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. 2008 Sep 30;39(12):651–654. [Article in Spanish] doi: 10.1157/13113958

Seguimiento y control de la hipertensión arterial. ¿Se efectúa igual en la población autóctona y en la inmigrante?

Follow-up and monitoring of hypertension. Is this performed the same in the autochthonous and immigrant populations?

Laura Palacios Soler 1,⁎, Laura Camps Vila 1, Mireia Fabregas Escurriola 1, Miguel Vilaplana Cosculluela 1, Antoni Dalfó-Baqué 1, Xavier Vilaplana Vilaplana 1
PMCID: PMC7664716  PMID: 18093503

Abstract

Objectives

To evaluate the degree of control of blood pressure (BP) in the autochthonous and immigrant populations and to find the variables linked to good control.

Design

Cross-sectional, observational study.

Setting

Urban primary care team, Spain.

Participants

All patients with hypertension seen between 1/1/2000 and 1/7/2005 and whose origin was known: 1.063 patients in all, 931 autochthonous and 132 immigrant ones.

Main measurements

The main variable was hypertension control the last time BP was taken (BP ≤140/90 mm Hg and ≤130/80 mm Hg in diabetics). In addition, data on country of origin, age, gender, body mass index, cardiovascular risk factors (diabetes, lipaemia, tobacco dependency), further examinations (annual blood analysis and ECG every 2 years) and prescribed medication were recorded. Logistic regression was used to calculate the effect of origin on blood pressure monitoring.

Results

Good BP control was achieved in 39.2% of autochthonous patients and 25% of immigrants (odds ratio [OR], 1.6; 95% confidence interval [CI], 95% CI, 1.2-2.1). Nevertheless, multivariate analysis indicated age (OR, 1.029; 95% CI, 1.017-1.040) as the sole factor determining good or bad BP control.

Conclusions

The origin of the patient does not affect BP control.

Key words: Hypertension, Immigration, Treatment outcome

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