[Follow-up and monitoring of hypertension. Is this performed the same in the autochthonous and immigrant populations?].
OBJECTIVE
To evaluate the degree of control of blood pressure (BP) in the autochthonous and immigrant populations and to find the variables linked to good control.


METHODS
Cross-sectional, observational study.


METHODS
Urban primary care team, Spain.


METHODS
All patients with hypertension seen between 1/1/2000 and 1/7/2005 and whose origin was known: 1.063 patients in all, 931 autochthonous and 132 immigrant ones.


METHODS
The main variable was hypertension control the last time BP was taken (BP </=140/90 mm Hg and </=130/80 mm Hg in diabetics). In addition, data on country of origin, age, gender, body mass index, cardiovascular risk factors (diabetes, lipaemia, tobacco dependency), further examinations (annual blood analysis and ECG every 2 years) and prescribed medication were recorded. Logistic regression was used to calculate the effect of origin on blood pressure monitoring.


RESULTS
Good BP control was achieved in 39.2% of autochthonous patients and 25% of immigrants (odds ratio [OR], 1.6; 95% confidence interval [CI], 95% CI, 1.2-2.1). Nevertheless, multivariate analysis indicated age (OR, 1.029; 95% CI, 1.017-1.040) as the sole factor determining good or bad BP control.


CONCLUSIONS
The origin of the patient does not affect BP control.
Palacios Soler
Laura
L
Equipo de Atención Primaria Gòtic, Institut Català de la Salut, Barcelona, España. kashuo@yahoo.com
Camps Vila
Laura
L
Fabregas Escurriola
Mireia
M
Vilaplana Cosculluela
Miguel
M
Dalfó-Baqué
Antoni
A
Vilaplana Vilaplana
Xavier
X
D000368:Aged; D003430:Cross-Sectional Studies; D054242:Emigrants and Immigrants; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006973:Hypertension / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013030:Spain