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Attention to high blood pressure in Brazil: trends and inequalities

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Doroteia Aparecida Höfelmann, Associate Editor of the journal Epidemiologia e Serviços de Saúde : revista do SUS , professor at the Federal University of Paraná (UFPR), Curitiba, PR, Brazil.

The article “Adequacy of care for people with hypertension in Brazil: National Health Survey, 2013 and 2019” , published in RESS (vol. 31, no. 2), analyzed the adequacy of care received by adults and elderly people with hypertension and its association with national macro-region, demographic, socioeconomic and health system characteristics in Brazil in 2013 and 2019.

The study involved researchers from the Federal University of Pelotas (UFPel) and the Health Department of the State of Rio Grande do Sul. The authors used data from adults diagnosed with hypertension and who consulted a doctor for this reason in the last three years, who participated in the National Health Survey in 2013 and 2019, which covered the country. To assess the adequacy of care, eleven different indicators were considered.

In 2013, approximately 25 out of every 100 people received care considered adequate, while in 2019, this number fell to 20 out of every 100. Furthermore, receiving adequate care was more frequent for residents of the Central-West and Southeast regions of the country, for those with higher socioeconomic status, and for those served by private health services. Thus, the authors concluded that there was a reduction in the proportion of people receiving adequate care for hypertension in both periods, and that there was an increase in economic inequalities.

This information is relevant considering the impact of hypertension on illness and mortality, given the possibility of developing health problems that impact people’s quality of life.

The authors highlight the following: “Given the increasing occurrence of hypertension, monitoring quality of care indicators over time is necessary to identify gaps in services and guide the implementation of policies aimed at this population.”

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Brazil, Ministry of Health. Virtual Health Library. Arterial hypertension. Brasília: Ministry of Health, 2004 [viewed 7 December 2022]. Available from: https://bvsms.saude.gov.br/hipertensao-18/

Brazil, Ministry of Health. Cardioprotective diet. Brasília: Ministry of Health, 2018 [viewed 7 December 2022]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/alimentacao_cardioprotetora.pdf

TOMASI, E., et al. Adequacy of care for people with hypertension in Brazil: National Health Survey, 2013 and 2019. Epidemiol. Serv. Saúde [online]. 2022, vol. 31, no. 2 [viewed 7 December 2022]. https://doi.org/10.1590/S2237-96222022000200005 . Available from: https://www.scielo.br/j/ress/a/y7ryL7pFynvc8wKVWbwncHF/

Epidemiology and Health Services – RESS: https://www.scielo.br/ress

Information on systemic arterial hypertension in adults: https://linhasdecuidado.saude.gov.br/portal/hipertensao-arterial-sistemica-(HAS)-no-adulto/

To read the latest publications from RESS, visit: http://ress.iec.gov.br/