Avaliação do impacto da renda, educação e cor na hipertensão arterial, diabetes mellitus e doença renal crônica

Abstract

INTRODUCTION: Chronic noncommunicable diseases (CDN) are led by causes of death worldwide, killing about 15 million women and men between the ages of 30 and 70 each year (WHO, 2017). Graves increase rates and vulnerabilities, emerging as a serious public health problem worldwide (WHO, 2014). Rating: 0.0 The main risk factors for cardiovascular disease, chronic kidney disease and diabetes social factors such as education, occupation, income, gender and ethnicity (ABEYTA et al; 2012, LASH, 2009, SIEGEL, LUENGEN and STOCK, 2013). OBJECTIVES: medical prescription of risk factors in patients with hypertension, diabetes mellitus and chronic kidney disease; Correlate Income, Education and Color with social risk factors and the impact of the same clinical indicators of control. METHODS: This is a longitudinal retrospective cohort study covering the period from August 2010 to December 2014. The following inclusion criteria were used: users older than 18 years and who had at least 2 visits in the Hiperdia Juiz de Fora period from August 2010 to December 2014. Eligible users were referred to primary health care in the area covered by the Center. Demographic information is collected at admission and the other variables are collected at the attendance level. As demographic variables analyzed were: sex, age, color, city, UBS, marital status, schooling, income, smoking, alcohol consumption. For clinical clinics: blood pressure, weight, height, BMI, heart rate. The laboratory records of: creatinine, fasting glycemia, hemoglobin and glycated hemoglobin, total cholesterol, HDL and LDL. The application of medications used: ACEI, BRAT, Beta blockers, Statin, AAS, diuretics, Insulin Biguanide, Sulfoniureia and Fibrato. As well as follow-up time and number of queries. CONCLUSION: The ethnicity, an income and an impact on the progression of hypertension, DM and CDR. Only one study on the progression of diabetes mellitus can be done through access to medications by the population with restricted access to the classes available in the SUS. We observed an association of pathologies with gender, illiteracy and color, but these variables did not impact on the progression of the final evaluation of the study. We believe that the universal environment of the health system coupled with the interdisciplinary care model is supplanted as socioeconomic differences.