Hypertension prevalence, awareness, treatment, and control in Surinamese living in Suriname and The Netherlands: the HEL
- PDF / 814,539 Bytes
- 9 Pages / 595.276 x 790.866 pts Page_size
- 111 Downloads / 216 Views
IM - ORIGINAL
Hypertension prevalence, awareness, treatment, and control in Surinamese living in Suriname and The Netherlands: the HELISUR and HELIUS studies Frederieke Sophie Diemer1,2 · Marieke Brigitte Snijder5 · Charles Agyemang5 · Yentl Christina Haan3 · Fares Aziz Karamat3 · Gert Alexander van Montfrans4 · Glenn Paul Oehlers1 · Ronaldus Joannes Gerardus Peters2 · Lizzy Maritza Brewster6,7,8 · Karien Stronks5 Received: 12 June 2019 / Accepted: 21 December 2019 © Società Italiana di Medicina Interna (SIMI) 2020
Abstract We studied hypertension prevalence, awareness, treatment, and control among persons living in a middle-income country compared with those of similar ethnicity living in a high-income country. Data from the cross-sectional HELISUR and HELIUS studies were used among 1000 Surinamese and 6971 Surinamese migrants living in The Netherlands (18–70 years), respectively. Groups were formed based on country and self-defined ethnicity, and stratified by sex. Age-adjusted odds ratios (OR) with 95% confidence intervals (CI) were calculated for hypertension prevalence, awareness, treatment, and control. Subsequently, we focused on hypertension prevalence and adjusted for risk factors for hypertension: BMI and waist circumference (model 2), educational level, physical activity, and smoking (model 3). After adjustment for age, no significant differences in hypertension prevalence, awareness, treatment, and control between countries were seen in men. However, women in Suriname were more often hypertensive with lower levels of awareness and control than those in The Netherlands (African: OR 1.54 [95% CI 1.19, 2.00]; South-Asian: 1.90 [1.35, 2.67]; awareness: 0.62 [0.43, 0.88] in African women; control: 0.48 [0.28, 0.84] in South-Asian women). Higher hypertension prevalence was explained by differences in BMI and waist circumference in African women (adjusted OR 1.26 [0.96, 1.65]) and by education, physical activity, and smoking in South-Asian women (adjusted OR 1.29 [0.87, 1.89]). Particularly, women in Suriname bear a relatively high hypertension burden with lower levels of awareness and control. As the higher hypertension prevalence was mainly explained by lifestylerelated risk factors, health promotion interventions may reduce the hypertension burden in Suriname. Keywords Hypertension · Prevalence · Awareness · Treatment · Control · Ethnicity
Lizzy M. Brewster and Karien Stronks have contributed equally to the work. * Karien Stronks [email protected] 1
5
Department of Public Health, Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands
Department of Cardiology, Academic Hospital Paramaribo, Paramaribo, Suriname
6
Department of Cardiology, Amsterdam UMC, Univ of Amsterdam, Amsterdam, The Netherlands
The Amsterdam Institute for Global Health and Development (AIGHD), Amsterdam, The Netherlands
7
Creatine Kinase Foundation, Amsterdam, The Netherlands
8
Department of Public Health, Anton de Kom University of Suriname, Paramarib
Data Loading...
