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Prevalence and correlates of diagnosed and undiagnosed hypertension in the indigenous Kuna population of Panamá

BACKGROUND: To determine the prevalence of hypertension and investigate sociodemographic correlates in an indigenous Kuna community living on the San Blas islands of Panama. METHODS: Data was collected from adults using a paper-based survey using a cross sectional study design. Blood pressure was me...

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Autores principales: Hanna, Daniel R., Walker, Rebekah J., Smalls, Brittany L., Campbell, Jennifer A., Dawson, Aprill Z., Egede, Leonard E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6599360/
https://www.ncbi.nlm.nih.gov/pubmed/31253116
http://dx.doi.org/10.1186/s12889-019-7211-5
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author Hanna, Daniel R.
Walker, Rebekah J.
Smalls, Brittany L.
Campbell, Jennifer A.
Dawson, Aprill Z.
Egede, Leonard E.
author_facet Hanna, Daniel R.
Walker, Rebekah J.
Smalls, Brittany L.
Campbell, Jennifer A.
Dawson, Aprill Z.
Egede, Leonard E.
author_sort Hanna, Daniel R.
collection PubMed
description BACKGROUND: To determine the prevalence of hypertension and investigate sociodemographic correlates in an indigenous Kuna community living on the San Blas islands of Panama. METHODS: Data was collected from adults using a paper-based survey using a cross sectional study design. Blood pressure was measured, and hypertension defined at two cut-points: 130/80 mmHg and 140/90 mmHg. Individuals with undiagnosed hypertension had a blood pressure measurement that indicated hypertension, however, the individual had not been told by a doctor they had hypertension. Whereas individuals with diagnosed hypertension had been told by a healthcare provider that they had hypertension. Univariate tests compared diagnosed and undiagnosed hypertension by sociodemographic categories and logistic regression models tested individual correlates adjusting for all sociodemographic factors. RESULTS: Two hundred and eleven adult indigenous Kuna participated in the study. Overall prevalence of hypertension was 6.2% (95%CI:3.32–10.30) as defined by 140/90 mmHg, and 16.6% (95%CI:11.83–22.31) as defined by 130/80 mmHg. Hypertension was significantly higher in men (31.6, 95% CI:19.90–45.24, compared to 11.0, 95% CI:6.56–17.09). Individuals with low income were 3 times more likely to be hypertensive (OR = 3.13, 95% CI:1.02–9.60) and 3.5 times more likely to have undiagnosed hypertension (OR = 3.42, 95% CI:1.01–11.52); while those with moderate income were 6 times more likely to be hypertensive (OR = 7.37, 95% CI:1.76–30.90) compared to those who were poor. CONCLUSION: The prevalence of diagnosed and undiagnosed hypertension is higher in men and those with higher income. Investigating these factors remains vitally important in helping improve the health of the Kuna through targeted interventions to address chronic disease.
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spelling pubmed-65993602019-07-11 Prevalence and correlates of diagnosed and undiagnosed hypertension in the indigenous Kuna population of Panamá Hanna, Daniel R. Walker, Rebekah J. Smalls, Brittany L. Campbell, Jennifer A. Dawson, Aprill Z. Egede, Leonard E. BMC Public Health Research Article BACKGROUND: To determine the prevalence of hypertension and investigate sociodemographic correlates in an indigenous Kuna community living on the San Blas islands of Panama. METHODS: Data was collected from adults using a paper-based survey using a cross sectional study design. Blood pressure was measured, and hypertension defined at two cut-points: 130/80 mmHg and 140/90 mmHg. Individuals with undiagnosed hypertension had a blood pressure measurement that indicated hypertension, however, the individual had not been told by a doctor they had hypertension. Whereas individuals with diagnosed hypertension had been told by a healthcare provider that they had hypertension. Univariate tests compared diagnosed and undiagnosed hypertension by sociodemographic categories and logistic regression models tested individual correlates adjusting for all sociodemographic factors. RESULTS: Two hundred and eleven adult indigenous Kuna participated in the study. Overall prevalence of hypertension was 6.2% (95%CI:3.32–10.30) as defined by 140/90 mmHg, and 16.6% (95%CI:11.83–22.31) as defined by 130/80 mmHg. Hypertension was significantly higher in men (31.6, 95% CI:19.90–45.24, compared to 11.0, 95% CI:6.56–17.09). Individuals with low income were 3 times more likely to be hypertensive (OR = 3.13, 95% CI:1.02–9.60) and 3.5 times more likely to have undiagnosed hypertension (OR = 3.42, 95% CI:1.01–11.52); while those with moderate income were 6 times more likely to be hypertensive (OR = 7.37, 95% CI:1.76–30.90) compared to those who were poor. CONCLUSION: The prevalence of diagnosed and undiagnosed hypertension is higher in men and those with higher income. Investigating these factors remains vitally important in helping improve the health of the Kuna through targeted interventions to address chronic disease. BioMed Central 2019-06-28 /pmc/articles/PMC6599360/ /pubmed/31253116 http://dx.doi.org/10.1186/s12889-019-7211-5 Text en © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Hanna, Daniel R.
Walker, Rebekah J.
Smalls, Brittany L.
Campbell, Jennifer A.
Dawson, Aprill Z.
Egede, Leonard E.
Prevalence and correlates of diagnosed and undiagnosed hypertension in the indigenous Kuna population of Panamá
title Prevalence and correlates of diagnosed and undiagnosed hypertension in the indigenous Kuna population of Panamá
title_full Prevalence and correlates of diagnosed and undiagnosed hypertension in the indigenous Kuna population of Panamá
title_fullStr Prevalence and correlates of diagnosed and undiagnosed hypertension in the indigenous Kuna population of Panamá
title_full_unstemmed Prevalence and correlates of diagnosed and undiagnosed hypertension in the indigenous Kuna population of Panamá
title_short Prevalence and correlates of diagnosed and undiagnosed hypertension in the indigenous Kuna population of Panamá
title_sort prevalence and correlates of diagnosed and undiagnosed hypertension in the indigenous kuna population of panamá
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6599360/
https://www.ncbi.nlm.nih.gov/pubmed/31253116
http://dx.doi.org/10.1186/s12889-019-7211-5
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