Drug treatment and blood pressure control of hypertensive adults and elderly in Rio Branco, AcreIntroduction: The control of systemic arterial hypertension is an important public health problem.
Objective: To evaluate blood pressure control and describe the characteristics of drug treatment for hypertensive adults and elderly people.
Methods: Cross-sectional population-based study, carried out with hypertensive patients aged ≥18 years old in the urban and rural areas of the municipality of Rio Branco (AC). Bivariate and multivariate analysis were performed between the blood pressure control outcome among hypertensive patients, and potentially associated variables were performed using odds ratio (OR) and 95% confidence intervals (95%CI).
Results: The proportion of uncontrolled blood pressure was 71.2% among the hypertensive, and 45.7% were not undergoing drug treatment. After adjustment, the chance of having uncontrolled blood pressure was greater among those with mixed hyperlipidemia (OR 3.29; 95%CI 1.20–8.96). Combination therapy (OR 0.20; 95%CI 0.01–0.08) and previous history of cardiovascular diseases (OR 0.35; 95%CI 0.16–0.76) contributed to greater control of the disease.
Conclusion: The prevalence of arterial hypertension control in the study population was low, with mixed hyperlipidemia being the factor associated with this lower control. On the other hand, the presence of other cardiovascular diseases and combined drug therapy contributed to better control.
Keywords:
arterial hypertension; medication therapy; control; epidemiological surveys