Prevalência de hipertensão arterial sistêmica e fatores associados em homens e mulheres residentes em municípios da Amazônia Legal

Elcimary Cristina Silva, Maria Silvia Amicucci Soares Martins, Lenir Vaz Guimarães, Neuber José Segri, Maria Aparecida Lima Lopes, Mariano Martinez Espinosa

Hypertension is a major public health problem due to its high prevalence, low levels of control, and cardiovascular morbidity and mortality. To analyze the prevalence of hypertension and associated factors in men and women living in the cities of Legal Amazonia. A population-based, cross-sectional study was carried out with 1,296 adults in the cities of Legal Amazonia. Socio-demographic, lifestyle, and anthropometric data were collected and blood pressure was measured, being considered hypertensive those individuals who had blood pressure ≥ 140/90 mmHg and/or those who reported the use of antihypertensive drugs. Statistical analyzes were performed using the survey module prefix in Stata version 11.0. The prevalence of hypertension was 22.3%. After adjusting, the variables associated with hypertension in men were in the age groups 30 - 39 years (adjusted prevalence ratio [PR] = 2.69; 95%CI 1.49 - 4.86), 40 - 49 years (adjusted PR = 3.28; 95%CI 1.82 - 5.93), and 50 - 59 years (adjusted PR = 4.80; 95%CI 2.63 - 8.76); overweight (adjusted PR = 1.97; 95%CI 1.39 - 2.78); obesity (adjusted PR = 3.32; 95%CI 2.32 - 4.75); and being born in the North or Northeast regions (adjusted PR = 0.31; 95%CI 0.18 - 0.59). Among women, the age groups 40 - 49 years (adjusted PR = 3.41; 95%CI 1.91 - 6.07) and 50 - 59 years (adjusted PR = 7.29; 95%CI 4.07 - 13.07), wine consumption (adjusted PR = 0.31; 95%CI 0.10 - 0.97), and obesity (adjusted PR = 2.39; 95%CI 1.65 - 3.45) were associated with hypertension. In men, hypertension was independently associated with age, nutritional status, and place of birth, whereas in women, the variables associated with hypertension were age, nutritional status, and type of alcoholic beverage.