Journal
BLOOD PRESSURE
Volume 18, Issue 4, Pages 213-222Publisher
TAYLOR & FRANCIS LTD
DOI: 10.1080/08037050903145923
Keywords
Gender; health inequalities; hypertension; socio-economic status; target organ damage
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Funding
- AATRM (Agency for Technology Evaluation and Medical Research)
- Catalan Health Service
- Generalitat de Catalunya (Autonomous Catalan Government) [AATRM-155/12/2004]
- FIS (Health Research Fund)
- Spanish Ministry of Science and Innovation [FIS-03/0436]
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The aim of the study as to ascertain whether gender and socio-economic variables can explain differences in the degree of severity of hypertension (HT) at the time of diagnosis. Patients were recently diagnosed and never-treated hypertensives, seen in primary care sites and aged 15-75. This study also included a cohort of normotensive patients. All individuals were invited to respond a questionnaire to collect socio-demographic and socio-economic data. Target organ damage (TOD) is considered a marker of severity. Three hundred and eighty-eight individuals responded to the questionnaire, 277 hypertensive, 111 normotensive. In an ordered probit model, the odds ratio of presenting with more than one TOD were: Aged >67 (OR = 1.22; 1.06-1.38), being a smoker (OR = 1.21; 1.02-1.40) or ex-smoker (OR = 2.89; 1.27-4.51), primary school education (OR = 2.17; 1.47-2.87), being male (OR = 0.75; 0.59-0.90), being an agricultural worker (OR = 0.03; 0.00-0.05) or a salaried professional (OR = 0.96; 0.94-0.99). The results show differences in the severity of the HT in the initial assessment of the patient according to gender or other socio-economic variables. It is particularly important at the time of carrying out the diagnosis and the HT assessment.
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