Skip to main content
Top
Published in: BMC Public Health 1/2016

Open Access 01-12-2016 | Research article

Socio-demographic caracteristics and prevalence of risk factors in a hypertensive and diabetics population: a cross-sectional study in primary health care in Brazil

Authors: Julio Baldisserotto, Luciane Kopittke, Fulvio Borges Nedel, Silvia Pasa Takeda, Claunara Schilling Mendonça, Sérgio Antonio Sirena, Margarita Silva Diercks, Lena Azeredo de Lima, Belinda Nicolau

Published in: BMC Public Health | Issue 1/2016

Login to get access

Abstract

Background

Systemic arterial hypertension and diabetes mellitus, and their related morbidity and mortality, are currently the most common public health problems and also a higher burden of disease in Brazil. They represent a real challenge for primary health care. This study describes the methodology and baseline data of an adult population with hypertension and diabetes attending in primary health care.

Methods

It is a cross sectional study which presents data from a longitudinal research. 3784 adults were randomly selected from the registry of a health service in Porto Alegre, Brazil. The eligibility criteria were: confirmed diagnosis of hypertension and/or diabetes, consulted at least once in the prior 3 years and 18 years of age or older. Home data collection consisted of a questionnaire with information on demographic, medical history, life style and socio-economic factors.

Results

A total of 2482 users were interviewed (response rate of 71 %). The median age was 64 (IQR = 55.7) and the majority were women (68 %), and married (52 %). Whereas 66.5 % (CI 95 % 64.5-68.3) of the sample had only hypertension, 6.5 % (CI 95 % 5.5-7.5) had diabetes and 27.1 % (CI 95 % 25.3-28.8) had both diseases. The prevalence of diseases increased with age and with fewer years of study (p < 0.05). Subjects with both diseases had significantly more associated comorbidities.

