The state of hypertension care in 44 low-income and middle-income countries: A cross-sectional study of nationally representative individual-level data from 1·1 million adults
The Lancet Jul 25, 2019
Geldsetzer P, et al. - Via a cross-sectional study on an individual-level population-based data from 44 low-income and middle-income countries (LMICs), researchers assessed the cascade of hypertension care in 44 LMICs and how it differs between countries and population groups by separating progression in the care process, from need of care to successful treatment, into stages and measuring the losses at each stage. The dataset had 1,100,507 individuals; 192,441 had hypertension. Among those with hypertension, 73.6%, 39.2%, 29.9%, and 10.3% of participants, respectively, ever had their blood pressure measured, had been diagnosed with hypertension, received treatment, and achieved control of their hypertension. The best performance in relation to their prognosticated performance on the basis of gross domestic product (GDP) per capita was accomplished by Latin America countries and the Caribbean generally; countries in sub-Saharan Africa performed the worst. Being a woman, older, more educated, wealthier, and not being a current smoker were all positively correlated with achieving each of the four steps of the care cascade. Countries in each world region that function better than anticipated according to their economic development, which could direct policymakers to significant policy lessons were recognized. Nationally representative hypertension care cascades, as created in this study, were concluded to be a significant measure of progress towards attaining universal health coverage, given the high disease burden caused by hypertension in LMICs.
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