LA UDES PUBLICA
Fecha de publicación:
2022-07-01
Tipo:
Article
Identificación:
SCOPUS_ID:85133849177
eID:
2-s2.0-85133849177
Nombre de la revista:
American Journal of Hypertension
Título del artículo:

Ethnic Differences in the Prevalence of Hypertension in Colombia: Association With Education Level

BACKGROUND: A higher prevalence of hypertension is reported among Afro-descendants compared with other ethnic groups in high-income countries; however, there is a paucity of information in low- and medium-income countries. METHODS: We evaluated 3,745 adults from 3 ethnic groups (552 White, 2,746 Mestizos, 447 Afro-descendants) enrolled in the prospective population-based cohort study (PURE) - Colombia. We assessed associations between anthropometric, socioeconomic, behavioral factors, and hypertension. RESULTS: The overall prevalence of hypertension was 39.2% and was higher in Afro-descendants (46.3%) than in Mestizos (37.6%) and Whites (41.5%), differences that were due to the higher prevalence in Afro-descendant women. Hypertension was associated with older age, increased body mass index, waist circumference and waist-to-hip ratio, independent of ethnicity. Low education was associated with hypertension in all ethnic groups, and particularly in Afro-descendants, for whom it was the factor with the strongest association with prevalence. Notably, 70% of Afro-descendants had a low level of education, compared with 52% of Whites - 26% of Whites were university graduates while only 7% of Afro-descendants were. We did not find that education level alone had a mediator effect, suggesting that it is not a causal risk factor for hypertension but is an indicator of socioeconomic status, itself an important determinant of hypertension prevalence. CONCLUSIONS: We found that a higher prevalence of hypertension in Colombian Afro-descendants than other ethnic groups. This was principally associated with their lower mean educational level, an indicator of lower socioeconomic status.

Autor(es) UDES:
Lopez-Lopez J.P., Cohen D.D., Alarcon-Ariza N., Mogollon-Zehr M., Chacon-Manosalva M.A., Martinez-Bello D., Otero J., Perez-Mayorga M., Lopez-Jaramillo P.
Otros Autores:
Ney-Salazar D., Castillo-Lopez G., Rangarajan S., Yusuf S.
Autor Principal:
Lopez-Lopez J.P.
Áreas del conocimiento:
Internal Medicine
Acerca de la revista donde se publicó este artículo:

American Journal of Hypertension

Cuartil Q2
Ranking
5149
Tipo
Journal
ISSN
08957061
eISSN
19417225
Región
Western Europe
País
United Kingdom
Volumen
35
Rango de páginas
610-618
Cobertura
1954, 1988-2022
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