Key result
The prevalence of hypertension in a rural Brazilian farming population was 35.8%, with higher rates in men and those with excess weight, and 44.2% of hypertensive patients were untreated.
Why the study?
To determine the prevalence of hypertension and associated factors in farmers in a rural region of Brazil.
Cross-Sectional (n=790)
No
A high prevalence of hypertension (35.8%) exists among rural Brazilian farmers, with significant underdiagnosis and undertreatment, strongly associated with low schooling and abdominal adiposity.
Suggests need for better hypertension detection in rural Brazil; leaves open whether targeted screening improves outcomes in similar farming groups.
OBJECTIVES: To determine the prevalence of hypertension and associated factors in farmers in a rural region of Brazil. METHODS: A cross-sectional study was conducted involving a sample of 790 farmers who were residents of Espírito Santo, Brazil. RESULTS: The prevalence of hypertension was 35.8% (95%CI: 32.5-39.1%, n=283); however, it was higher in men (36.6%, n=151, p<0.001) and in those with excess weight (48.9%, n=197, p<0.001). Of the 283 hypertensive patients, 125 (44.2%) did not use antihypertensive drugs. In men, lower level of schooling (p=0.004), working in the field for fewer daily hours (p<0.001), and having greater abdominal adiposity (p=0.039) were associated with the presence of increased blood pressure. In women, age (p=0.002), lower schooling (p=0.021), and increased central adiposity (p=0.003) were independent predictors of blood pressure. CONCLUSION: The highest prevalence of hypertension was observed in men, with elevated blood pressure being strongly associated with social and economic factors. In women, the association with the classic factors (age, increase in abdominal adiposity, and low schooling) was stronger. In addition, most hypertensive patients are not adequately diagnosed or treated.
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Salaroli et al. (2020) conducted a cross-sectional in Arterial hypertension (n=790). Rural farming occupation and lifestyle factors was evaluated on Prevalence of hypertension (95% CI 32.5-39.1). The prevalence of hypertension in a rural Brazilian farming population was 35.8%, with higher rates in men and those with excess weight, and 44.2% of hypertensive patients were untreated.
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