{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T18:08:00Z","timestamp":1789150080722,"version":"build-2803163510"},"reference-count":16,"publisher":"Public Library of Science (PLoS)","issue":"9","license":[{"start":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:00Z","timestamp":1789084800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004861","name":"Mackay Memorial Hospital","doi-asserted-by":"publisher","award":["115012602"],"award-info":[{"award-number":["115012602"]}],"id":[{"id":"10.13039\/501100004861","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004861","name":"Mackay Memorial Hospital","doi-asserted-by":"publisher","award":["115012602"],"award-info":[{"award-number":["115012602"]}],"id":[{"id":"10.13039\/501100004861","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004861","name":"Mackay Memorial Hospital","doi-asserted-by":"publisher","award":["115012602"],"award-info":[{"award-number":["115012602"]}],"id":[{"id":"10.13039\/501100004861","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004861","name":"Mackay Memorial Hospital","doi-asserted-by":"publisher","award":["115012602"],"award-info":[{"award-number":["115012602"]}],"id":[{"id":"10.13039\/501100004861","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004861","name":"Mackay Memorial Hospital","doi-asserted-by":"publisher","award":["115012602"],"award-info":[{"award-number":["115012602"]}],"id":[{"id":"10.13039\/501100004861","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004861","name":"Mackay Memorial Hospital","doi-asserted-by":"publisher","award":["115012602"],"award-info":[{"award-number":["115012602"]}],"id":[{"id":"10.13039\/501100004861","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:p>Cardiovascular disease is the\u00a0world\u2019s\u00a0leading cause of death, and raised blood pressure is among its most important modifiable contributors. Conflict tends to interrupt the long-term care that hypertension demands, yet little screening data exist from settings of active conflict. We set out to describe screen-detected raised blood pressure, and the hypertension care cascade, among adults seen at a humanitarian medical mission in Ukraine. In this cross-sectional study we included adults (\u2265 18 years) seen consecutively at a MacKay Memorial Hospital mission across three Ukrainian sites in April 2026. Blood pressure was taken once, and we counted a participant as having raised blood pressure if that single reading was\u2009\u2265\u2009140\/90 mmHg or they reported a previous hypertension diagnosis. Prevalence is reported with Wilson 95% confidence intervals and standardized to the World Health Organization world population; adjusted prevalence ratios come from modified Poisson regression with robust variance. For the cardiovascular screening stream we also described awareness, treatment, and control. Of 364 adults (mean age 52.5 years; 63.2% women), 65.7% of the 341 with complete outcome data had raised blood pressure on the crude estimate (95% confidence interval 60.5\u201370.5), falling to 54.7% (48.1\u201361.3) after age standardization. Prevalence climbed with age and was higher in men. Older age (adjusted prevalence ratio 1.19 per 10 years, 1.11\u20131.27), male sex (1.26, 1.08\u20131.47), and obesity (1.24, 1.09\u20131.42) were each independently associated with the outcome. Within the screening stream, 74.6% of those with raised blood pressure were aware, 58.8% were treated, and just 15.8% were controlled; estimates held across multiple imputation and alternative specifications. This was a self-selected sample assessed on a single reading and cannot speak to population prevalence, but the pattern\u2014common raised blood pressure with poor control\u2014makes a reasonable case for building simple screening and a clear referral pathway into missions of this kind.<\/jats:p>","DOI":"10.1371\/journal.pone.0357957","type":"journal-article","created":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T17:25:59Z","timestamp":1789147559000},"page":"e0357957","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Screen-detected raised blood pressure and gaps in the hypertension care cascade among adults attending a humanitarian medical mission in Ukraine: A cross-sectional study"],"prefix":"10.1371","volume":"21","author":[{"given":"Kuan-Ting","family":"Chen","sequence":"first","affiliation":[{"name":"MacKay Memorial Hospital","place":["Taipei, Taiwan"],"department":["Division of Cardiology, Department of Internal Medicine"]},{"name":"International Medical Service Center, MacKay Memorial Hospital","place":["Taipei, Taiwan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-7651-6267","authenticated-orcid":true,"given":"En-Tse","family":"Yen","sequence":"additional","affiliation":[{"name":"MacKay Memorial Hospital","place":["Taipei, Taiwan"],"department":["Department of Orthodontics"]},{"name":"Matsumoto Dental University","place":["Shiojiri, Japan"],"department":["Graduate School of Oral Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kun-Zhe","family":"Tsai","sequence":"additional","affiliation":[{"name":"MacKay Memorial Hospital","place":["Taipei, Taiwan"],"department":["Department of Stomatology"]},{"name":"MacKay Medical University","place":["New Taipei City, Taiwan"]},{"name":"School of Dentistry, Tri-Service General Hospital and National Defense Medical Center","place":["Taipei, Taiwan"],"department":["Department of Periodontology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shih-Ying","family":"Lin","sequence":"additional","affiliation":[{"name":"MacKay Memorial Hospital","place":["Taipei, Taiwan"],"department":["Department of Dentistry"]},{"name":"National Taiwan University","place":["Taipei, Taiwan"],"department":["School of Dentistry, College of Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Regina","family":"Maistrova","sequence":"additional","affiliation":[{"name":"Christian Medical Association of Ukraine","place":["Lviv, Ukraine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7859-2032","authenticated-orcid":true,"given":"Weide","family":"Tsai","sequence":"additional","affiliation":[{"name":"International Medical Service Center, MacKay Memorial Hospital","place":["Taipei, Taiwan"]},{"name":"MacKay Medical University","place":["New Taipei City, Taiwan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2026,9,11]]},"reference":[{"issue":"4","key":"pone.0357957.ref001","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1038\/s41581-019-0244-2","article-title":"The global epidemiology of hypertension","volume":"16","author":"KT Mills","year":"2020","journal-title":"Nat Rev Nephrol"},{"issue":"10304","key":"pone.0357957.ref002","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1016\/S0140-6736(21)01330-1","article-title":"Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: a pooled analysis of 1201 population-representative studies with 104 million participants","volume":"398","author":"NCD Risk Factor Collaboration (NCD-RisC)","year":"2021","journal-title":"Lancet"},{"key":"pone.0357957.ref003","volume-title":"Global report on hypertension: the race against a silent killer","author":"World Health 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