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dc.rights.licenseCreative Commons Attribution 4.0 International License
dc.contributor.authorLondoño Agudelo, Estebanen
dc.contributor.authorRodríguez Salvá, Armandoen
dc.contributor.authorDíaz Piñera, Addysen
dc.contributor.authorGarcía Roche, Renéen
dc.contributor.authorDe Vos, Polen
dc.contributor.authorBattaglioli, Tulliaen
dc.contributor.authorVan der Stuyft, Patricken
dc.date.accessioned2019-03-11T15:18:37Z
dc.date.available2019-03-11T15:18:37Z
dc.date.issued2019-01-30
dc.identifier.citationLondoño Agudelo, E., Rodríguez Salvá, A., Díaz Piñera, A., García Roche, R., De Vos, P., Battaglioli, T. & Van der Stuyft, P. (2019) Assessment of hypertension management and control: A registry-based observational study in two municipalities in Cuba. BMC Cardiovascular Disorders, 19 (29).en
dc.identifier.issn1471-2261en
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/9581
dc.identifier.urihttps://doi.org/10.1186/s12872-019-1006-6
dc.descriptionPol De Vos - ORCID: 0000-0002-1672-6469 https://orcid.org/0000-0002-1672-6469en
dc.description.abstractBackground - To determine the prevalence of hypertension treatment and control among hypertensive patients in the Cuban municipalities of Cardenas and Santiago and to explore the main associated predictors. Methods - Cross-sectional study, with multistage cluster sampling, conducted between February 2012 and January 2013 in two Cuban municipalities. We interviewed and measured blood pressure in 1333 hypertensive patients aged 18 years or older. Hypertension control was defined as blood pressure lower than 140/90 mmHg. Results - The mean age ± standard deviation (SD) of participants was 59.8 ± 14 years, the mean systolic and diastolic blood pressure ± SD was 130.0 ± 14.4 and 83.1 ± 9.0 mmHg respectively. The majority of patients (91, 95%CI 90–93) were on pharmacological treatment, 49% with a combination of 2 or more classes of drugs. Among diagnosed hypertensive patients 58% (95%CI 55–61) had controlled hypertension. There was no association between hypertension control and gender, age and socio-economic condition. Levels of hypertension control depended on health area and control furthermore was positively associated with post-primary education, not being obese and white ethnicity: adjusted Odds Ratio (95% CI) 1.71 (1.26–2.34), 1.43 (1.09–1.88) and 1.41 (1.09–1.81) respectively. Conclusions - The observed figures are outstanding at the international level and illustrate that hypertension treatment and control are achievable in a resource-constrained setting such as Cuba. The country’s primary health care approach and social equity in access to health care can be seen as key determinants of this success. Nevertheless, there is still room for improvement, as over a third of patients did not have controlled hypertension.en
dc.description.sponsorshipThe research was funded by the Cuban Ministry of Public Health and through a framework agreement between the Cuban National Institute of Hygiene, Epidemiology and Microbiology (INHEM), the Institute of Tropical Medicine (Antwerp), and the Belgian Directorate-general for Development Cooperation.en
dc.language.isoenen
dc.publisherBioMed Centralen
dc.relation.ispartofBMC Cardiovascular Disordersen
dc.rights© The Author(s). 2019
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectHypertensionen
dc.subjectCubaen
dc.subjectChronic Diseaseen
dc.subjectTreatmenten
dc.subjectAntihypertensive Agentsen
dc.subjectPrimary Health Careen
dc.titleAssessment of hypertension management and control: A registry-based observational study in two municipalities in Cubaen
dc.typeArticleen
dcterms.accessRightspublic
dcterms.dateAccepted2019-01-23
dc.description.volume19en
dc.description.ispublishedpub
rioxxterms.typeJournal Article/Reviewen
rioxxterms.publicationdate2019-01-30
refterms.dateFCA2019-03-11
refterms.dateFCD2019-03-11
refterms.depositExceptionpublishedGoldOAen
refterms.accessExceptionNAen
refterms.technicalExceptionNAen
refterms.panelUnspecifieden
qmu.authorDe Vos, Polen
qmu.centreInstitute for Global Health and Developmenten
dc.description.statuspub
dc.description.number29en
refterms.versionVoRen
refterms.dateDeposit2019-03-11


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Creative Commons Attribution 4.0 International License
Except where otherwise noted, this item's license is described as Creative Commons Attribution 4.0 International License