The hypertension cascade of care in the midst of conflict

Bibliographic Details
Main Author: Abu Hamad, Bassam A.
Publication Date: 2022
Other Authors: Jamaluddine, Zeina, Safadi, Gloria, Ragi, Marie Elizabeth, Ahmad, Raeda El Sayed, Vamos, Eszter P., Basu, Sanjay, Yudkin, John S., Jawad, Mohammed, Millett, Christopher, Ghattas, Hala
Format: Article
Language: eng
Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Download full: http://hdl.handle.net/10362/153977
Summary: Funding Information: This study was jointly funded by the UK’s Department for International Development (DFID), the Medical Research Council (MRC), the Economic and Social Research Council (ESRC) and Wellcome Trust’s Health Systems Research Initiative (HSRI) (MR/S012877/1). Publisher Copyright: © 2022, The Author(s).
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spelling The hypertension cascade of care in the midst of conflictthe case of the Gaza StripInternal MedicineSDG 3 - Good Health and Well-beingSDG 16 - Peace, Justice and Strong InstitutionsFunding Information: This study was jointly funded by the UK’s Department for International Development (DFID), the Medical Research Council (MRC), the Economic and Social Research Council (ESRC) and Wellcome Trust’s Health Systems Research Initiative (HSRI) (MR/S012877/1). Publisher Copyright: © 2022, The Author(s).Although hypertension constitutes a substantial burden in conflict-affected areas, little is known about its prevalence, control, and management in Gaza. This study aims to estimate the prevalence and correlates of hypertension, its diagnosis and control among adults in Gaza. We conducted a representative, cross-sectional, anonymous, household survey of 4576 persons older than 40 years in Gaza in mid-2020. Data were collected through face-to-face interviews, anthropometric, and blood pressure measurements. Hypertension was defined in anyone with an average systolic blood pressure ≥140 mmHg or average diastolic blood pressure ≥90 mmHg from two consecutive readings or a hypertension diagnosis. The mean age of participants was 56.9 ± 10.5 years, 54.0% were female and 68.5% were Palestinian refugees. The prevalence of hypertension was 56.5%, of whom 71.5% had been diagnosed. Hypertension was significantly higher among older participants, refugees, ex-smokers, those who were overweight or obese, and had other co-morbidities including mental illnesses. Two-thirds (68.3%) of those with hypertension were on treatment with one in three (35.6%) having their hypertension controlled. Having controlled hypertension was significantly higher in females, those receiving all medications for high blood pressure and those who never or rarely added salt to food. Investing in comprehensive but cost-effective initiatives that strengthen the prevention, early detection and timely treatment of hypertension in conflict settings is critical. It is essential to better understand the underlying barriers behind the lack of control and develop multi-sectoral programs to address these barriers.Centro de Investigação em Saúde Pública (CISP/PHRC)Comprehensive Health Research Centre (CHRC) - Pólo ENSPEscola Nacional de Saúde Pública (ENSP)RUNAbu Hamad, Bassam A.Jamaluddine, ZeinaSafadi, GloriaRagi, Marie ElizabethAhmad, Raeda El SayedVamos, Eszter P.Basu, SanjayYudkin, John S.Jawad, MohammedMillett, ChristopherGhattas, Hala2023-06-15T22:20:34Z20222022-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/153977eng0950-9240PURE: 63725202https://doi.org/10.1038/s41371-022-00783-winfo:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2024-05-22T18:12:05Zoai:run.unl.pt:10362/153977Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T17:42:28.181504Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv The hypertension cascade of care in the midst of conflict
the case of the Gaza Strip
title The hypertension cascade of care in the midst of conflict
spellingShingle The hypertension cascade of care in the midst of conflict
Abu Hamad, Bassam A.
Internal Medicine
SDG 3 - Good Health and Well-being
SDG 16 - Peace, Justice and Strong Institutions
title_short The hypertension cascade of care in the midst of conflict
title_full The hypertension cascade of care in the midst of conflict
title_fullStr The hypertension cascade of care in the midst of conflict
title_full_unstemmed The hypertension cascade of care in the midst of conflict
title_sort The hypertension cascade of care in the midst of conflict
author Abu Hamad, Bassam A.
author_facet Abu Hamad, Bassam A.
Jamaluddine, Zeina
Safadi, Gloria
Ragi, Marie Elizabeth
Ahmad, Raeda El Sayed
Vamos, Eszter P.
Basu, Sanjay
Yudkin, John S.
Jawad, Mohammed
Millett, Christopher
Ghattas, Hala
author_role author
author2 Jamaluddine, Zeina
Safadi, Gloria
Ragi, Marie Elizabeth
Ahmad, Raeda El Sayed
Vamos, Eszter P.
Basu, Sanjay
Yudkin, John S.
Jawad, Mohammed
Millett, Christopher
Ghattas, Hala
author2_role author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Centro de Investigação em Saúde Pública (CISP/PHRC)
Comprehensive Health Research Centre (CHRC) - Pólo ENSP
Escola Nacional de Saúde Pública (ENSP)
RUN
dc.contributor.author.fl_str_mv Abu Hamad, Bassam A.
Jamaluddine, Zeina
Safadi, Gloria
Ragi, Marie Elizabeth
Ahmad, Raeda El Sayed
Vamos, Eszter P.
Basu, Sanjay
Yudkin, John S.
Jawad, Mohammed
Millett, Christopher
Ghattas, Hala
dc.subject.por.fl_str_mv Internal Medicine
SDG 3 - Good Health and Well-being
SDG 16 - Peace, Justice and Strong Institutions
topic Internal Medicine
SDG 3 - Good Health and Well-being
SDG 16 - Peace, Justice and Strong Institutions
description Funding Information: This study was jointly funded by the UK’s Department for International Development (DFID), the Medical Research Council (MRC), the Economic and Social Research Council (ESRC) and Wellcome Trust’s Health Systems Research Initiative (HSRI) (MR/S012877/1). Publisher Copyright: © 2022, The Author(s).
publishDate 2022
dc.date.none.fl_str_mv 2022
2022-01-01T00:00:00Z
2023-06-15T22:20:34Z
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url http://hdl.handle.net/10362/153977
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 0950-9240
PURE: 63725202
https://doi.org/10.1038/s41371-022-00783-w
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