The hypertension cascade of care in the midst of conflict
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Publication Date: | 2022 |
Other Authors: | , , , , , , , , , |
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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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 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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http://hdl.handle.net/10362/153977 |
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http://hdl.handle.net/10362/153977 |
dc.language.iso.fl_str_mv |
eng |
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eng |
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0950-9240 PURE: 63725202 https://doi.org/10.1038/s41371-022-00783-w |
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openAccess |
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