Prevalence, Awareness, Treatment and Influence of Socioeconomic Variables on Control of High Blood Pressure: Results of the ELSA-Brasil Study
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High blood pressure (HBP) is the leading risk factor for years of life lost in Brazil. Factors associated with HBP awareness, treatment and control need to be understood better. Our aim is to estimate prevalence, awareness, and types of anti-hypertensive treatment and to investigate the association of HBP control with social position. Data of 15,103 (54% female) civil servants in six Brazilian state capitals collected at the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) baseline (2008-2010) were used to estimate prevalence and cross-sectional association of HBP control with education, per capita family income and self-reported race, using multiple logistic regression. Blood pressure was measured by the oscillometric method. 35.8% were classified as presenting HBP; 76.8% of these used anti-hypertensive medication. Women were more aware than men (84.8% v. 75.8%) and more often using medication (83.1% v. 70.7%). Adjusted HBP prevalence was, in ascending order, Whites (30.3%), Browns (38.2%) and Blacks (49.3%). The therapeutic schemes most used were angiotensin-converting enzyme inhibitors, in isolation (12.4%) or combined with diuretics (13.3%). Among those in drug treatment, controlled blood pressure was more likely in the (postgraduate) higher education group than among participants with less than secondary school education (PR = 1.21; 95% CI: 1.14-1.28), and among Asian (PR = 1.21; 95% CI: 1.12-1.32) and 'Whites (PR = 1.19; 95% CI: 1.12-1.26) compared to Blacks. Socioeconomic and racial inequality-as measured by different indicators-are strongly associated with HBP control, beyond the expected influence of health services access.
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Disparity in education and socioeconomic status has a significant impact on the prevalence and control of hypertension.
“Disparity in education and socioeconomic status has a significant impact on the prevalence and control of hypertension.”
From São Paulo call to action for the prevention and control of high blood pressure: 2020 (2019) · cites this paper as [22]
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São Paulo call to action for the prevention and control of high blood pressure: 2020
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Green Spaces, Land Cover, Street Trees and Hypertension in the Megacity of São Paulo
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Self-citationNanomaterials for Airborne Virus Inactivation: A Short Review
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Hypertension in Latin America: Current perspectives on trends and characteristics
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Carotid-femoral pulse wave velocity in a healthy adult sample: The ELSA-Brasil study
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Dynamics of biomarkers in relation to aging and mortality
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Capítulo 3 - Avaliação Clínica e Complementar
Malachias, M. V. B., Souza, W., Plavnik, F. L., Rodrigues, C., Brandão, A., Neves, M. F., Bortolotto, L. A., Franco, R., Figueiredo, C., Jardim, P., et al. (2016) · Arquivos Brasileiros de Cardiologia · doi:10.5935/abc.20160153 · Cited by 36 · see citing works
Long-Term Oil Pollution and In Situ Microbial Response of Groundwater in Northwest China
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Rahut, D. B., Mishra, R., Sonobe, T., & Timilsina, R. R. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2022.1006457 · Cited by 34 · see citing works
Neprilysin: A Potential Therapeutic Target of Arterial Hypertension?
