0100/2018 - Prevalência autorreferida de hipertensão e fatores associados em comunidades quilombolas do Rio Grande do Sul, Brasil. Self-reported prevalence of hypertension and associated factors in quilombola communities in the state of Rio Grande do Sul, Brazil.
Esse estudo teve como objetivo identificar a prevalência e fatores associados à hipertensão arterial (HA) em adultos quilombolas do Rio Grande do Sul (RS). Trata-se de um estudo transversal de base populacional, realizado em 2011, com 589 adultos responsáveis por domicílios e amostragem proporcional ao tamanho. O desfecho foi obtido com a pergunta: “Algum médico já lhe disse que você tem hipertensão?”. Foi empregada regressão de Poisson, com variância robusta e entrada hierarquizada das variáveis. Por fim, foram calculadas as frações atribuíveis populacionais por componente (FAPC) para fatores modificáveis associados à HA. A prevalência autorreferida de HA foi de 38,3% (IC95% 31,4%-45,1%). Análise ajustada revelou associação do desfecho com faixa etária, escolaridade, consumo excessivo de álcool, circunferência da cintura acima do adequado e presença de diabetes. A análise dos FAPC revelou que se os indivíduos tivessem maior escolaridade, a prevalência de HA seria reduzida. Diante da elevada prevalência de HA e da extrema vulnerabilidade social dessa população, políticas públicas que garantam seu acesso a direitos fundamentais (saúde, renda e escolaridade) poderiam ter impacto importante na diminuição desse desfecho.
Palavras-chave:
Hipertensão arterial, fatores de risco, comunidades vulneráveis, grupo de ascendência continental africana; estudos de prevalência.
Abstract:
The study aimed to identify the prevalence of arterial hypertension (AH) and possible associated factors in adults residing in quilombola communities in the state of Rio Grande do Sul (RS). A transversal population-based study, carried out in 2011, included 589 adult households in quilombola communities in the state of RS, by sampling proportional to the size. The outcome was obtained by the question: “Has a doctor ever told you that you have hypertension?\". We used Poisson regression with robust variance and hierarchical input variables. Finally, the population attributable fractions were calculated by component (PAFC) for modifiable factors associated to AH. The self-reported prevalence of AH was 38.3% (CI95% 31.4%-45.1%). Adjusted analysis revealed an association of the outcome with the age group, education, excessive alcohol consumption, waist circumference and the presence of diabetes. PAFC analysis revealed that if the individuals had higher schooling, the prevalence of AH would be reduced. Given the high prevalence of AH and the extreme social vulnerability of this population, public policies that guarantee their access to fundamental rights (health, income and schooling) could have a significant impact in reducing this outcome.
Self-reported prevalence of hypertension and associated factors in quilombola communities in the state of Rio Grande do Sul, Brazil.
Resumo (abstract):
The study aimed to identify the prevalence of arterial hypertension (AH) and possible associated factors in adults residing in quilombola communities in the state of Rio Grande do Sul (RS). A transversal population-based study, carried out in 2011, included 589 adult households in quilombola communities in the state of RS, by sampling proportional to the size. The outcome was obtained by the question: “Has a doctor ever told you that you have hypertension?\". We used Poisson regression with robust variance and hierarchical input variables. Finally, the population attributable fractions were calculated by component (PAFC) for modifiable factors associated to AH. The self-reported prevalence of AH was 38.3% (CI95% 31.4%-45.1%). Adjusted analysis revealed an association of the outcome with the age group, education, excessive alcohol consumption, waist circumference and the presence of diabetes. PAFC analysis revealed that if the individuals had higher schooling, the prevalence of AH would be reduced. Given the high prevalence of AH and the extreme social vulnerability of this population, public policies that guarantee their access to fundamental rights (health, income and schooling) could have a significant impact in reducing this outcome.
Pauli, S, Bairros, F.S, Nunes, LN, Neutzling, MB. Prevalência autorreferida de hipertensão e fatores associados em comunidades quilombolas do Rio Grande do Sul, Brasil.. Cien Saude Colet [periódico na internet] (2018/fev). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/prevalencia-autorreferida-de-hipertensao-e-fatores-associados-em-comunidades-quilombolas-do-rio-grande-do-sul-brasil/16633?id=16633&id=16633
