المؤلفون: Institute of Medicine (U.S.). Committee on Public Health Priorities to Reduce and Control Hypertension in the U.S. Population.

مصطلحات موضوعية: Centers for Disease Control and Prevention (U.S.), Centers for Disease Control and Prevention (U.S.). Division for Heart Disease and Stroke Prevention., United States Government Agencies., Health Policy., Community Health Planning., Hypertension -- prevention & control., Hypertension -- Prevention -- Government policy -- United States., Hypertension -- prevention & control -- United States., Community Health Planning -- United States., Health Policy -- United States., United States Government Agencies -- United States.

جغرافية الموضوع: United States.

الوصف: "Hypertension is one of the leading causes of death in the United States, affecting nearly one in three Americans. It is prevalent in adults and endemic in the older adult population. Hypertension is a major contributor to cardiovascular morbidity and disability. Although there is a simple test to diagnose hypertension and relatively inexpensive drugs to treat it, the disease is often undiagnosed and uncontrolled. A Population-Based Policy and Systems Change Approach to the Prevention and Control Hypertension identifies a small set of high-priority areas in which public health officials can focus their efforts to accelerate progress in hypertension reduction and control. It offers several recommendations that embody a population-based approach grounded in the principles of measurement, system change, and accountability. The recommendations are designed to shift current hypertension reduction strategies from an individual-based approach to a population-based approach. They are also designed to improve the quality of care provided to individuals with hypertension and to strengthen the Center for Disease Control and Prevention's leadership in seeking a reduction in the sodium intake in the American diet to meet dietary guidelines. The book is an important resource for federal public health officials and organizations, especially the Center for Disease Control and Prevention, as well as medical professionals and community health workers."--Publisher's description.

المؤلفون: Santos, Rafaella Zulianello dos, Bonin, Christiani Decker Batista, Martins, Eliara Ten Caten, Pereira Junior, Moacir, Ghisi, Gabriela Lima de Melo, Macedo, Kassia Rosangela Paz de, Benetti, Magnus

المصدر: Arquivos Brasileiros de Cardiologia. January 2018 110(1)

مصطلحات موضوعية: Hypertension / prevention & control, Rehabilitation, Health Education, Validation Studies as Topic

الوصف: Background: The absence of instruments capable of measuring the level of knowledge of hypertensive patients in cardiac rehabilitation programs about their disease reflects the lack of specific recommendations for these patients. Objective: To develop and validate a questionnaire to evaluate the knowledge of hypertensive patients in cardiac rehabilitation programs about their disease. Methods: A total of 184 hypertensive patients (mean age 60.5 ± 10 years, 66.8% men) were evaluated. Reproducibility was assessed by calculation of the intraclass correlation coefficient using the test-retest method. Internal consistency was assessed by the Cronbach’s alpha and the construct validity by the exploratory factorial analysis. Results: The final version of the instrument had 17 questions organized in areas considered important for patient education. The instrument proposed showed a clarity index of 8.7 (0.25). The intraclass correlation coefficient was 0.804 and the Cronbach’s correlation coefficient was 0.648. Factor analysis revealed five factors associated with knowledge areas. Regarding the criterion validity, patients with higher education level and higher family income showed greater knowledge about hypertension. Conclusion: The instrument has a satisfactory clarity index and adequate validity, and can be used to evaluate the knowledge of hypertensive participants in cardiac rehabilitation programs.

وصف الملف: text/html

URL الوصول: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2018000100060

المؤلفون: Firmo, Josélia Oliveira Araújo, Mambrini, Juliana Vaz de Melo, Peixoto, Sérgio Viana, Loyola Filho, Antônio Ignácio de, Souza Junior, Paulo Roberto Borges de, Andrade, Fabíola Bof de, Lima-Costa, Maria Fernanda

المصدر: Revista de Saúde Pública. January 2018 52(2)

مصطلحات موضوعية: Aged, Hypertension, prevention & control, Socioeconomic Factors, Health Surveys

