title: [Unawareness of hypertension and its determinants among 'quilombolas' (inhabitants of 'quilombos' - hinterland settlements founded by people of African origin) living in Southwest Bahia, Brazil].
abstract: This study sought to evaluate the prevalence of unawareness of arterial hypertension (AH) and associated factors among the quilombola population and to describe aspects of the non-pharmacological management of AH. It involved a cross-sectional study with a sample of 358 people with AH aged 18 years or more. AH was considered systolic blood pressure (BP) ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg and/or reported use of antihypertensive drugs. Unawareness of AH was classified as persons answering negatively when asked if they suffered from AH. Poisson regression was then used. The prevalence of unawareness of AH was 44.1% (95% CI: 38.9-49.3). Among those who already knew the diagnosis and had drug treatment only 24.8% had controlled BP. The unawareness of AH was positively associated with the male sex and Stage 1 of AH and negatively with increasing age, overweight, negative self-perception of health and medical visits. For non-pharmacological management, low percentages of quilombola reported appropriate standard recommendations of care. Arterial hypertension is a serious public health issue among the quilombola population, revealing great vulnerability in health due to poor levels of awareness, treatment and control.
authors.affiliation: Instituto Multidisciplinar em Saúde, Universidade Federal da Bahia, Vitória da Conquista, Bahia, Brasil, vanessaenut@yahoo.com.br.
authors.forename: Vanessa Moraes
authors.initials: VM
authors.lastname: Bezerra
authors.affiliation: Instituto Multidisciplinar em Saúde, Universidade Federal da Bahia, Vitória da Conquista, Bahia, Brasil, vanessaenut@yahoo.com.br.
authors.forename: Amanda Cristina de Souza
authors.initials: AC
authors.lastname: Andrade
authors.affiliation: Instituto de Ciências Exatas, Universidade Federal de Minas Gerais.
authors.forename: Cibele Comini
authors.initials: CC
authors.lastname: César
authors.affiliation: Departamento de Medicina Preventiva e Social, Universidade Federal de Minas Gerais.
authors.forename: Waleska Teixeira
authors.initials: WT
authors.lastname: Caiaffa
mesh_terms: D000293:Adolescent; D000328:Adult; D044383:Black People; D001938:Brazil; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D006973:Hypertension / Q000208:ethnology; D008297:Male; D008875:Middle Aged; D055815:Young Adult