[Hypertension in impoverished social segments in the state of São Paulo].
The objective of the current study was investigating the relation between socio-economic, environmental and biological factors and hypertension according to gender, taking into consideration peculiar forms of work, leisure and life-style. The target population consisted of 677 adults of impoverished social segments of two cities in the State of São Paulo, Brazil, 274 (39.8%) men and 415 (60.2%) women. The study was conducted by applying a hierarchical logistic regression model to men and women separately. The adjusted Odds Ratio (ORaj), with a confidence interval of 95% and a = 0.05, were calculated. The risk of hypertension in men increases as a result of: living in a rural area (ORaj= 2.00; p= 0.01), alcohol use (ORaj= 1.90; p=0.03) and being over 40 years of age (ORaj=2.35; p=0.003). On the other hand, large families, i.e. families with more than six members, exercise a protective effect (ORaj= 0.45; p=0.02). Risk factors associated with hypertension in women were: lack of schooling (ORaj= 2.37; p=0.003); sedentary lifestyle (ORaj=1.71; p=0.04); obesity associated with low stature (ORaj=3.23; p=0.001) and age over 40 years (ORaj=5.29; 0.0001). Obesity alone was not associated with hypertension (stage II or greater) in this population.
Martins
Ignez Salas
IS
Departamento de Nutrição, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, 01246-904. imartins@usp.br
de Oliveira
Denize Cristina
DC
Marinho
Sheila Pita
SP
de Araújo
Eutália Aparecida Cândico
EA
D000328:Adult; D001938:Brazil / Q000453:epidemiology; D005260:Female; D006801:Humans; D006973:Hypertension / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D011203:Poverty; D012959:Socioeconomic Factors; D055815:Young Adult