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- Title
Hipertensos assistidos em serviço de atenção secundária: risco cardiovascular e determinantes sociais de saúde.
- Authors
Drumond Nobre, André Luiz Cândido Sarmento; de Almeida Lima, Cássio; Lages de Oliveira, Maria José; de Melo Alvarenga Vieira, Davi; Martelli Júnior, Hercílio; de Melo Costa, Simone
- Abstract
Background: In the perspective of the social determinants of health, Systemic Arterial Hypertension presents complex multifactorial nature. This cardiovascular risk factor is influenced by behavioral, economic, social, political and environmental aspects. Objective: To investigate the relationship between social determinants of health and global cardiovascular risk in hypertensive patients assisted in the secondary care service of the Unified Health System. Method: An analytical sectional study with patients from Centro Hiperdia in Northern Minas Gerais, Brazil. Data of social determinants were collected through a structured questionnaire. The classification of cardiovascular risk (high, moderate and low) was based on clinical data. The statistic considered significance level 5%. Results: Among 231 participants, the majority (64.1%) presented high cardiovascular risk, associated with clinical data: high systolic blood pressure (p=0.04) and longer diagnostic time (p=0.01). High cardiovascular risk was associated with social determinants: satisfaction with access to health services (p=0.02) and healthy physical environment (p=0.02). Conclusion: Although satisfaction with the health services and the physical environment presented reversed results, we suggest the strengthening of health care policies and practices that recognize different determinants, and prevent the severity of cardiovascular risk.
- Publication
Cadernos Saúde Coletiva, 2020, Vol 28, Issue 3, p334
- ISSN
1414-462X
- Publication type
Article
- DOI
10.1590/1414-462X202028030386