Prevalência de hipertensão arterial sistêmica e fatores associados em homens e mulheres residentes em municípios da Amazônia Legal

Abstract

Introduction: Hypertension is a major public health problem due to its high prevalence, low levels of control, and cardiovascular morbidity and mortality. Objective: To analyze the prevalence of hypertension and associated factors in men and women living in the cities of Legal Amazonia. Methods: A population-based, cross-sectional study was carried out with 1,296 adults in the cities of Legal Amazonia. Socio-demographic, lifestyle, and anthropometric data were collected and blood pressure was measured, being considered hypertensive those individuals who had blood pressure ≥ 140/90 mmHg and/or those who reported the use of antihypertensive drugs. Statistical analyzes were performed using the survey module prefix in Stata version 11.0. Results: The prevalence of hypertension was 22.3%. After adjusting, the variables associated with hypertension in men were in the age groups 30 – 39 years (adjusted prevalence ratio [PR] = 2.69; 95%CI 1.49 – 4.86), 40 – 49 years (adjusted PR = 3.28; 95%CI 1.82 – 5.93), and 50 – 59 years (adjusted PR = 4.80; 95%CI 2.63 – 8.76); overweight (adjusted PR = 1.97; 95%CI 1.39 – 2.78); obesity (adjusted PR = 3.32; 95%CI 2.32 – 4.75); and being born in the North or Northeast regions (adjusted PR = 0.31; 95%CI 0.18 – 0.59). Among women, the age groups 40 – 49 years (adjusted PR = 3.41; 95%CI 1.91 – 6.07) and 50 – 59 years (adjusted PR = 7.29; 95%CI 4.07 – 13.07), wine consumption (adjusted PR = 0.31; 95%CI 0.10 – 0.97), and obesity (adjusted PR = 2.39; 95%CI 1.65 – 3.45) were associated with hypertension. Conclusion: In men, hypertension was independently associated with age, nutritional status, and place of birth, whereas in women, the variables associated with hypertension were age, nutritional status, and type of alcoholic beverage.