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Hoshi, R. A., Santos, I. S., Dantas, E. M., Andreão, R. V., Mill, J. G., Lotufo, P. A., & Benseñor, I. M. (2021) · Journal of Human Hypertension · doi:10.1038/s41371-020-00460-w · Cited by 33 · see citing works
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Fatores de risco cardiovascular em uma população rural brasileira
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Effects of diabetes mellitus and systemic arterial hypertension on elderly patients’ hearing
Rolim, L. P., Samelli, A. G., Moreira, R. R., Matas, C. G., Santos, I. S., Benseñor, I. M., & Lotufo, P. A. (2017) · Brazilian Journal of Otorhinolaryngology · doi:10.1016/j.bjorl.2017.08.014 · Cited by 32 · see citing works
Self-citationHow alternative splicing affects membrane-trafficking dynamics
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Arterial hypertension in the elderly accompanied in primary care: profile and associated factors
Santana, B. D. S., Rodrigues, B. S., Stival, M. M., & Volpe, C. R. G. (2019) · Escola Anna Nery · doi:10.1590/2177-9465-ean-2018-0322 · Cited by 31 · see citing works
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Self-citationCapítulo 14 – Crise Hipertensiva
Malachias, M. V. B., Souza, W., Plavnik, F. L., Rodrigues, C., Brandão, A., Neves, M. F., Bortolotto, L. A., Franco, R., Figueiredo, C., Jardim, P., et al. (2016) · Arquivos Brasileiros de Cardiologia · doi:10.5935/abc.20160164 · Cited by 30 · see citing works
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Self-citationCamelo, L. D. V., Coelho, C. G., Chor, D., Griep, R. H., de Almeida, M. D. C. C., Giatti, L., & Barreto, S. M. (2022) · Cadernos de Saúde Pública · doi:10.1590/0102-311x000341920 · Cited by 28 · see citing works
Self-citationSecreted proteases: A new insight in the pathogenesis of extraintestinal pathogenic Escherichia coli
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Social Determinants of Hypertension
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Socioeconomic factors and mortality due to cerebrovascular and hypertensive disease in Brazil
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Factors associated with blood pressure disorders in Afro-descendant children and adolescents
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Capítulo 9 - Hipertensão Arterial na gestação
Malachias, M. V. B., Souza, W., Plavnik, F. L., Rodrigues, C., Brandão, A., Neves, M. F., Bortolotto, L. A., Franco, R., Poli‐de‐Figueiredo, C. E., Jardim, P., et al. (2016) · Arquivos Brasileiros de Cardiologia · doi:10.5935/abc.20160159 · Cited by 21 · see citing works
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Self-citationGender, race/skin colour and incidence of hypertension in ELSA-Brasil: an intersectional approach
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Self-citationBirck, M. G., Goulart, A., Lotufo, P., & Benseñor, I. (2019) · Sao Paulo medical journal = Revista paulista de medicina · doi:10.1590/1516-3180.2018.0531140319 · Cited by 19 · see citing works
Self-citationWang, D., & Li, D. (2020) · Health and Quality of Life Outcomes · doi:10.1186/s12955-020-01594-8 · Cited by 20 · see citing works
Lopes, J. A. S., Giatti, L., Griep, R. H., Lopes, A. A., Matos, S. M. A., Chor, D., da Fonseca, M. D. J. M., & Barreto, S. M. (2021) · American Journal of Hypertension · doi:10.1093/ajh/hpab029 · Cited by 20 · see citing works
Self-citationAction, O. B. O. T. R. C., Pessoa, J., da Costa, M. R., Nesbakken, T., & Meemken, D. (2021) · Current Clinical Microbiology Reports · doi:10.1007/s40588-021-00161-z · Cited by 20 · see citing works
