Há evidências de que vulnerabilidades socioambientais afetam o controle da pressão arterial de hipertensos?

Abstract

This paper analyzes if the location of residences and the socioenvironmental vulnerability of residents relate to hypertension control among individuals diagnosed with hypertension. We conducted face-to-face household interviews collecting sociodemographic data, measuring the blood pressure and georeferencing each interviewed household. In total, 641 individuals with hypertension users of the Basic Health Units in Governador Valadares, Minas Gerais, Brazil, were interviewed, stratified by age groups and randomly selected within each stratum. Our results suggest a uniform distribution of hypertension across the city, with no clear hotspot of individuals out of the blood pressure goal. Socioenvironmental characteristics of the urban environment does not seem to be associated with hypertension either. These findings suggest that both hypertension and blood pressure control are more likely to reflect genetic factors, as well as life style rather than ecological attributes associated with their spatial context.