Awareness, treatment and control of hypertension among Filipino immigrants.
J Gen Intern Med
; 29(3): 455-62, 2014 Mar.
Article
em En
| MEDLINE
| ID: mdl-24113806
ABSTRACT
BACKGROUND:
Filipino Americans have high rates of hypertension, yet little research has examined hypertension awareness, treatment, and control in this group.OBJECTIVE:
In a community-based sample of hypertensive Filipino American immigrants, we identify 1) rates of hypertension awareness, treatment, and control; and 2) factors associated with awareness, treatment, and control.DESIGN:
Cross-sectional analysis of survey data from health screenings collected from 2006 to 2010.PARTICIPANTS:
A total of 566 hypertensive Filipino immigrants in New York City, New York and Jersey City, New Jersey. MAINMEASURES:
Hypertension awareness, treatment, and control. Participants were included in analysis if they were hypertensive, based on a past physician diagnosis, antihypertensive medication use, and/or high blood pressure (BP) screening measurements. Demographic variables included sex, age, time in the United States, location of residence, and English spoken language fluency. Health-related variables included self-reported health, insurance status, diabetes diagnosis, high cholesterol diagnosis, clinical measures (body mass index [BMI], glucose, and cholesterol), exercise frequency, smoking status, cardiac event history, family history of cardiac event, and family history of hypertension.RESULTS:
Among the hypertensive individuals, awareness, treatment, and control rates were suboptimal; 72.1 % were aware of their status, 56.5 % were on medication, and only 21.7 % had controlled BP. Factors related to awareness included older age, worse self-reported health, family history of hypertension, and a diagnosis of high cholesterol or diabetes; factors related to treatment included older age, longer time lived in the United States, and being a non-smoker; having health insurance was found to be the main predictor of hypertension control. Many individuals had other cardiovascular disease (CVD) risk factors; 60.4 % had a BMI ≥25, 12.0 % had at-risk glucose measurements and 12.8 % had cholesterol ≥ 240.CONCLUSIONS:
Hypertensive Filipinos exhibit poor hypertension management, warranting increased efforts to improve awareness, treatment and control. Culturally tailored public health strategies must be prioritized to reduce CVD risk factors among at-risk minority populations.
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
1_ASSA2030
/
2_ODS3
Base de dados:
MEDLINE
Assunto principal:
Conscientização
/
Conhecimentos, Atitudes e Prática em Saúde
/
Povo Asiático
/
Emigrantes e Imigrantes
/
Hipertensão
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
America do norte
/
Asia
Idioma:
En
Revista:
J Gen Intern Med
Ano de publicação:
2014
Tipo de documento:
Article