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Assessment of hypertension management and control: a registry-based observational study in two municipalities in Cuba

Esteban Londoño Agudelo1, Armando Rodríguez Salvá2, Addys Díaz Piñera2

  • 1Department of Public Health, Institute of Tropical Medicine, St. Rochusstraat 43, 2000, Antwerp, Belgium. elondono@itg.be.

BMC Cardiovascular Disorders
|February 1, 2019
PubMed

Insights

Hypertension treatment and control were assessed in Cuba, finding 58% of patients controlled. Factors like education and ethnicity influenced control, showing success is possible even in resource-limited settings.

Area of Science:

  • Cardiology
  • Public Health
  • Epidemiology

Background:

  • Assessing hypertension prevalence, treatment, and control in Cardenas and Santiago, Cuba.
  • Identifying key predictors associated with hypertension management outcomes.

Purpose of the Study:

  • To determine the prevalence of hypertension treatment and control.
  • To explore main associated predictors of hypertension control.

Main Methods:

  • Cross-sectional study utilizing multistage cluster sampling.
  • Data collected from 1333 hypertensive patients aged 18+ in Cuba.
  • Hypertension control defined as blood pressure <140/90 mmHg.

Main Results:

  • 58% of hypertensive patients achieved controlled blood pressure.
  • Hypertension control was positively associated with post-primary education, not being obese, and white ethnicity.
  • No association found between hypertension control and gender, age, or socio-economic status.

Conclusions:

  • Hypertension treatment and control are achievable in resource-constrained settings like Cuba.
  • Cuba's primary healthcare approach and social equity are key determinants of success.
  • Over a third of patients remained uncontrolled, indicating room for improvement.
Abstract

Keywords:
Antihypertensive agentsChronic diseaseCubaHypertensionPrimary health careTreatment

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