6280bc98a77f66ab2d08a08b42eb3205 pmc_9141875.pdf 2a66f260b9cfa94524cfaba9fcfc72c7fa158892 pmc_9141875.pdf a57f9b13db0637657f761b8fb80b4e608fcca8dd4e3cce7504319fbb93e71e81 pmc_9141875.pdf Title: Gaps in Hypertension Management in a Middle-Income Community of Quito-Ecuador: A Population-Based Study Subject: Optimal hypertension care and control at population level significantly reduces cardiovascular morbidity and mortality. The study objective was to measure the gaps in the diagnosis, care, and control of hypertension in residents of an urban community in Quito, Ecuador. A cross-sectional population-based study with a sample of 2160 persons was performed using a survey and direct blood pressure measurement. Logistical regression models were used for analyzing factors associated with the gaps, expressed as percentages. The prevalence of hypertension was 17.6% [CI 95% 17.3–17.9%]. The diagnosis gap was 6.1% [CI 95% 5.9–6.2%] among the entire population and 34.5% [CI 95% 33.7–35.3%] among persons with hypertension. No access gaps were detected; whereas the follow-up gap was 22.7% [CI 95% 21.8–23.6%] and control gap reached 43.5% [CI 95% 42.6–44.2%]. Results indicated that being male, older than 64 years, an employee, without health insurance, and not perceiving a need for healthcare, increased the risk of experiencing these gaps. Data showed appropriate access to health services and high coverage in the diagnosis was due to the application of a community and family healthcare model. Notwithstanding, we found significant gaps in the follow-up and control of hypertensive patients, especially among older males, which should warrant the attention of the Ministry of Health. Keywords: hypertension; primary health care; hypertension management; health systems; Ecuador Author: Patricia Ortiz, Yajaira Vásquez, Esperanza Arévalo, Patrick Van der Stuyft and Esteban Londoño Agudelo Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Wed May 11 05:21:05 2022 CEST ModDate: Tue May 17 03:20:54 2022 CEST Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 13 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 395592 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- MFXGGX+VnURWPalladioL Type 1 Custom yes yes no 10 0 OSUEWQ+URWPalladioL-Bold Type 1 Custom yes yes no 15 0 KFDTND+URWPalladioL-Roma Type 1 Custom yes yes no 20 0 CLDDFL+URWPalladioL-Ital Type 1 Custom yes yes no 24 0 GIFXFT+VnURWPalladioL-Bold Type 1 Custom yes yes no 28 0 MCBCCI+SourceSansRoman-Regular Type 1C Custom yes yes no 36 0 MCBCCM+SourceSansRoman.613wght Type 1C Custom yes yes no 40 0 MCBCCO+SourceSansRoman-Bold Type 1C Custom yes yes no 44 0 LWQXII+TimesNewRomanPS-BoldItalicMT Type 1C WinAnsi yes yes no 56 0 IRWHZX+TimesNewRomanPSMT Type 1C WinAnsi yes yes no 59 0 PNGNZZ+CMSY10 Type 1 Builtin yes yes no 84 0 WBVKDJ+URWPalladioL-BoldItal Type 1 Custom yes yes no 100 0 TVJFMK+VnURWPalladioL-Italic Type 1 Custom yes yes no 116 0 Jhove (Rel. 1.22.1, 2019-04-17) Date: 2023-09-14 02:30:23 CEST RepresentationInformation: pmc_9141875.pdf ReportingModule: PDF-hul, Rel. 1.12.1 (2019-04-17) LastModified: 2023-09-09 02:19:16 CEST Size: 395592 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 296 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@44c8afef Item: Title: Materials and Methods Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@7b69c6ba Children: Item: Title: Study Design Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@46daef40 Item: Title: Study Site and Population Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@12f41634 Item: Title: Sample Size and Sampling Strategy Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@13c27452 Item: Title: Study and Measurement Procedures Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@262b2c86 Item: Title: Statistical Methods Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@371a67ec Item: Title: Results Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@5ed828d Children: Item: Title: Gaps in the Process of Hypertension Care Management Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@50d0686 Item: Title: Factors Associated with Gaps in Diagnosis, Follow-Up, and Control Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@7a3d45bd Item: Title: Discussion Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@1e7c7811 Item: Title: Conclusions Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@77ec78b9 Item: Title: References Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@1a3869f4 Info: Title: Gaps in Hypertension Management in a Middle-Income Community of Quito-Ecuador: A Population-Based Study Author: Patricia Ortiz, Yajaira Vásquez, Esperanza Arévalo, Patrick Van der Stuyft and Esteban Londoño Agudelo Subject: Optimal hypertension care and control at population level significantly reduces cardiovascular morbidity and mortality. The study objective was to measure the gaps in the diagnosis, care, and control of hypertension in residents of an urban community in Quito, Ecuador. A cross-sectional population-based study with a sample of 2160 persons was performed using a survey and direct blood pressure measurement. Logistical regression models were used for analyzing factors associated with the gaps, expressed as percentages. The prevalence of hypertension was 17.6% [CI 95% 17.3 17.9%]. The diagnosis gap was 6.1% [CI 95% 5.9 6.2%] among the entire population and 34.5% [CI 95% 33.7 35.3%] among persons with hypertension. No access gaps were detected; whereas the follow-up gap was 22.7% [CI 95% 21.8 23.6%] and control gap reached 43.5% [CI 95% 42.6 44.2%]. Results indicated that being male, older than 64 years, an employee, without health insurance, and not perceiving a need for healthcare, increased the risk of experiencing these gaps. Data showed appropriate access to health services and high coverage in the diagnosis was due to the application of a community and family healthcare model. Notwithstanding, we found significant gaps in the follow-up and control of hypertensive patients, especially among older males, which should warrant the attention of the Ministry of Health. 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