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Awareness, treatment and control of hypertension among Filipino immigrants.
Ursua, Rhodora; Aguilar, David; Wyatt, Laura; Tandon, Shiv Darius; Escondo, Kirklyn; Rey, Mariano; Trinh-Shevrin, Chau.
Afiliação
  • Ursua R; Center for the Study of Asian American Health, New York University School of Medicine, 550 First Avenue, VZN 842, New York, NY, 10016, USA, Rhodora.ursua@nyumc.org.
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. MAIN

MEASURES:

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.
Assuntos

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

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