الوصف: OBJECTIVE To estimate the prevalence of adequate control of hypertension among older adults and to examine its association with predisposing and enabling factors and the need to use health services. METHODS The analysis was carried out with 4,148 participants (≥ 50 years) from the baseline of the Brazilian Longitudinal Study of Aging (ELSI-Brazil), who reported being hypertensive and using antihypertensive medication. Adequate control of hypertension was defined as systolic and diastolic blood pressure below 140 mmHg and 90 mmHg, respectively. The following exploratory variables were included: age, sex, health behaviors, and body mass index (predisposing factors); region of residence, rural or urban residence, education level, socioeconomic status of the household, and coverage by private health plan (enabling factors); and medical diagnosis of diabetes (need). The multivariate analysis was performed using Poisson regression and binary logistic regression. RESULTS The prevalence of adequate control of hypertension was equal to 51.1% (95%CI 48.5–53.6). After adjusting for potential confounders, we observed statistically significant associations (p < 0.05) for education level > 4 years [prevalence ratio (PR) = 1.12 in relation to the lowest level], highest quintile of the socioeconomic status (PR = 1.22 in relation to the lowest quintile), coverage by private health plan (PR = 1.13), residence in the South (PR = 1.19) and Midwest regions (PR = 1.20) in relation to the Southeast region, and obesity (PR = 1.10). CONCLUSIONS Half of the population studied had adequate control of hypertension. The improvement of this control is an important challenge, which should consider overcoming social and regional inequalities associated with it.

وصف الملف: text/html

URL الوصول: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102018000300511

المساهمون: Madbak, Firas, editor., Dangleben, Dale A., editor.

مصطلحات موضوعية: Abdomen -- surgery., Abdominal Wound Closure Techniques., Abdominal Injuries -- surgery., Intra-Abdominal Hypertension -- prevention & control., Wound Closure Techniques -- instrumentation.

المؤلفون: Kjellgren, Karin

المساهمون: Ahlner, Johan, Perago marknadsprojekt, Merck Sharp & Dohme (Sweden)

مصطلحات موضوعية: Hypertension: prevention & control: popular works, Hypertoni

المؤلفون: Hoepfner, Clóvis, Longo, Morgana, Coiradas, Andressa de Oliveira, Teixeira, Laíssa Mara Rodrigues

المصدر: International Journal of Cardiovascular Sciences. June 2017 30(3)

مصطلحات موضوعية: Hypertension / prevention & control, Hypertension / epidemiology, Prevalence, Inertia, Health Centers, Primary Health Care, Health Education

الوصف: Background: A continuing education program for health professionals improves their performance and increases hypertension control rates. Objective: To estimate the prevalence of hypertension control and therapeutic inertia among adults treated at Primary Health Care Units after a continuing education program focused on cardiology for health professionals. Methods: A cross-sectional study was carried out, which included cluster sampling and analysis of medical records. We evaluated 463 patients with high blood pressure and analyzed the blood pressure, medications, and therapeutic increments in 2013, which were compared to the data obtained in 2007. Results: There was prevalence of female patients and appointments at the Family Health Care Units. The age ranged between 24 and 92 years (mean of 61.7 years). There was a reduction in the mean blood pressure (148.62/91.60 ± 23.52/14.51 mmHg to 137.60/84.03 ± 21.84/12.72) between the first and last records, and BP control in 58% of the sample, that is, higher than the 36.6% found in 2007. In the analyzed period, there was a therapeutic increment of 39% in appointments, which benefited 52% patients with high blood pressure, higher than the 12% and 29.5%, respectively, found in 2007. The mean number of drugs per patient increased from 1.85 to 2.05, with a predominance of diuretics and angiotensin-converting-enzyme inhibitors. Conclusion: There was a reduction in the clinical inertia and increased control of arterial hypertension was observed, compared with the findings of the previous study. The result suggests that the matricial support program for health professionals and other measures to improve disease control in the Primary Health Care Units were effective.

وصف الملف: text/html

URL الوصول: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-56472017000300199

المؤلفون: Campos, Cássia Lima de, Pierin, Angela Maria Geraldo, Pinho, Natalia Alencar de

المصدر: einstein (São Paulo). March 2017 15(1)

مصطلحات موضوعية: Hypertension/prevention & control, Health knowledge, attitudes, practice

الوصف: Objective To characterize hypertensive patients after admission to hospital considering the current status, compliance to treatment, habits and lifestyle, and knowledge and beliefs about the disease. Methods This was an exploratory study with 265 hypertensive patients admitted to a medical inpatients unit of a university hospital. Data were collected in an interview over the telephone. The level of significance was set as p<0.05. Results It was found that 32% of hypertensive patients had died. One hundred patients were interviewed, mean age of 64.15 (13.2) years, 51% were women, 56% non-white, 51% with primary education, 52% were retired, 13% were smokers, 38% used alcohol, 80% did not perform physical exercise, and the mean body mass index was 35.9 (15.5) kg/m2. The comorbidities were heart problem (52%), diabetes (49%) and stroke (25%). As to antihypertensive treatment, 75% were on use, 17.3% stopped taking them and 21.3% missed visits. The treatment sites were the primary care unit (49%) and hospital (36%). As for knowledge and beliefs, 25% believed hypertension is curable, 77% that treatment should last for the rest of their lives, and hypertension brings complications (84%). A total of 46.7% were controlled. The lack of control was associated (p<0.05) with non-white ethnicity and absence of heart problems. Conclusion There were significant deaths occurred after hospitalization and poor control of blood pressure, probably due to inadequate habits and lifestyles and non-compliance to antihypertensive treatment.

