{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T10:42:41Z","timestamp":1715596961168},"reference-count":26,"publisher":"FapUNIFESP (SciELO)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Sa\u00fade P\u00fablica"],"published-print":{"date-parts":[[2013,6]]},"abstract":"<jats:p> OBJECTIVE:  To assess the determinants of the lack of pharmacological treatment for hypertension.    METHODS:  In 2005, 3,323 Mozambicans aged 25-64 years old were evaluated. Blood pressure, weight, height and smoking status were assessed following the Stepwise Approach to Chronic Disease Risk Factor Surveillance. Hypertensives (systolic blood pressure \u2265 140 mmHg and\/or diastolic blood pressure \u2265 90 mmHg and\/or antihypertensive drug therapy) were evaluated for awareness of their condition, pharmacological and non-pharmacological management, as well as use of herbal or traditional remedies. Prevalence ratios (PR) were calculated, adjusted for sociodemographic characteristics, cardiovascular risk factors and non-pharmacological treatment.    RESULTS:  Most of the hypertensive subjects (92.3%), and nearly half of those aware of their condition were not treated pharmacologically. Among the aware, the prevalence of untreated hypertension was higher in men {PR = 1.61; 95% confidence interval (95%CI 1.10;2.36)} and was lower in subjects under non-pharmacological treatment (PR = 0.58; 95%CI 0.42;0.79); there was no significant association with traditional treatments (PR = 0.75; 95%CI 0.44;1.26).    CONCLUSIONS:  The lack of pharmacological treatment for hypertension was more frequent in men, and was not influenced by the presence of other cardiovascular risk factors; it could not be explained by the use of alternative treatments as herbal\/traditional medicines or non-pharmacological management. It is important to understand the reasons behind the lack of management of diagnosed hypertension and to implement appropriate corrective actions to reduce the gap in the access to healthcare between developed and developing countries.<\/jats:p>","DOI":"10.1590\/s0034-910.2013047004328","type":"journal-article","created":{"date-parts":[[2013,9,17]],"date-time":"2013-09-17T15:02:09Z","timestamp":1379430129000},"page":"301-308","source":"Crossref","is-referenced-by-count":6,"title":["Low prevalence of hypertension with pharmacological treatments and associated factors"],"prefix":"10.1590","volume":"47","author":[{"given":"Helena","family":"Gama","sequence":"first","affiliation":[{"name":"Universidade do Porto; Universidade do Porto"}]},{"given":"Albertino","family":"Damasceno","sequence":"additional","affiliation":[{"name":"Universidade do Porto; Universidade do Porto; Universidade Eduardo Mondlane"}]},{"given":"Carla","family":"Silva-Matos","sequence":"additional","affiliation":[{"name":"Ministerio da Saude de Mocambique"}]},{"given":"Domingos","family":"Diogo","sequence":"additional","affiliation":[{"name":"Universidade Eduardo Mondlane"}]},{"given":"Ana","family":"Azevedo","sequence":"additional","affiliation":[{"name":"Universidade do Porto; Universidade do Porto"}]},{"given":"Nuno","family":"Lunet","sequence":"additional","affiliation":[{"name":"Universidade do Porto; Universidade do Porto"}]}],"member":"530","reference":[{"issue":"1","key":"ref1","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1161\/HYPERTENSIONAHA.109.132423","article-title":"Hypertension prevalence, awareness, treatment, and control in mozambique: urban\/rural gap during epidemiological transition","volume":"54","author":"Damasceno A","year":"2009","journal-title":"Hypertension"},{"key":"ref2","author":"Fuster V"},{"issue":"9841","key":"ref3","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1016\/S0140-6736(12)60861-7","article-title":"Hypertension in developing countries","volume":"380","author":"Ibrahim MM","year":"2012","journal-title":"Lancet"},{"issue":"3","key":"ref4","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1080\/17441692.2010.510478","article-title":"Assessment of hypertension control in a district of Mombasa, Kenya","volume":"6","author":"Jenson A","year":"2010","journal-title":"Glob Public Health"},{"issue":"1","key":"ref5","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1038\/sj.jhh.1001936","article-title":"Prevalence, awareness and management of hypertension in Cameroon: findings of the 2003 Cameroon Burden of Diabetes Baseline Survey","volume":"20","author":"Kamadjeu RM","year":"2006","journal-title":"J Hum Hypertens"},{"issue":"2","key":"ref6","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1161\/01.HYP.37.2.194","article-title":"Effects of smoking cessation on changes in blood pressure and incidence of hypertension: a 4-year follow-up study","volume":"37","author":"Lee DH","year":"2001","journal-title":"Hypertension"},{"issue":"5","key":"ref7","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1097\/HJR.0b013e3282f21640","article-title":"Screen detection and the WHO stepwise approach to the prevalence and risk factors of arterial hypertension in Kinshasa","volume":"15","author":"Longo-Mbenza