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.

Basic information

Original name

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

Authors

BERKA, Barbora (203 Czech Republic), Michala LUSTIGOVA (203 Czech Republic), Jana URBANOVA (203 Czech Republic), Pavlina KROLLOVA (203 Czech Republic), Ondrej HLOCH (203 Czech Republic), Alexandra ROMANOVA (203 Czech Republic), Juraj MICHALEC (203 Czech Republic), Arian TANIWALL (203 Czech Republic), Kristyna ZEJGLICOVA (203 Czech Republic), Jana MALINOVSKA (203 Czech Republic), Michael JENSOVSKY (203 Czech Republic), Veronika VEJTASOVA (203 Czech Republic), Juan P GONZALEZ-RIVAS, Geraldo A Maranhao NETO, Iuliia PAVLOVSKA (804 Ukraine, belonging to the institution) and Jan BROZ (203 Czech Republic)

Edition

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

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30304 Public and environmental health

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 3.700 in 2022

Organization unit

Faculty of Medicine

UT WoS

001216879200026

Keywords in English

hypertension

Tags

Tags

International impact, Reviewed
Změněno: 10/6/2024 10:00, Mgr. Tereza Miškechová

Abstract

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.