One-year routine opportunistic screening for hypertension in formal medical settings and potential improvements in hypertension awareness among older persons in developing countries: evidence from the Study on Global Ageing and Adult Health (SAGE).

Details

Serval ID
serval:BIB_0CA1D7F1266C
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
One-year routine opportunistic screening for hypertension in formal medical settings and potential improvements in hypertension awareness among older persons in developing countries: evidence from the Study on Global Ageing and Adult Health (SAGE).
Journal
American journal of epidemiology
Author(s)
Maurer J., Ramos A.
ISSN
1476-6256 (Electronic)
ISSN-L
0002-9262
Publication state
Published
Issued date
01/02/2015
Peer-reviewed
Oui
Volume
181
Number
3
Pages
180-184
Language
english
Notes
Publication types: Clinical Trial ; Journal Article ; Multicenter Study ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
Hypertension is a leading risk factor in the global disease burden. Limited hypertension awareness is a major determinant of widespread gaps in hypertension treatment and control, especially in developing countries. We analyzed data on persons aged 50 years or older from 6 low- and middle-income countries participating in the first wave (2007-2010) of the World Health Organization's Survey of Global Ageing and Adult Health (SAGE). Our estimates suggest that just 1 year of routine opportunistic hypertension screening during formal visits to medical-care providers could yield significant increases in hypertension awareness among seniors in the developing world. We also show that eliminating missed opportunities for hypertension screening in medical settings would not necessarily exacerbate existing socioeconomic differences in hypertension awareness, despite requiring at least occasional contact with a formal health-care provider for obtaining a hypertension diagnosis. Thus, routine opportunistic screening for hypertension in formal medical settings may provide a simple but reliable way to increase hypertension awareness. Moreover, the proposed approach has the added advantage of leveraging existing resources and infrastructures, as well as facilitating a direct transition from the point of diagnosis to subsequent expert counseling and clinical care for newly identified hypertension patients.

Keywords
Aged, Aged, 80 and over, Delivery of Health Care, Developing Countries/statistics & numerical data, Female, Health Knowledge, Attitudes, Practice, Humans, Hypertension/diagnosis, Hypertension/epidemiology, Male, Mass Screening, Middle Aged, Socioeconomic Factors, chronic disease, developing countries, health awareness, health education, health-care quality, hypertension, screening
Pubmed
Open Access
Yes
Create date
10/10/2017 13:28
Last modification date
21/08/2019 5:11
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