B","year":"2008","journal-title":"Eur J Cardiovasc Prev Rehabil"},{"issue":"12","key":"ref8","doi-asserted-by":"crossref","first-page":"2845","DOI":"10.1590\/S0102-311X2007001200005","article-title":"Patterns in the use of medicines by university students in Maputo, Mozambique","volume":"23","author":"Lucas R","year":"2007","journal-title":"Cad Saude Publica"},{"issue":"1","key":"ref9","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1186\/1471-2458-11-322","article-title":"Changing patterns of tobacco consumption in Mozambique: evidence from a migrant study","volume":"11","author":"Lunet N","year":"2011","journal-title":"BMC Public Health"},{"issue":"23","key":"ref10","doi-asserted-by":"crossref","first-page":"2981","DOI":"10.1001\/jama.288.23.2981","article-title":"ALLHAT Officers and Coordinators for the ALLHAT Collaborative Research Group. The Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial. Major outcomes in high-risk hypertensive patients randomized to angiotensin-converting enzyme inhibitor or calcium channel blocker vs diuretic: The Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT)","volume":"288","year":"2002","journal-title":"JAMA"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1186\/1471-2458-10-569","article-title":"Urbanization, ethnicity and cardiovascular risk in a population in transition in Nakuru, Kenya: a population-based survey","volume":"10","author":"Mathenge W","year":"2010","journal-title":"BMC Public Health"},{"issue":"10","key":"ref12","doi-asserted-by":"crossref","first-page":"940","DOI":"10.1093\/aje\/kwg074","article-title":"Estimating the relative risk in cohort studies and clinical trials of common outcomes","volume":"157","author":"McNutt LA","year":"2003","journal-title":"Am J Epidemiol"},{"issue":"2","key":"ref13","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1211\/ijpp.17.02.0005","article-title":"Evaluation of use of herbal medicines among ambulatory hypertensive patients attending a secondary health care facility in Nigeria","volume":"17","author":"Olisa NS","year":"2009","journal-title":"Int J Pharm Pract"},{"issue":"23","key":"ref14","doi-asserted-by":"crossref","first-page":"3536","DOI":"10.1161\/CIRCULATIONAHA.105.597765","article-title":"Cardiovascular disease in sub-Saharan Africa","volume":"112","author":"Opie LH","year":"2005","journal-title":"Circulation"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1186\/1472-6882-10-36","article-title":"Complementary and alternative medicine in the management of hypertension in an urban Nigerian community","volume":"10","author":"Osamor PE","year":"2010","journal-title":"BMC Complement Altern Med"},{"issue":"5","key":"ref16","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1136\/jech.2009.099440","article-title":"Association between tobacco consumption and alcohol, vegetable and fruit intake across urban and rural areas in Mozambique","volume":"65","author":"Padrao P","year":"2011","journal-title":"J Epidemiol Community Health"},{"issue":"5","key":"ref17","doi-asserted-by":"crossref","first-page":"963","DOI":"10.1097\/HJH.0b013e3283282f65","article-title":"Differences in prevalence, awareness, treatment and control of hypertension between developing and developed countries","volume":"27","author":"Pereira M","year":"2009","journal-title":"J Hypertens"},{"issue":"12","key":"ref18","first-page":"1779","article-title":"Determinants of awareness, treatment and control of hypertension in a Portuguese population","volume":"29","author":"Pereira M","year":"2011","journal-title":"Rev Port Cardiol"},{"issue":"4","key":"ref19","doi-asserted-by":"crossref","first-page":"447","DOI":"10.2147\/vhrm.2006.2.4.447","article-title":"Sexual function in hypertensive patients receiving treatment","volume":"2","author":"Reffelmann T","year":"2006","journal-title":"Vasc Health Risk Manag"},{"issue":"9754","key":"ref20","doi-asserted-by":"crossref","first-page":"1785","DOI":"10.1016\/S0140-6736(10)61353-0","article-title":"Prevention and management of chronic disease: a litmus test for health-systems strengthening in low-income and middle-income countries","volume":"376","author":"Samb B","year":"2010","journal-title":"Lancet"},{"issue":"3","key":"ref21","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1016\/j.diabet.2010.10.006","article-title":"Diabetes in Mozambique: Prevalence, management and healthcare challenges","volume":"37","author":"Silva-Matos C","year":"2010","journal-title":"Diabetes Metab"},{"issue":"2","key":"ref22","first-page":"542","article-title":"Prevalence of non-communicable disease risk factors in Eritrea","volume":"16","author":"Usman A","year":"2006","journal-title":"Ethn Dis"},{"issue":"2","key":"ref23","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1007\/s11906-008-0027-9","article-title":"The treatment of hypertension in obese patients","volume":"10","author":"Wofford MR","year":"2008","journal-title":"Curr Hypertens Rep"},{"key":"ref24","first-page":"1","article-title":"World Health Organization. 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