J 2024

Cascade of care for hypertension among apparently healthy and unhealthy individuals of 25-64 years in the Czech Republic

BERKA, Barbora, Michala LUSTIGOVA, Jana URBANOVA, Pavlina KROLLOVA, Ondrej HLOCH et. al.

Základní údaje

Originální název

Cascade of care for hypertension among apparently healthy and unhealthy individuals of 25-64 years in the Czech Republic

Autoři

BERKA, Barbora (203 Česká republika), Michala LUSTIGOVA (203 Česká republika), Jana URBANOVA (203 Česká republika), Pavlina KROLLOVA (203 Česká republika), Ondrej HLOCH (203 Česká republika), Alexandra ROMANOVA (203 Česká republika), Juraj MICHALEC (203 Česká republika), Arian TANIWALL (203 Česká republika), Kristyna ZEJGLICOVA (203 Česká republika), Jana MALINOVSKA (203 Česká republika), Michael JENSOVSKY (203 Česká republika), Veronika VEJTASOVA (203 Česká republika), Juan P GONZALEZ-RIVAS, Geraldo A Maranhao NETO, Iuliia PAVLOVSKA (804 Ukrajina, domácí) a Jan BROZ (203 Česká republika)

Vydání

Plos one, San Francisco, Public Library of Science, 2024, 1932-6203

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30304 Public and environmental health

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 3.700 v roce 2022

Organizační jednotka

Lékařská fakulta

UT WoS

001216879200026

Klíčová slova anglicky

hypertension

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 10. 6. 2024 10:00, Mgr. Tereza Miškechová

Anotace

V originále

Background Despite accessible diagnostics and treatment of hypertension, a high proportion of patients worldwide remain unaware of their diagnosis, and even more remain untreated. Several studies suggest that absence of comorbidities is a predictive factor for unawareness and consequently non-treatment of hypertension. There are only a few studies that have assessed the hypertension prevalence and management among apparently healthy individuals. Objective The aim of the study was to assess and compare hypertension prevalence, awareness, treatment and control among apparently healthy individuals, patients with internal diseases, and patients with non-internal diseases. Methods Data from standardised blood pressure measurements conducted during the Czech European Health Examination Survey 2014 and information on health status and health care use collected during the Czech European Health Interview Survey 2014 were analyzed. We focused on participants aged 25-64. Data were weighted on sex and age to ensure an appropriate sex and age structure of the population. The chi 2-test and binary logistic regression analyses were used to compare distribution of cascade of care for hypertension between the health-status groups of respondents. Results The final eligible sample consisted of 1121 participants. The prevalence of hypertension was 32.8% in the healthy group, 29.8% in the non-internal disease group and 52.4% in the internal disease group, (p < 0.001). Awareness was 54.1%, 59.1% and 85.2% respectively, (p < 0.001). Treatment was 44.2%, 52.6% and 86.4%, respectively, (p < 0.001). Among apparently healthy respondents 62.6% had their blood pressure measured by a medical professional in the last year, compared to 71.1% in the non-internal disease group and 91.7% in the internal disease group, (p < 0.001). Differences in hypertension control were not statistically significant. Conclusions Generally, our data show a discordance in hypertension management within the Czech population. Apparently healthy individuals are the least aware of their diagnosis and the highest proportion of them remain untreated.