Conclusions

Hypertension and diabetes are more prevalent in older individuals, especially women, and less educated people. People suffering with both chronic conditions simultaneously are more likely to have additional comorbidities.
Literature
1.
go back to reference Malta DC, Cezario AC, Moura L, Morais Neto OL, Silva Junior JB. A construção da vigilância e prevenção das doenças crônicas não transmissíveis no contexto do Sistema Único de Saúde. Epidem Serv Saúde. 2006;15:47–65. Malta DC, Cezario AC, Moura L, Morais Neto OL, Silva Junior JB. A construção da vigilância e prevenção das doenças crônicas não transmissíveis no contexto do Sistema Único de Saúde. Epidem Serv Saúde. 2006;15:47–65.
3.
go back to reference Schmidt MI, Duncan BB, Azevedo e Silva G, Menezes AM, Monteiro CA, Barreto SM, Chor D, Menezes PR. Chronic non-communicable diseases in Brazil: burden and current challenges. Lancet. 2011;377(9781):1949–61.CrossRefPubMed Schmidt MI, Duncan BB, Azevedo e Silva G, Menezes AM, Monteiro CA, Barreto SM, Chor D, Menezes PR. Chronic non-communicable diseases in Brazil: burden and current challenges. Lancet. 2011;377(9781):1949–61.CrossRefPubMed
5.
go back to reference Abegunde DO, Mathers CD, Adam T, Ortegon M, Strong K. The burden and costs of chronic diseases in low-income and middle income countries. Lancet. 2007;370:1929–38.CrossRefPubMed Abegunde DO, Mathers CD, Adam T, Ortegon M, Strong K. The burden and costs of chronic diseases in low-income and middle income countries. Lancet. 2007;370:1929–38.CrossRefPubMed
6.
go back to reference Beaglehole R, Epping-Jordan J, Patel V, Chopra M, Ebrahim S, Kidd M, et al. Improving the prevention and management of chronic disease in low-income and middle-income countries: a priority for primary health care. Lancet. 2008;372(9642):940–9. doi:10.1016/S0140-6736(08)61404-X.CrossRefPubMed Beaglehole R, Epping-Jordan J, Patel V, Chopra M, Ebrahim S, Kidd M, et al. Improving the prevention and management of chronic disease in low-income and middle-income countries: a priority for primary health care. Lancet. 2008;372(9642):940–9. doi:10.​1016/​S0140-6736(08)61404-X.CrossRefPubMed
7.
go back to reference Starfield B. Primary care: balancing health needs, services, and technology. New York: Oxford University Press; 1998. Starfield B. Primary care: balancing health needs, services, and technology. New York: Oxford University Press; 1998.
8.
go back to reference Onysko J, Maxwell C, Eliasziw M, et al. Large Increase in Hypertension Diagnosis and Treatment in Canada after a healthcare profesional education program. Hypertension. 2006;48:853–60.CrossRefPubMed Onysko J, Maxwell C, Eliasziw M, et al. Large Increase in Hypertension Diagnosis and Treatment in Canada after a healthcare profesional education program. Hypertension. 2006;48:853–60.CrossRefPubMed
9.
go back to reference Ordunez-Garcia P, Munoz JLB, Pedraza D, Brito AE, Silva LC, Cooper RS. Success in control of hypertension in a low-resource setting: the Cuban experience. USA J Hypertens. 2006;24(5):845–9. Ordunez-Garcia P, Munoz JLB, Pedraza D, Brito AE, Silva LC, Cooper RS. Success in control of hypertension in a low-resource setting: the Cuban experience. USA J Hypertens. 2006;24(5):845–9.
10.
go back to reference Campbell RC, McAlister FA, Quan H. Monitoring and evaluating efforts to control hypertension in Canada: Why, how, and what it tells us needs to be done about current care gaps. Can J Cardiol. 2013;29(5):564–70.CrossRefPubMed Campbell RC, McAlister FA, Quan H. Monitoring and evaluating efforts to control hypertension in Canada: Why, how, and what it tells us needs to be done about current care gaps. Can J Cardiol. 2013;29(5):564–70.CrossRefPubMed
11.
go back to reference Malta DC, Moura EC, Morais Neto OL. Desigualdades de sexo e escolaridade em fatores de risco e proteção para doenças crônicas em adultos brasileiros, por meio de inquéritos telefônicos. Rev Bras Epidemiol. 2011;14 Suppl 1:125–35. doi:10.1590/S1415790X2011000500013.CrossRefPubMed Malta DC, Moura EC, Morais Neto OL. Desigualdades de sexo e escolaridade em fatores de risco e proteção para doenças crônicas em adultos brasileiros, por meio de inquéritos telefônicos. Rev Bras Epidemiol. 2011;14 Suppl 1:125–35. doi:10.​1590/​S1415790X2011000​500013.CrossRefPubMed
13.
go back to reference Hospital Nossa Senhora da Conceição. Serviço de Saúde Comunitária. Apoio Técnico em Monitoramento e Avaliação. Sistema de Informações (SIS-SSC). INDICADORES DE SAÚDE. Mês de referência: 2010 Mar. Hospital Nossa Senhora da Conceição. Serviço de Saúde Comunitária. Apoio Técnico em Monitoramento e Avaliação. Sistema de Informações (SIS-SSC). INDICADORES DE SAÚDE. Mês de referência: 2010 Mar.
15.
go back to reference Associação Brasileira de Empresas de Pesquisa. Critério de classificação econômica Brasil. São Paulo: Abep; CCEB 2013-Base LSE; 2011. Available from: www.abep.org/criterio-brasil. [Accessed March 2011]. Associação Brasileira de Empresas de Pesquisa. Critério de classificação econômica Brasil. São Paulo: Abep; CCEB 2013-Base LSE; 2011. Available from: www.​abep.​org/​criterio-brasil. [Accessed March 2011].
17.
