Reader TTS

Access through your institution Buy or subscribe THE PREVALENCE, AWARENESS, TREATMENT AND CONTROL OF HYPERTENSION WERE ASSESSED IN 1303 PERSONS WHO ATTENDED A FREE VISION CARE CLINIC IN

RURAL NICARAGUA. THE PREVALENCE OF HYPERTENSION WAS 37.8% IN MEN AND 43.2% IN WOMEN. HYPERTENSION WAS FOUND TO BE A HIGHLY PREVALENT DISEASE IN THIS GROUP, AND PRESUMABLY IN THE LOCAL

POPULATION, WITH LOW LEVELS OF AWARENESS AND CONTROL. Cardiovascular disease is the leading cause of death in both men and women in Nicaragua.1 Hypertension is a major contributor to

cardiovascular disease, and the successful management of hypertension requires a preventive health-care approach to disease with frequent health-care visits and a commitment to long-term

medication use. However, there are many barriers to this type of health care in Nicaragua. Widespread poverty, low education levels and inadequate health-care accessibility are continuing

issues in Nicaraguan health care. Previous studies have found the prevalence of hypertension in other Latin American communities and countries to be approximately 20–40%, as shown in Table

1.2, 3, 4, 5, 6, 7, 8, 9 This study is the first in English to assess the prevalence, awareness, treatment and control of hypertension in a Nicaraguan sample, providing data for the

development of effective hypertension programmes targeted to this group. This is a preview of subscription content, access via your institution ACCESS OPTIONS Access through your institution

Subscribe to this journal Receive 12 digital issues and online access to articles $119.00 per year only $9.92 per issue Learn more Buy this article * Purchase on SpringerLink * Instant

access to full article PDF Buy now Prices may be subject to local taxes which are calculated during checkout ADDITIONAL ACCESS OPTIONS: * Log in * Learn about institutional subscriptions *

Read our FAQs * Contact customer support REFERENCES * Country Profiles: Nicaragua. _Epidemiol Bull_ 2003; 24: 20–23. * Freeman V, Fraser H, Forrester T, Wilks R, Cruickshank J, Rotimi C _et

al_. Comparative study of hypertension prevalence, awareness, treatment and control rates in St Lucia, Jamaica and Barbados. _J Hypertens_ 1996; 14: 495–501. Article  CAS  Google Scholar  *

Inamo J, Lang T, Atallah A, Inamo A, Larabi L, Chatellier G _et al_. Prevalence and therapeutic control of hypertension in French Caribbean regions. _J Hypertens_ 2005; 23: 1341–1346.

Article  CAS  Google Scholar  * Ordunez-Garcia P, Munoz JLB, Pedraza D, Espinosa-Brito A, Silva LC, Cooper RS . Success in control of hypertension in a low-resource setting: the Cuban

experience. _J Hypertens_ 2006; 24: 845–849. Article  CAS  Google Scholar  * Ong KL, Cheung BM, Man YB, Lau CP, Lam KS . Prevalence, awareness, treatment, and control of hypertension among

United States adults 1999–2004. _Hypertension_ 2007; 49: 69–75. Article  CAS  Google Scholar  * Arroyo P, Fernandez V, Loria A, Kuri-Morales P, Orozco-Rivadeneyra S, Olaiz G _et al_.

Hypertension in urban Mexico: the 1992–93 national survey of chronic diseases. _J Hum Hypertens_ 1999; 13: 671–675. Article  CAS  Google Scholar  * Sulbaran T, Silva E, Calmon G, Vegas A .

Epidemiologic aspects of arterial hypertension in Maracaibo, Venezuela. _J Hum Hypertens_ 2000; 14: S6–S9. Article  Google Scholar  * Gus I, Harzheim E, Zaslavsky C, Medina C, Gus M .

Prevalence, awareness, and control of systemic arterial hypertension in the state of Rio Grande do Sul. _Arq Bras Cardiol_ 2004; 83: 429–433. Article  Google Scholar  * Przygoda P, Janson J,

O'Flaherty M, Waisman G, Galarza CR, Alfie J _et al_. Lack of effective blood pressure control among an elder hypertensive population in Buenos Aires. _Am J Hypertens_ 1998; 11(8 Part

1): 1024–1027. Article  CAS  Google Scholar  * Nicaraguan Institute of Statistics and Census. Total population by area of residence and sex, according to department and five-year age group.

Managua, 2003 (www.inec.gob.ni,6 August 2006). * Nicaragua 2001. Results from the Demographic and Health Survey. _Stud Fam Plann_ 2004; 35: 207–211. * Edwards PR, Lunt DW, Fehrsen GS,

Lombard CJ, Steyn K . Cost-effectiveness of hypertension management at a community health centre. _S Afr Med J_ 1998; 88: 549–554. CAS  PubMed  Google Scholar  Download references AUTHOR

INFORMATION AUTHORS AND AFFILIATIONS * University of Connecticut School of Medicine, Farmington, CT, USA N A Blondin * Department of Community Medicine and Health Care, Community-Based

Education Program, University of Connecticut Health Center, Farmington, CT, USA J Lewis Authors * N A Blondin View author publications You can also search for this author inPubMed Google

Scholar * J Lewis View author publications You can also search for this author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence to N A Blondin. ADDITIONAL INFORMATION No financial

disclosures to be made. There are no conflicts of interest to disclose. RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Blondin, N., Lewis, J.

Prevalence, awareness, treatment and control of hypertension in a rural Nicaraguan sample. _J Hum Hypertens_ 21, 815–817 (2007). https://doi.org/10.1038/sj.jhh.1002225 Download citation *

Published: 03 May 2007 * Issue Date: 01 October 2007 * DOI: https://doi.org/10.1038/sj.jhh.1002225 SHARE THIS ARTICLE Anyone you share the following link with will be able to read this

content: Get shareable link Sorry, a shareable link is not currently available for this article. Copy to clipboard Provided by the Springer Nature SharedIt content-sharing initiative