• Clinics · Jan 2020

    Prevalence and factors associated with arterial hypertension in a Brazilian rural working population.

    • Luciane Bresciani Salaroli, Monica Cattafesta, Glenda Blaser Petarli, Sarah Aparecida Vieira Ribeiro, Ana Cristina de Oliveira Soares, Eliana Zandonade, Olívia Maria de Paula Alves Bezerra, and José Geraldo Mill.
    • Programa de Pos-graduacao em Saude Coletiva, Universidade Federal do Espirito Santo, Vitoria, ES, BR.
    • Clinics (Sao Paulo). 2020 Jan 1; 75: e1603.

    ObjectivesTo determine the prevalence of hypertension and associated factors in farmers in a rural region of Brazil.MethodsA cross-sectional study was conducted involving a sample of 790 farmers who were residents of Espírito Santo, Brazil.ResultsThe prevalence of hypertension was 35.8% (95%CI: 32.5-39.1%, n=283); however, it was higher in men (36.6%, n=151, p<0.001) and in those with excess weight (48.9%, n=197, p<0.001). Of the 283 hypertensive patients, 125 (44.2%) did not use antihypertensive drugs. In men, lower level of schooling (p=0.004), working in the field for fewer daily hours (p<0.001), and having greater abdominal adiposity (p=0.039) were associated with the presence of increased blood pressure. In women, age (p=0.002), lower schooling (p=0.021), and increased central adiposity (p=0.003) were independent predictors of blood pressure.ConclusionThe highest prevalence of hypertension was observed in men, with elevated blood pressure being strongly associated with social and economic factors. In women, the association with the classic factors (age, increase in abdominal adiposity, and low schooling) was stronger. In addition, most hypertensive patients are not adequately diagnosed or treated.

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