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Self-reported Hypertension on a Caribbean Island
Cristobal S Berry-Caban1, Leslee Sanders, Olumuyiwa O Adeboye
1Clinical Data Services, Information Management Division, Womack Army Medical Center, Fort Bragg, NC, USA.
Insights
Accurate hypertension knowledge is crucial, yet often lacking. This study reveals self-reported hypertension underestimates actual levels but strongly links to cardiovascular disease (CVD) risk.
Area of Science:
- Cardiology
- Public Health
Background:
- Current guidelines stress hypertension knowledge, but its accuracy and impact on cardiovascular disease (CVD) remain unclear.
- Understanding factors influencing hypertension awareness is vital for effective public health strategies.
Purpose of the Study:
- To assess the accuracy of self-reported hypertension.
- To identify factors affecting hypertension awareness.
- To examine the relationship between self-reported hypertension and CVD risk.
Main Methods:
- 147 subjects provided self-reported hypertension data.
- Data were correlated with measured systolic and diastolic hypertension levels.
- Demographic characteristics were analyzed as determinants of awareness and accuracy.
Main Results:
- Self-reported hypertension generally underestimates measured values.
- Higher self-reported hypertension levels strongly correlate with increased CVD risk.
- Women showed higher awareness but men engaged more in risk behaviors; smoking, untreated hypertension, and sedentary lifestyles reduced awareness in women.
Conclusions:
- Self-reported hypertension, while underestimating true values, is a significant indicator of CVD risk.
- Lack of awareness regarding elevated hypertension is linked to increased CVD risk, highlighting a critical gap in public health education and intervention.
Background:
Although current guidelines emphasize the importance of hypertension knowledge, little is known about accuracy of this knowledge, factors affecting accuracy and the relationship of self-reported hypertension with cardiovascular disease (CVD).
Methods:
One hundred and forty seven subjects were asked to provide self-reported data on hypertension.
Results:
These were correlated with levels of systolic and diastolic hypertension measures. Demographic characteristics were considered as determinants of awareness and accuracy. Women were more likely than men to be aware of their hypertension levels. However men were more likely to exercise, use salt, smoke and consume alcohol. Women were more likely to be hypertensive, nonsmokers, and moderate drinkers. Higher levels of self-reported hypertension were strongly associated with increased risk of CVD. Women that smoke, have untreated hypertension, or a sedentary lifestyle have a decrease in awareness of their hypertension levels.
Conclusions:
Self-reported hypertension underestimates measured values, but is strongly related to CVD. Lack of awareness of elevated hypertension is associated with increased risk of CVD.
Keywords:
Cardiovascular disease; Hypertension; Risk factors; Self-report; Caribbean.
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