Key result
Social lag indicators decline across Mexican states from 2000 to 2015, especially in highly marginalized regions.
Why the study?
Hypertension is a growing public health problem in Mexico with an expected 151% increase in cases by 2050 if no actions are taken, necessitating data on awareness, treatment, and control.
What is the prevalence of hypertension awareness, treatment, and control in an opportunistic screening campaign in Mexico?
Observational
What is the prevalence of hypertension awareness, treatment, and control in an opportunistic screening campaign in Mexico?
An opportunistic screening campaign in Mexico revealed a 24.5% prevalence of hypertension, with 61% of those affected achieving blood pressure control.
Social lag reductions in marginalized Mexican states may inform equity strategies; leaves open links to hypertension control in screening campaigns.
Background: Hypertension is still a growing public health problem in Mexico. An estimated 151% increase in the number of individuals with hypertension is expected for 2050 if actions are not taken in the country. The aim of this study is to describe hypertension awareness, treatment, control and its associated factors in participants of an opportunistic medical student-led blood pressure screening campaign in Mexico. Methods: A cross-sectional study, using convenience sampling was performed, including participants aged 18 years and older from 15 Mexican states. Each participant completed a questionnaire about risk factors and had three BP measurements taken. Hypertension was defined as ≥140/90 mmHg. Multiple imputation with linear regression was performed where data was missing. Results: From a population of 2 545 participants, 623 (24.5%) participants had hypertension. Of those with hypertension, 81.9% had a previous diagnosis of hypertension and only 16.1% were not on medication at the time of screening; 61% were controlled, 121% were uncontrolled patients and 18% were not aware they had hypertension. High marginalization was found to have the biggest proportion of uncontrolled cases (33%), while the number of unaware hypertensives in very low marginalization states doubled the national figure. More than half the participants taking antihypertensive agents were on a single medication, achieving control in almost 8 in 10 patients. Conclusion: It is important to continue making and supporting awareness raising campaigns in different settings across the country to generate more evidence and lead to better programs for improving hypertension detection in Mexico.
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Yamamoto-Moreno et al. (2020) conducted an observational in Social lag (Rezago social). Social lag indicators (education, health access, housing, assets) was evaluated on Índice de Rezago Social (Social Lag Index). Between 2000 and 2015, indicators of social lag decreased across Mexican states, with the largest reductions observed in highly marginalized states such as Chiapas, Guerrero, and Oaxaca.
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