eprints-106428 |
| institution | Universiti Putra Malaysia |
| last_indexed | 2024-12-09T02:17:31Z |
| publishDate | 2023 |
| publisher | Oxford University Press |
| record_format | dspace |
| spelling | upm.eprints-1064282024-09-26T07:38:59Z http://psasir.upm.edu.my/id/eprint/106428/ Addressing global disparities in blood pressure control: perspectives of the International Society of Hypertension Ching, Siew Mooi Jafar, Tazeen H. Poulter, Neil R. Damasceno, Albertino Alsaid, Jafar Raised blood pressure (BP) is the leading cause of preventable death in the world. Yet, its global prevalence is increasing, and it remains poorly detected, treated, and controlled in both high- and low-resource settings. From the perspective of members of the International Society of Hypertension based in all regions, we reflect on the past, present, and future of hypertension care, highlighting key challenges and opportunities, which are often region-specific. We report that most countries failed to show sufficient improvements in BP control rates over the past three decades, with greater improvements mainly seen in some high-income countries, also reflected in substantial reductions in the burden of cardiovascular disease and deaths. Globally, there are significant inequities and disparities based on resources, sociodemographic environment, and race with subsequent disproportionate hypertension-related outcomes. Additional unique challenges in specific regions include conflict, wars, migration, unemployment, rapid urbanization, extremely limited funding, pollution, COVID-19-related restrictions and inequalities, obesity, and excessive salt and alcohol intake. Immediate action is needed to address suboptimal hypertension care and related disparities on a global scale. We propose a Global Hypertension Care Taskforce including multiple stakeholders and societies to identify and implement actions in reducing inequities, addressing social, commercial, and environmental determinants, and strengthening health systems implement a well- designed customized quality-of-care improvement framework. Oxford University Press 2023-10-11 Article PeerReviewed Ching, Siew Mooi and Jafar, Tazeen H. and Poulter, Neil R. and Damasceno, Albertino and Alsaid, Jafar (2023) Addressing global disparities in blood pressure control: perspectives of the International Society of Hypertension. Cardiovascular Research, 119 (2). 381 - 409. ISSN 0008-6363; ESSN: 1755-3245 https://academic.oup.com/cardiovascres/article/119/2/381/6758338 10.1093/cvr/cvac130 |
| spellingShingle | Ching, Siew Mooi Jafar, Tazeen H. Poulter, Neil R. Damasceno, Albertino Alsaid, Jafar Addressing global disparities in blood pressure control: perspectives of the International Society of Hypertension |
| title | Addressing global disparities in blood pressure control: perspectives of the International Society of Hypertension |
| title_full | Addressing global disparities in blood pressure control: perspectives of the International Society of Hypertension |
| title_fullStr | Addressing global disparities in blood pressure control: perspectives of the International Society of Hypertension |
| title_full_unstemmed | Addressing global disparities in blood pressure control: perspectives of the International Society of Hypertension |
| title_short | Addressing global disparities in blood pressure control: perspectives of the International Society of Hypertension |
| title_sort | addressing global disparities in blood pressure control perspectives of the international society of hypertension |
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