Detection, care and control of high blood pressure.

Abstract

Objective. Describe the prevalence of adults with high blood pressure (HBP) diagnosed, treated and controlled, using the care cascades framework in the Encuesta Nacional de Salud y Nutrición (Ensanut) 2020-2023. Materials and methods. Information from 3 094 adults ≥20 years was analyzed. Adults with HBP (n= 1 059) were the denominator of the care cascade, considering the accumulated losses in the proportion of adults diagnosed with HTN, treated and controlled. We identified people with adherence to pharmacological treatment. Results. The prevalence of HBP in Mexican adults was 29.9% (27.6% in women and 32.5% in men); 43.0% of adults with HBP had not been diagnosed and only 36.3% of those diagnosed and treated with drugs had BP values under control. Among people diagnosed with HBP and regularly taking antihypertensive drugs (75.3%), only 42.1% had controlled BP values; 52.1% of adults with hypertension do not take any non-pharmacological measures to control high BP. Conclusions. We found that there is poor performance of the health system to diagnose and control HTN. A prompt and concerted population-based strategy is required to reduce the burden of HTN, and avoid complications, disability and premature death due to stroke or ischemic heart disease.