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1.
Front Public Health ; 12: 1385349, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39071149

RESUMO

Background: Arterial hypertension is highly prevalent in Mexico; nevertheless, there are limited insights regarding its management during the COVID-19 pandemic. Here, we estimate the prevalence of clinical and treatment profiles of arterial hypertension and explore associated factors for undiagnosed and uncontrolled hypertension using a cross-sectional survey endorsed by the Collaborative Group on Arterial Hypertension from the Mexican Institute of Social Security. Methods: Our survey was conducted from May to November 2021 using the May-Measurement Month 2021 protocols of the International Society of Hypertension. Arterial hypertension (defined as: blood pressure [BP] ≥140/90 mmHg, previous diagnosis, or taking antihypertensives) and its clinical and treatment profiles were classified according to the World Hypertension League Expert Committee. Mixed-effects logistic regression models were used to explore associated factors for undiagnosed and uncontrolled hypertension. Results: Among 77,145 screened participants (women: 62.4%; median age: 46 [IQR: 32-59] years), the prevalence of arterial hypertension was 35.7% (95% CI: 35.3-36.0, n = 27,540). Among participants with arterial hypertension, 30.9% (95% CI: 30.4-31.5, n = 8,533) were undiagnosed, 6.6% (95% CI: 6.3%-6.9%, n = 1,806) were diagnosed but untreated, 43.4% (95% CI: 42.9-44.0, n = 11,965) had uncontrolled hypertension, and only 19% (95% CI: 18.6%-19.5%, n = 5,236) achieved hypertension control (BP < 130/80 mmHg). Explored associated factors for undiagnosed and uncontrolled hypertension include being men, living in the central and southern regions, lower educational attainments, higher use of pharmacological agents, and previous COVID-19 infection. Conclusion: Our findings suggest that adverse arterial hypertension profiles, mainly undiagnosed and uncontrolled hypertension, were highly prevalent during the context of the COVID-19 pandemic in Mexico.


Assuntos
Anti-Hipertensivos , COVID-19 , Hipertensão , Humanos , México/epidemiologia , Estudos Transversais , Hipertensão/epidemiologia , Feminino , COVID-19/epidemiologia , Masculino , Pessoa de Meia-Idade , Adulto , Prevalência , Anti-Hipertensivos/uso terapêutico , SARS-CoV-2 , Pandemias , Inquéritos e Questionários
2.
Salud Publica Mex ; 51(2): 97-103, 2009.
Artigo em Espanhol | MEDLINE | ID: mdl-19377735

RESUMO

OBJECTIVE: To analyze the current situation of teaching occupational medicine (OM) in academic programs and medical schools in Mexico. MATERIAL AND METHODS: A descriptive survey was conducted and schools were identified through the main directories of medical schools. For the analysis of information descriptive and inferential statistics were used. RESULTS: A total of 75 medical schools were identified. In 39 (52%) the subject is mandatory, with a predominance in public schools (p< 0.02). Among the schools that offer the subject, only 15 (38%) have professors specialized in OM. CONCLUSIONS: Disparity in teaching basic aspects of OM in medical schools explains the little development and social and professional recognition of the specialty; it also highlights serious problems for public health, derived from the lack of prevention of risks in work environments.


Assuntos
Currículo/estatística & dados numéricos , Educação de Graduação em Medicina/estatística & dados numéricos , Medicina do Trabalho/educação , Faculdades de Medicina/estatística & dados numéricos , Coleta de Dados , Educação de Graduação em Medicina/normas , Docentes/estatística & dados numéricos , México , Setor Privado , Setor Público , Faculdades de Medicina/classificação
3.
Salud pública Méx ; 51(2): 97-103, mar.-abr. 2009. tab
Artigo em Espanhol | LILACS | ID: lil-511420

RESUMO

OBJETIVO: Analizar el estado actual de la enseñanza de medicina del trabajo (MT) en facultades y escuelas de medicina en México. MATERIAL Y MÉTODOS: Se llevó a cabo una encuesta descriptiva. Se identificaron facultades y escuelas a través de directorios de organizaciones de educación superior. Para el análisis de la información, se utilizó estadística descriptiva e inferencial. RESULTADOS: De las 75 escuelas y facultades de medicina, 39 (52 por ciento) ofrecen la asignatura como obligatoria, con predominio en planteles públicos (p< 0.02). Sólo 15 (38 por ciento) cuentan con especialistas en MT como profesores. CONCLUSIONES: La disparidad en la enseñanza de aspectos básicos sobre MT en el pregrado explica en parte el poco desarrollo y el pobre reconocimiento social y profesional de la especialidad, lo que desencadena problemas para la salud pública derivados de la escasa prevención de riesgos de trabajo y de conservación de la salud de los trabajadores en los centros laborales.


OBJECTIVE: To analyze the current situation of teaching occupational medicine (OM) in academic programs and medical schools in Mexico. MATERIAL AND METHODS: A descriptive survey was conducted and schools were identified through the main directories of medical schools. For the analysis of information descriptive and inferential statistics were used. RESULTS: A total of 75 medical schools were identified. In 39 (52 percent) the subject is mandatory, with a predominance in public schools (p< 0.02). Among the schools that offer the subject, only 15 (38 percent) have professors specialized in OM. CONCLUSIONS: Disparity in teaching basic aspects of OM in medical schools explains the little development and social and professional recognition of the specialty; it also highlights serious problems for public health, derived from the lack of prevention of risks in work environments.


Assuntos
Currículo/estatística & dados numéricos , Educação de Graduação em Medicina/estatística & dados numéricos , Medicina do Trabalho/educação , Faculdades de Medicina/estatística & dados numéricos , Coleta de Dados , Educação de Graduação em Medicina/normas , Docentes/estatística & dados numéricos , México , Setor Privado , Setor Público , Faculdades de Medicina/classificação
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