GAPS IN HYPERTENSION MANAGEMENT IN A MIDDLE-INCOME COMMUNITY OF QUITO-ECUADOR: A POPULATION-BASED STUDY: A Population-Based Study

Patricia Ortiz; Yajaira Vásquez; Esperanza Arévalo; Patrick Van der Stuyft; Esteban Londoño Agudelo

doi:10.3390/ijerph19105832

GAPS IN HYPERTENSION MANAGEMENT IN A MIDDLE-INCOME COMMUNITY OF QUITO-ECUADOR: A POPULATION-BASED STUDY: A Population-Based Study

Patricia Ortiz^*, Yajaira Vásquez, Esperanza Arévalo, Patrick Van der Stuyft, Esteban Londoño Agudelo

^*Corresponding author for this work

Faculty of Medicine

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Optimal hypertension care and control at population level significantly reduces cardiovascular morbidity and mortality. The study objective was to measure the gaps in the diagnosis, care, and control of hypertension in residents of an urban community in Quito, Ecuador. A cross-sectional population-based study with a sample of 2160 persons was performed using a survey and direct blood pressure measurement. Logistical regression models were used for analyzing factors associated with the gaps, expressed as percentages. The prevalence of hypertension was 17.6% [CI 95% 17.3–17.9%]. The diagnosis gap was 6.1% [CI 95% 5.9–6.2%] among the entire population and 34.5% [CI 95% 33.7–35.3%] among persons with hypertension. No access gaps were detected; whereas the follow-up gap was 22.7% [CI 95% 21.8–23.6%] and control gap reached 43.5% [CI 95% 42.6–44.2%]. Results indicated that being male, older than 64 years, an employee, without health insurance, and not perceiving a need for healthcare, increased the risk of experiencing these gaps. Data showed appropriate access to health services and high coverage in the diagnosis was due to the application of a community and family healthcare model. Notwithstanding, we found significant gaps in the follow-up and control of hypertensive patients, especially among older males, which should warrant the attention of the Ministry of Health.

Original language	English
Article number	5832
Journal	International Journal of Environmental Research and Public Health
Volume	19
Issue number	10
DOIs	https://doi.org/10.3390/ijerph19105832
State	Published - 11 May 2022

Bibliographical note

Publisher Copyright:
© 2022 by the authors. Licensee MDPI, Basel, Switzerland.

Funding

Funding: Research execution was finance with funds from the Pontifical Catholic University of Ecuador (Project PUCE—L13345). Acknowledgments: The authors thank Karen Pesse-Sorense and Monserrat Martin for reviewing the draft of the manuscript, offering their comments and contributions. We also thank Tullia Battaglioli, Rubén Darío Gómez and Armando Rodríguez-Salvá for their contribution in the initial analysis of data and preliminary results. This study is part of a joint research project within the Latin-American Network for Multidisciplinary Research on Chronic Non-Communicable Diseases, a regional network of partner academic institutions supported by the Antwerp Institute of Tropical Medicine and the Belgian Directorate-General for Development Cooperation.

Funders	Funder number
Antwerp Institute of Tropical Medicine
Belgian Directorate-General for Development Cooperation
Pontifical Catholic University of Ecuador	PUCE—L13345

Keywords

Ecuador
health systems
hypertension
hypertension management
primary health care

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.3390/ijerph19105832

Cite this

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title = "GAPS IN HYPERTENSION MANAGEMENT IN A MIDDLE-INCOME COMMUNITY OF QUITO-ECUADOR: A POPULATION-BASED STUDY: A Population-Based Study",

abstract = "Optimal hypertension care and control at population level significantly reduces cardiovascular morbidity and mortality. The study objective was to measure the gaps in the diagnosis, care, and control of hypertension in residents of an urban community in Quito, Ecuador. A cross-sectional population-based study with a sample of 2160 persons was performed using a survey and direct blood pressure measurement. Logistical regression models were used for analyzing factors associated with the gaps, expressed as percentages. The prevalence of hypertension was 17.6% [CI 95% 17.3–17.9%]. The diagnosis gap was 6.1% [CI 95% 5.9–6.2%] among the entire population and 34.5% [CI 95% 33.7–35.3%] among persons with hypertension. No access gaps were detected; whereas the follow-up gap was 22.7% [CI 95% 21.8–23.6%] and control gap reached 43.5% [CI 95% 42.6–44.2%]. Results indicated that being male, older than 64 years, an employee, without health insurance, and not perceiving a need for healthcare, increased the risk of experiencing these gaps. Data showed appropriate access to health services and high coverage in the diagnosis was due to the application of a community and family healthcare model. Notwithstanding, we found significant gaps in the follow-up and control of hypertensive patients, especially among older males, which should warrant the attention of the Ministry of Health.",

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GAPS IN HYPERTENSION MANAGEMENT IN A MIDDLE-INCOME COMMUNITY OF QUITO-ECUADOR: A POPULATION-BASED STUDY: A Population-Based Study

Abstract

Bibliographical note

Funding

Keywords

UN SDGs

Access to Document

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Cite this