Prevalência e fatores associados à hipertensão e pré-hipertensão arterial em mulheres de área adscrita à estratégia de saúde da família de um município da Zona da Mata Mineira

Abstract

Objective - To estimate the prevalence of associated factors of prehypertension and hypertension in women from 20 to 59 years, enrolled in two Primary Health Care Units who adopt the Family Health Strategy. Methods - A cross sectional study on women's health, developed in a partnership between UERJ and UFJF. The study population consisted in 2077 women from 20 to 59 years. The study population comprised 2077 women between 20 and 59 years old. The dependent variables were pre-hypertension (blood pressure > 120/80 mmHg and < 140/90 mmHg) and hypertension (BP ≥ 140/90 mmHg) and / or statement of medical diagnosis of high blood pressure. The study met the Resolution 196/96 of the CNS. Data analysis included: univariate, bivariate and multivariate analysis using the Poisson regression model that included variables with p <0.20 and those considered relevant to the study. Results: Of the 2077 women who participated in the survey 596 were considered hypertensive making a prevalence of 28.70%. The prevalence of prehypertension was 20.64%, when considering the 1,773 women who had blood pressure measured less than 140/90 mmHg. Both the prevalence of hypertension and prehypertension for the higher age groups, color black or brown skin, family history of hypertension and overweight body showed statistically significant after multivariate analysis. Negative self-evaluation of health status and time of blood pressure measurement less than six months constituted risk factors for hypertension while abdominal obesity was a risk factor for prehypertension. Conclusion - Being overweight is strongly associated with blood hypertension and prehypertension concerning literature. Thus, local policies of Primary Health Care Unit must converge to prevent overweight and include measurement of anthropometric data on health interventions.