وصف الملف: text/html

URL الوصول: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082017000100045

المساهمون: Martin, Laurie T. (Laurie Thayer), 1974-

مصطلحات موضوعية: Hypertension -- prevention & control., Socioeconomic Factors., Quality of Health Care., Office Visits., Healthcare Disparities., Hypertension -- United States -- Prevention., Patient compliance -- United States.

جغرافية الموضوع: United States., United States

الوصف: In 2009, CIGNA Healthcare and RAND partnered in an initiative that examined the extent to which small financial incentives for patients can motivate physician visits and reduce racial/ethnic disparities in hypertension (HTN). The aims were (1) To assess whether a one-time $15 patient financial incentive, along with educational materials sent to patients, would be effective in motivating individuals with HTN to see their personal physician, compared with educational materials only or no intervention; (2) to determine if patient incentives encourage the control of or improvement in BP for high-risk individuals relative to educational materials only or no intervention; and (3) to assess whether patient incentives and educational materials are differentially effective across racial/ethnic groups in motivating physician visits and improving BP control and whether these differential effects lead to a reduction in racial/ethnic disparities in HTN. The initiative had a significant effect on those who had not seen a physician in over a year. Although individuals with systolic blood pressure (SBP) between 120 and 139 or diastolic blood pressure (DBP) between 80 and 89 at baseline demonstrated significant and sustainable reductions in SBP over time, the initiative did not have a differential impact on lowering blood pressure over time by race/ethnicity. The report also includes evaluations of the initiative by patients and physicians.

المؤلفون: Josélia Oliveira Araújo Firmo, Juliana Vaz de Melo Mambrini, Sérgio Viana Peixoto, Antônio Ignácio de Loyola Filho, Paulo Roberto Borges de Souza Junior, Fabíola Bof de Andrade, Maria Fernanda Lima-Costa

المصدر: Revista de Saúde Pública, Vol 52, Iss suppl 2 (2018)

مصطلحات موضوعية: Aged, Hypertension, prevention & control, Socioeconomic Factors, Health Surveys, Public aspects of medicine, RA1-1270

الوصف: ABSTRACT OBJECTIVE To estimate the prevalence of adequate control of hypertension among older adults and to examine its association with predisposing and enabling factors and the need to use health services. METHODS The analysis was carried out with 4,148 participants (≥ 50 years) from the baseline of the Brazilian Longitudinal Study of Aging (ELSI-Brazil), who reported being hypertensive and using antihypertensive medication. Adequate control of hypertension was defined as systolic and diastolic blood pressure below 140 mmHg and 90 mmHg, respectively. The following exploratory variables were included: age, sex, health behaviors, and body mass index (predisposing factors); region of residence, rural or urban residence, education level, socioeconomic status of the household, and coverage by private health plan (enabling factors); and medical diagnosis of diabetes (need). The multivariate analysis was performed using Poisson regression and binary logistic regression. RESULTS The prevalence of adequate control of hypertension was equal to 51.1% (95%CI 48.5–53.6). After adjusting for potential confounders, we observed statistically significant associations (p < 0.05) for education level > 4 years [prevalence ratio (PR) = 1.12 in relation to the lowest level], highest quintile of the socioeconomic status (PR = 1.22 in relation to the lowest quintile), coverage by private health plan (PR = 1.13), residence in the South (PR = 1.19) and Midwest regions (PR = 1.20) in relation to the Southeast region, and obesity (PR = 1.10). CONCLUSIONS Half of the population studied had adequate control of hypertension. The improvement of this control is an important challenge, which should consider overcoming social and regional inequalities associated with it.

وصف الملف: electronic resource

Relation: http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0034-89102018000300511&lng=en&tlng=en; https://doaj.org/toc/1518-8787

URL الوصول: https://doaj.org/article/569f4c16f70b4640be177943d6aae502

المؤلفون: Slon, Stephanie.

المساهمون: Zusman, Randall M., Harvard Medical School., Harvard Medical School. Health Publications Group.

مصطلحات موضوعية: Hypertension -- therapy., Hypertension -- prevention & control., Hypertension., Popular Works.