go back to reference Benedetti TRB, Antunes PC, Rodriguez-Anez CR, Mazo GZ, Petrosk EL. Reprodutibilidade e validade do Questionário Internacional de Atividade Física (IPAQ) em homens idosos. Rev Bras Med Esporte. 2007;13:1.CrossRef Benedetti TRB, Antunes PC, Rodriguez-Anez CR, Mazo GZ, Petrosk EL. Reprodutibilidade e validade do Questionário Internacional de Atividade Física (IPAQ) em homens idosos. Rev Bras Med Esporte. 2007;13:1.CrossRef
18.
go back to reference Shayesta D, Jacek K. The CAGE questionnaire for alcohol misuse: A review of reliability and validity studies. Clin Invest Med. 2007;30(1):33–41. Shayesta D, Jacek K. The CAGE questionnaire for alcohol misuse: A review of reliability and validity studies. Clin Invest Med. 2007;30(1):33–41.
19.
go back to reference Lima LA, Nedel FB, Olinto MT, Baldisserotto J. Food habits of hypertensive and diabetics cared for in a Primary Health Care service in the South of Brazil. Rev Nutr. 2015;28(2):197–206.CrossRef Lima LA, Nedel FB, Olinto MT, Baldisserotto J. Food habits of hypertensive and diabetics cared for in a Primary Health Care service in the South of Brazil. Rev Nutr. 2015;28(2):197–206.CrossRef
21.
22.
go back to reference Newson JT, Huguet N, Ramage-Morin PL, McCarthy MJ, Bernier J, Kaplan MS, et al. Health behaviour changes after diagnosis of chronic illness among Canadians aged 50 or older. Health Rep. 2012;23(4):49–53.PubMed Newson JT, Huguet N, Ramage-Morin PL, McCarthy MJ, Bernier J, Kaplan MS, et al. Health behaviour changes after diagnosis of chronic illness among Canadians aged 50 or older. Health Rep. 2012;23(4):49–53.PubMed
23.
go back to reference Iser BPM, Claro RM, M E C de, Malta DC, Morais Neto OL. Fatores de risco e proteção para doenças crônicas não transmissíveis obtidos por inquérito telefônico - VIGITEL Brasil - 2009. Rev Bras Epidemiol. 2011;14(Suppl 1): 90-102. DOI/10.1590/S1415-790X2011000500010. Iser BPM, Claro RM, M E C de, Malta DC, Morais Neto OL. Fatores de risco e proteção para doenças crônicas não transmissíveis obtidos por inquérito telefônico - VIGITEL Brasil - 2009. Rev Bras Epidemiol. 2011;14(Suppl 1): 90-102. DOI/10.​1590/​S1415-790X201100050001​0.
24.
go back to reference Alderman MH. Does blood pressure control require a Cuban-style revolution? USA J Hypertens. 2006;24:811–2.CrossRef Alderman MH. Does blood pressure control require a Cuban-style revolution? USA J Hypertens. 2006;24:811–2.CrossRef
25.
go back to reference Mendonça CS, Harzheim E, Duncan BB, Nunes LN, Leyh W. Trends in hospitalizations for primary care sensitive conditions following the implementation of Family Health Teams in Belo Horizonte, Brazil. Health Policy Plan. 2012;27(4):348–55. doi:10.1093/heapol/czr043.CrossRefPubMed Mendonça CS, Harzheim E, Duncan BB, Nunes LN, Leyh W. Trends in hospitalizations for primary care sensitive conditions following the implementation of Family Health Teams in Belo Horizonte, Brazil. Health Policy Plan. 2012;27(4):348–55. doi:10.​1093/​heapol/​czr043.CrossRefPubMed
28.
go back to reference Smith SM, Soubhi H, Fortin M, Hudon C, O'Dowd T. Interventions for improving outcomes in patients with multimorbidity in primary care and community settings. Cochrane Database Syst Rev. 2012, Issue 4. Art. No.: CD006560. DOI: 10.1002/14651858. Smith SM, Soubhi H, Fortin M, Hudon C, O'Dowd T. Interventions for improving outcomes in patients with multimorbidity in primary care and community settings. Cochrane Database Syst Rev. 2012, Issue 4. Art. No.: CD006560. DOI: 10.​1002/​14651858.
29.
go back to reference Santos IS, Victora CG. Serviços de Saúde: Epidemiologia, pesquisa e avaliação. Rio J Cad Saude Publica. 2004;20(Sup 2):337–41.CrossRef Santos IS, Victora CG. Serviços de Saúde: Epidemiologia, pesquisa e avaliação. Rio J Cad Saude Publica. 2004;20(Sup 2):337–41.CrossRef
30.
go back to reference Duncan BB, Chor D, Aquino EML, Bensenor IM, Mill JG, Schmidt MI, et al. Chronic non-communicable diseases in Brazil: priorities for disease management and research. Rev Saúde Pública. 2012;46(Supl):126–34.CrossRefPubMed Duncan BB, Chor D, Aquino EML, Bensenor IM, Mill JG, Schmidt MI, et al. Chronic non-communicable diseases in Brazil: priorities for disease management and research. Rev Saúde Pública. 2012;46(Supl):126–34.CrossRefPubMed
31.
go back to reference Aquino EM, Barreto SM, Bensenor IM, Carvalho MS, Chor D, Duncan BB, et al. Longitudinal Study of Adult Health (ELSA-Brasil): objectives and design. Am J Epidemiol. 2012;175(4):315–24.CrossRefPubMed Aquino EM, Barreto SM, Bensenor IM, Carvalho MS, Chor D, Duncan BB, et al. Longitudinal Study of Adult Health (ELSA-Brasil): objectives and design. Am J Epidemiol. 2012;175(4):315–24.CrossRefPubMed
Metadata
Title
Socio-demographic caracteristics and prevalence of risk factors in a hypertensive and diabetics population: a cross-sectional study in primary health care in Brazil
Authors
Julio Baldisserotto
Luciane Kopittke
Fulvio Borges Nedel
Silvia Pasa Takeda
Claunara Schilling Mendonça
Sérgio Antonio Sirena
Margarita Silva Diercks
Lena Azeredo de Lima
Belinda Nicolau
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2016
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-016-3230-7

Other articles of this Issue 1/2016

BMC Public Health 1/2016 Go to the issue