Abstract
Resumo Objetivo Verificar os fatores associados ao descontrole da pressão arterial em homens. Métodos Estudo exploratório, de corte transversal, realizado em centro de referência para doenças cardiovasculares, em Salvador-BA, lócus para o núcleo de referência do programa de saúde do homem do Ministério da Saúde. Amostra foi selecionada por conveniência totalizando 130 homens atendidos em centro de saúde, submetidos a entrevista, avaliação clínica e antropométrica. Na análise bivariada empregou-se o Qui-quadrado de Pearson ou Exato de Fisher realizando-se posteriormente análise de regressão logística múltipla sendo a OR corrigida pelo modelo de Poisson. Adotou-se significância estatística de 5%. Resultados Constatou-se alta prevalência de descontrole da pressão arterial (65,4%), de hábitos de vida inadequados e de excesso de peso. Não houve associação estatisticamente significante entre descontrole dos níveis pressóricos e variáveis sociodemográficas, hábitos de vida e medidas antropométricas. Na regressão, o descontrole da pressão arterial associou-se ao uso inadequado da medicação (RP: 1,35, IC 95%: 1,03; 1,76). Conclusão O uso inadequado da medicação foi reforçado como importante fator associado ao descontrole. Medidas efetivas para mudança deste panorama são emergenciais e desafiam profissionais e autoridades públicas.
Highlights
Systemic arterial hypertension (SAH) is a global public health problem, due to its high prevalence and because it is acknowledged as the main risk factor of cardiovascular morbidity and mortality.[1]In view of this evidence, disease control is fundamental, but hardly satisfactory around the globe
No statistically significant association was found between lack of blood pressure control and these variables (Table 1)
No statistically significant association was found between lack of blood pressure control, living habits and anthropometric measures (Table 2)
Summary
Systemic arterial hypertension (SAH) is a global public health problem, due to its high prevalence and because it is acknowledged as the main risk factor of cardiovascular morbidity and mortality.[1] In view of this evidence, disease control is fundamental, but hardly satisfactory around the globe. Men face difficulties to acknowledge their health needs, cultivating the idea that rejects the possibility of illness These characteristics hamper the compliance with the medical treatment and self-care practices.[5]. Hypertension monitoring and control avoid the emergence and progression of disease complications, reduce the number of hospitalizations and cardiovascular mortality They emerge as a governmental proposal and are recommended through policies in favor of health promotion and protection and against the disease, which can be observed in the Strategic Action Plan for Coping with Non-Transmissible Chronic Diseases. The National Comprehensive Care Policy for Man’s Health focuses on the importance of establishing distinguished strategies for the male population.[5]
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