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@article{2409380,
author = {Berka, Barbora and Lustigova, Michala and Urbanova, Jana and Krollova, Pavlina and Hloch, Ondrej and Romanova, Alexandra and Michalec, Juraj and Taniwall, Arian and Zejglicova, Kristyna and Malinovska, Jana and Jensovsky, Michael and Vejtasova, Veronika and GonzalezandRivas, Juan P and Neto, Geraldo A Maranhao and Pavlovska, Iuliia and Broz, Jan},
article_location = {San Francisco},
article_number = {4},
doi = {http://dx.doi.org/10.1371/journal.pone.0301202},
keywords = {hypertension},
language = {eng},
issn = {1932-6203},
journal = {Plos one},
title = {Cascade of care for hypertension among apparently healthy and unhealthy individuals of 25-64 years in the Czech Republic},
url = {https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0301202},
volume = {19},
year = {2024}
}
TY - JOUR
ID - 2409380
AU - Berka, Barbora - Lustigova, Michala - Urbanova, Jana - Krollova, Pavlina - Hloch, Ondrej - Romanova, Alexandra - Michalec, Juraj - Taniwall, Arian - Zejglicova, Kristyna - Malinovska, Jana - Jensovsky, Michael - Vejtasova, Veronika - Gonzalez-Rivas, Juan P - Neto, Geraldo A Maranhao - Pavlovska, Iuliia - Broz, Jan
PY - 2024
TI - Cascade of care for hypertension among apparently healthy and unhealthy individuals of 25-64 years in the Czech Republic
JF - Plos one
VL - 19
IS - 4
SP - 1-11
EP - 1-11
PB - Public Library of Science
SN - 19326203
KW - hypertension
UR - https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0301202
N2 - 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.
ER -
BERKA, Barbora, Michala LUSTIGOVA, Jana URBANOVA, Pavlina KROLLOVA, Ondrej HLOCH, Alexandra ROMANOVA, Juraj MICHALEC, Arian TANIWALL, Kristyna ZEJGLICOVA, Jana MALINOVSKA, Michael JENSOVSKY, Veronika VEJTASOVA, Juan P GONZALEZ-RIVAS, Geraldo A Maranhao NETO, Iuliia PAVLOVSKA and Jan BROZ. Cascade of care for hypertension among apparently healthy and unhealthy individuals of 25-64 years in the Czech Republic. \textit{Plos one}. San Francisco: Public Library of Science, 2024, vol.~19, No~4, p.~1-11. ISSN~1932-6203. Available from: https://dx.doi.org/10.1371/journal.pone.0301202.
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