title: [High blood pressure and obesity: disparities among four French overseas territories].
abstract: OBJECTIVE
  The epidemiological characteristics of hypertension and obesity in French overseas territories (FOTs) have never been compared.
  
  
  METHODS
  This cross-sectional survey included representative population-based samples of 602, 601, 620 and 605 men and women aged more than 15 years, respectively, from four FOTs of Guadeloupe, Martinique, French Guiana, and French Polynesia. Hypertension was defined as blood pressure (BP) at least 140/90mmHg or the current use of antihypertensive treatment.
  
  
  RESULTS
  The prevalence of hypertension was 29.2% in Guadeloupe, 17.9% in French Guiana, 27.6% in Martinique and 24.5% in French Polynesia. Considering the Guadeloupe population as the reference group, prevalence of hypertension was significantly lower in French Guiana (P<0.001), even after controlling for age and sex (PU0.006). Awareness and treatment of hypertension were similar in French Guiana, Martinique and Guadeloupe (68.8-75.1% and 69.0-73.4%, respectively). Awareness was lower in French Polynesia (50.0%, adjusted P value U0.04), as was treatment of hypertension (32.4%, adjusted P value U0.001). Control of hypertension was also lower in French Polynesia (8.8%, adjusted P value U0.001) compared with the other territories (29.7-31.8%). French Polynesia had the highest prevalence of obesity (33.1%, adjusted P value<0.001) as compared with the other territories (17.9-22.8%). It had also the largest population attributable fraction of hypertension due to obesity (35.5%) compared with Guadeloupe (13.3%), Martinique (12.3%) and French Guiana (23.6%).
  
  
  CONCLUSIONS
  Wide variations were observed in the prevalence and the management of hypertension between these FOTs, and an especially challenging low control of hypertension was found in French Polynesia. Obesity appears a key target to prevent hypertension, particularly in French Polynesia.
authors: Service de cardiologie, pôle vasculaire, centre hospitalier de la Basse-Terre, 97100 Basse-Terre, Guadeloupe. Electronic address: andre.atallah@ch-labaseterre.fr.
authors: A
authors: A
authors: Atallah
authors: Service de cardiologie, groupe hospitalier Pitié-Salpêtrière, Paris, France.
authors: V
authors: V
authors: Atallah
authors: Département de diabétologie, centre hospitalier de l'Ouest-Guyanais, 97320 Saint-Laurent du Maroni, Guyane française.
authors: J-L
authors: JL
authors: Daigre
authors: Département de diabétologie, Papeete, Polynésie française.
authors: J-L
authors: JL
authors: Boissin
authors: Unité du pied diabétique, pôle SSR, CHU Pointe-à-Pitre, Guadeloupe.
authors: P
authors: P
authors: Kangambega
authors: Département de cardiologie, CHU de Pointe-à-Pitre, Pointe-à-Pitre, Guadeloupe.
authors: L
authors: L
authors: Larifla
authors: Inserm U558, Iferiss, département de cardiologie, hôpital de Fort-de-France, Toulouse, France.
authors: J
authors: J
authors: Inamo
mesh_terms: D000328:Adult; D000959:Antihypertensive Agents / Q000627:therapeutic use; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D005260:Female; D005616:French Guiana / Q000453:epidemiology; D019430:Guadeloupe / Q000453:epidemiology; D054624:Health Status Disparities; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology* / Q000517:prevention & control; D008297:Male; D008395:Martinique / Q000453:epidemiology; D008875:Middle Aged; D009765:Obesity / Q000453:epidemiology* / Q000517:prevention & control; D011114:Polynesia / Q000453:epidemiology; D015995:Prevalence; D012307:Risk Factors
chemical_list: D000959:Antihypertensive Agents
keywords: Awareness; Communauté; Community; Connaissance; Contrôle par le traitement; Epidemiology; Fraction attribuable dans la population; Fraction attributable population; French Guiana; French Overseas Territories; French Polynesia; Guadeloupe; Guyane française; Hypertension; Management; Martinique; Obesity; Obésité; Polynésie française; Prevalence; Prevention; Prise en charge; Prévalence; Prévention; Territoires français d’Outre-mer; Treatment control; Épidémiologie