Oliveira, I. M., Duarte, Y. A. D. O., & Zanetta, D. M. T. (2019) · Journal of Aging Research · doi:10.1155/2019/3671869 · Cited by 18 · see citing works
Teixeira, M. E. F., Vitorino, P. V. D. O., Amodeo, C., Martinez, T. L. D. R., Brandão, A. A., Barbosa, E. C. D., Feitosa, A. D. M., Jardim, P. C. B. V., Souza, A. L. L., & Barroso, W. K. S. (2021) · Arquivos Brasileiros de Cardiologia · doi:10.36660/abc.20200125 · Cited by 17 · see citing works
Sousa, C. T., Ribeiro, A. L. P., Barreto, S. M., Giatti, L., Brant, L. C. C., Lotufo, P. A., Chor, D., Lopes, A. A., Mengue, S. S., Baldoni, A. O., et al. (2022) · Arquivos Brasileiros de Cardiologia · doi:10.36660/abc.20201180 · Cited by 16 · see citing works
Self-citationMiname, M. H., Benseñor, I. M., & Lotufo, P. A. (2016) · Brazilian Journal of Medical and Biological Research · doi:10.1590/1414-431x20165734 · Cited by 16 · see citing works
Self-citationSyllos, D. H., Calsavara, V. F., Benseñor, I. M., & Lotufo, P. A. (2020) · Journal of Clinical Hypertension · doi:10.1111/jch.13855 · Cited by 16 · see citing works
Self-citationMiranda, A. M., Goulart, A. C., Generoso, G., Bittencourt, M. S., Santos, R. D., Toth, P. P., Jones, S. R., Benseñor, I. M., Lotufo, P. A., & Marchioni, D. M. L. (2022) · European Journal of Nutrition · doi:10.1007/s00394-022-02946-4 · Cited by 16 · see citing works
Self-citationAssunção, P. M., Lana, T. P., Delamain, M. T., Duarte, G. O., Zulli, R., Lorand-Metze, I. G. H., Souza, C. A. D., Paula, E. V. D., & Pagnano, K. B. B. (2018) · Clinical Lymphoma Myeloma & Leukemia · doi:10.1016/j.clml.2018.12.004 · Cited by 16 · see citing works
Juvanhol, L. L., Melo, E. C. P., Carvalho, M. S., Chor, D., Mill, J. G., & Griep, R. H. (2017) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph14040451 · Cited by 16 · see citing works
Self-citationBricarello, L. P., Retondario, A., Poltronieri, F., Souza, A. D. M., & de Vasconcelos, F. D. A. G. (2020) · Ciência & Saúde Coletiva · doi:10.1590/1413-81232020254.17492018 · Cited by 15 · see citing works
Gregarines modulate insect responses to sublethal insecticide residues
Wolz, M., Schrader, A., Whitelaw, E., & Müller, C. (2021) · Oecologia · doi:10.1007/s00442-021-05086-4 · Cited by 15 · see citing works
Hoshi, R. A., Santos, I. S., Dantas, E. M., Andreão, R. V., Schmidt, M. I., Duncan, B. B., Mill, J. G., Lotufo, P. A., & Benseñor, I. M. (2019) · Diabetes/Metabolism Research and Reviews · doi:10.1002/dmrr.3175 · Cited by 15 · see citing works
Self-citationCastro, L. L., Lanna, C. C. D., Rocha, M. P., Ribeiro, A. L. P., & Telles, R. W. (2018) · Rheumatology International · doi:10.1007/s00296-018-4084-3 · Cited by 15 · see citing works
Rodrigues, B. L. S., da Silva, R. N., de Arruda, R. G., Silva, P. B. C., Feitosa, D. K. D. S., & da Guarda, F. R. B. (2021) · Ciência & Saúde Coletiva · doi:10.1590/1413-812320212612.32802020 · Cited by 14 · see citing works
Guimarães, J. M. N., Griep, R. H., Clarke, P. J., Fonseca, M. J. M., Barreto, S. M., Giatti, L., Lotufo, P. A., Mill, J. G., Pacheco, A. G., & Chor, D. (2018) · American Journal of Hypertension · doi:10.1093/ajh/hpy026 · Cited by 14 · see citing works
Self-citationWang, L., Zhou, H., Liu, Y., Wang, X., Yan, W., Zhang, J., & Ren, H. C. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1131827 · Cited by 13 · see citing works
Heidet, M., Cunha, T. D., Brami, E., Mermet, É., Dru, M., Simonnard, B., Lecarpentier, É., Chollet-Xémard, C., Bergeron, C., Khalid, M., et al. (2020) · Health Affairs · doi:10.1377/hlthaff.2019.00842 · Cited by 13 · see citing works
