Acta Medica Portuguesa
Volume 29, Issue 3, 2016, Pages 193-204

Hypertension control at the primary health care: A comparison among Portuguese natives and Portuguese speaking African coutries immigrants [Controlo da hipertensão arterial nos cuidados de saúde primários: Uma comparação entre nativos portugueses e imigrantes dos países africanos de língua oficial portuguesa] (Article) (Open Access)

Lopes E.* , Alarcão V. , Simões R. , Fernandes M. , Gómez V. , Souto D. , Nogueira P. , Nicola P.J. , Rocha E.
  • a Unidade de Epidemiologia, Instituto de Medicina Preventiva e Saúde Pública, Universidade de Lisboa, Lisboa, Portugal
  • b Unidade de Epidemiologia, Instituto de Medicina Preventiva e Saúde Pública, Universidade de Lisboa, Lisboa, Portugal
  • c Unidade de Epidemiologia, Instituto de Medicina Preventiva e Saúde Pública, Universidade de Lisboa, Lisboa, Portugal
  • d Unidade de Epidemiologia, Instituto de Medicina Preventiva e Saúde Pública, Universidade de Lisboa, Lisboa, Portugal, Eurotrials, Lisboa, Portugal
  • e Unidade de Epidemiologia, Instituto de Medicina Preventiva e Saúde Pública, Universidade de Lisboa, Lisboa, Portugal, Departamento de Genética Humana, Instituto Nacional de Saúde Dr. Ricardo Jorge, Lisboa, Portugal
  • f Unidade de Epidemiologia, Instituto de Medicina Preventiva e Saúde Pública, Universidade de Lisboa, Lisboa, Portugal
  • g Unidade de Epidemiologia, Instituto de Medicina Preventiva e Saúde Pública, Universidade de Lisboa, Lisboa, Portugal, Direcção de Serviços de Informação e Análise, Lisboa, Portugal
  • h Unidade de Epidemiologia, Instituto de Medicina Preventiva e Saúde Pública, Universidade de Lisboa, Lisboa, Portugal
  • i Unidade de Epidemiologia, Instituto de Medicina Preventiva e Saúde Pública, Universidade de Lisboa, Lisboa, Portugal

Abstract

Introduction: In Portugal, the frequency of patient with treated and controlled hypertension is low. It is unknown the relation of socio-economic determinants with hypertension control, particularly in African immigrants. Aims: To compare frequency of control in treated hypertension and to identify characteristics associated with uncontrolled and treated hypertension between Portuguese natives (Caucasian) and Portuguese Speaking African Coutries immigrants (black). Material and Methods: Cross-sectional study of patients with treated hypertension, 40-80 years old, randomized from Primary Health Care of Lisbon Region. We collected sociodemographic, clinical and health care data through structured interviews. We compared the frequency of patients with uncontrolled hypertension, and identified related factors through univariate and multivariate analysis. Results: In this study participated 786 patients with treated hypertension (participation rate: 71%): 449 natives and 337 immigrants. Of these, 46% had controlled hypertension. Diastolic blood pressure was higher in younger immigrants. Were associated with no control, in natives, male sex, low education, going to emergency and/or nursing services and not looking for the family doctor; on immigrants, being single, using the pharmacist, the number of years of illness and intentional non-adherence. Discussion: Treated hypertension control has been increasing for last years. Natives and immigrants differ, regarding blood pressure control, relatively to the frequency of family doctor consultation, and resorting to other services and health professionals. These differences didnt reflect in statistically different control rates. Conclusions: It is needed to define strategies to control hypertension in primary health care specific for ethnic groups. © Ordem dos Médicos 2016.

Author Keywords

Portugal Primary health care Hypertension/prevention & control Ethnic groups Socioeconomic factors

Index Keywords

educational status immigrant nursing demography Portugal human middle aged comparative study hypertension Aged ethnology Cross-Sectional Studies cross-sectional study migrant Humans Black person African Continental Ancestry Group male Emigrants and Immigrants female Aged, 80 and over Socioeconomic Factors very elderly Africa socioeconomics Article disease control adult emergency health service structured interview pharmacist diastolic blood pressure Portuguese (citizen) primary health care
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84962338947&doi=10.20344%2famp.6714&partnerID=40&md5=617037d72ff4ad5f926c4a8de0721697
DOI: 10.20344/amp.6714
ISSN: 0870399X
Original Language: Portuguese