Pharmaceutical Care in Primary Care: an Experience with Hypertensive Patients in the North of Brazil
Gomes, I. S., Rossi, E. M., Mendes, S. J., dos Santos, B. R. M., & Sabino, W. (2022) · International Journal of Cardiovascular Sciences · doi:10.36660/ijcs.20200257 · Cited by 13 · see citing works
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Pré-hipertensão arterial em comunidades quilombolas do sudoeste da Bahia, Brasil
Bezerra, V. M., Andrade, A. C. D. S., de Medeiros, D. S., & Caiaffa, W. T. (2017) · Cadernos de Saúde Pública · doi:10.1590/0102-311x00139516 · Cited by 12 · see citing works
Sodium-induced population shift drives activation of thrombin
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de Andrade, D. O., Santos, S. P. O., Pinhel, M. A. S., Valente, F. M., Giannini, M. C., Gregório, M. L., de Godoy, M. F., Souza, D. R. S., & Vilela-Martin, J. F. (2017) · Clinical and Experimental Hypertension · doi:10.1080/10641963.2017.1291661 · Cited by 12 · see citing works
- Authors
- Chor, D., Pinho Ribeiro, A. L., Sá Carvalho, M., Duncan, B. B., Andrade Lotufo, P., Araújo Nobre, A., Aquino, E. M. L. L. D., Schmidt, M. I., Griep, R. H., Molina, M. D. C. B., Barreto, S. M., Passos, V. M. D. A., Benseñor, I. J. M., Matos, S. M. A., & Mill, J. G.
- Affiliations
- Escola Nacional de Saúde Pública Sergio Arouca (BR)
- Universidade Federal do Rio Grande do Sul (BR)
- Universidade Federal da Bahia (BR)
- Fundação Oswaldo Cruz (BR)
- Universidade Federal de Minas Gerais (BR)
- Universidade Federal do Espírito Santo (BR)
- Corresponding author
- Chor, Dóra
- ORCID
- Venue
- PLOS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2015-06-23
- Volume
- 10
- Issue
- 6
- Pages
- e0127382
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC4478044
- OpenAlex
- W784773356
- Cited by
- 239
- References
- 66
- Citations by year
- 2026: 2 · 2025: 8 · 2024: 3 · 2023: 25 · 2022: 26 · 2021: 34 · 2020: 39 · 2019: 32 · 2018: 24 · 2017: 20 · 2016: 23 · 2015: 2 · 2014: 1
- FWCI
- 16.73
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Americanae (AECID Library) (publishedVersion, other-oa)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, cc-by-nc-sa)
- RePEc: Research Papers in Economics (submittedVersion)
- Americanae (AECID Library) (submittedVersion, other-oa)
- Arca - Repositório Institucional da Fiocruz (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, other-oa)
- Funders
- Conselho Nacional de Desenvolvimento Científico e Tecnológico (01060212.00BA, 01 06 0115.00, -0 and, 2013‐0, 01060071.00, 01 06 0278.00, 01060300.00, 309692/2013-0, 300694/2010-5, 01060010.00, 01 06 0212.00)
- Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro (E-23557/2014)
- Financiadora de Estudos e Projetos (01060278.00, 01 06 0115.00, 01 06 0300.00, 01060212.00, 01 06 0071.00)
- Ministério da Saúde (0106 0278.00, 01 06 0300.00, 01 06 0115.00, 01 06 0212.00, 01 06 0071.00)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Health Sciences › Nursing › Nutrition and Dietetics › Sodium Intake and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Keywords
- hypertension, blood pressure control, hypertension awareness, antihypertensive therapy, socioeconomic disparities, racial inequality, household income, ACE inhibitors, diuretics, hypertension prevalence, ELSA-Brasil, public sector employees
- MeSH terms
- Adult, Aged, Antihypertensive Agents, Awareness, Brazil, Female, Humans, Hypertension, Longitudinal Studies, Male, Middle Aged, Socioeconomic Factors, Prevalence
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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