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Wealth and cardiovascular health: a cross-sectional study of wealth-related inequalities in the awareness, treatment and control of hypertension in high-, middle- and low-income countries

Effective policies to control hypertension require an understanding of its distribution in the population and the barriers people face along the pathway from detection through to treatment and control. One key factor is household wealth, which may enable or limit a household's ability to access heal... Full description

Journal Title: International journal for equity in health 08 December 2016, Vol.15(1), pp.199
Main Author: Palafox, Benjamin
Other Authors: Mckee, Martin , Balabanova, Dina , Alhabib, Khalid F , Avezum, Alvaro Jr , Bahonar, Ahmad , Ismail, Noorhassim , Chifamba, Jephat , Chow, Clara K , Corsi, Daniel J , Dagenais, Gilles R , Diaz, Rafael , Gupta, Rajeev , Iqbal, Romaina , Kaur, Manmeet , Khatib, Rasha , Kruger, Annamarie , Kruger, Iolanthe Marike , Lanas, Fernando , Lopez-Jaramillo
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: E-ISSN: 1475-9276 ; PMID: 27931255 Version:1
Link: http://pubmed.gov/27931255
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title: Wealth and cardiovascular health: a cross-sectional study of wealth-related inequalities in the awareness, treatment and control of hypertension in high-, middle- and low-income countries
format: Article
creator:
  • Palafox, Benjamin
  • Mckee, Martin
  • Balabanova, Dina
  • Alhabib, Khalid F
  • Avezum, Alvaro Jr
  • Bahonar, Ahmad
  • Ismail, Noorhassim
  • Chifamba, Jephat
  • Chow, Clara K
  • Corsi, Daniel J
  • Dagenais, Gilles R
  • Diaz, Rafael
  • Gupta, Rajeev
  • Iqbal, Romaina
  • Kaur, Manmeet
  • Khatib, Rasha
  • Kruger, Annamarie
  • Kruger, Iolanthe Marike
  • Lanas, Fernando
  • Lopez-Jaramillo
subjects:
  • Global Health
  • Healthcare Disparities
  • Hypertension
  • Socioeconomic Factors
  • Developed Countries
  • Developing Countries
  • Healthcare Disparities
  • Income
  • Poverty
  • Social Class
  • Hypertension -- Therapy
ispartof: International journal for equity in health, 08 December 2016, Vol.15(1), pp.199
description: Effective policies to control hypertension require an understanding of its distribution in the population and the barriers people face along the pathway from detection through to treatment and control. One key factor is household wealth, which may enable or limit a household's ability to access health care services and adequately control such a chronic condition. This study aims to describe the scale and patterns of wealth-related inequalities in the awareness, treatment and control of hypertension in 21 countries using baseline data from the Prospective Urban and Rural Epidemiology study. A cross-section of 163,397 adults aged 35 to 70 years were recruited from 661 urban and rural communities in selected low-, middle- and high-income countries (complete data for this analysis from 151,619 participants). Using blood pressure measurements, self-reported health and household data, concentration indices adjusted for age, sex and urban-rural location, we estimate the magnitude of wealth-related inequalities in the levels of hypertension awareness, treatment, and control in each of the 21 country samples. Overall, the magnitude of wealth-related inequalities in hypertension awareness, treatment, and control was observed to be higher in poorer than in richer countries. In poorer countries, levels of hypertension awareness and treatment tended to be higher among wealthier households; while a similar pro-rich distribution was observed for hypertension control in countries at all levels of economic development. In some countries, hypertension awareness was greater among the poor (Sweden, Argentina, Poland), as was treatment (Sweden, Poland) and control (Sweden). Inequality in hypertension management outcomes decreased as countries became richer, but the considerable variation in patterns of wealth-related inequality - even among countries at similar levels of economic development - underscores the importance of health systems in improving hypertension management for all. These findings show that some, but not all, countries, including those with limited resources, have been able to achieve more equitable management of hypertension; and strategies must be tailored to national contexts to achieve optimal impact at population level.
language: eng
source:
identifier: E-ISSN: 1475-9276 ; PMID: 27931255 Version:1
fulltext: fulltext
issn:
  • 14759276
  • 1475-9276
url: Link


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titleWealth and cardiovascular health: a cross-sectional study of wealth-related inequalities in the awareness, treatment and control of hypertension in high-, middle- and low-income countries
creatorPalafox, Benjamin ; Mckee, Martin ; Balabanova, Dina ; Alhabib, Khalid F ; Avezum, Alvaro Jr ; Bahonar, Ahmad ; Ismail, Noorhassim ; Chifamba, Jephat ; Chow, Clara K ; Corsi, Daniel J ; Dagenais, Gilles R ; Diaz, Rafael ; Gupta, Rajeev ; Iqbal, Romaina ; Kaur, Manmeet ; Khatib, Rasha ; Kruger, Annamarie ; Kruger, Iolanthe Marike ; Lanas, Fernando ; Lopez-Jaramillo
ispartofInternational journal for equity in health, 08 December 2016, Vol.15(1), pp.199
identifierE-ISSN: 1475-9276 ; PMID: 27931255 Version:1
subjectGlobal Health ; Healthcare Disparities ; Hypertension ; Socioeconomic Factors ; Developed Countries ; Developing Countries ; Healthcare Disparities ; Income ; Poverty ; Social Class ; Hypertension -- Therapy
descriptionEffective policies to control hypertension require an understanding of its distribution in the population and the barriers people face along the pathway from detection through to treatment and control. One key factor is household wealth, which may enable or limit a household's ability to access health care services and adequately control such a chronic condition. This study aims to describe the scale and patterns of wealth-related inequalities in the awareness, treatment and control of hypertension in 21 countries using baseline data from the Prospective Urban and Rural Epidemiology study. A cross-section of 163,397 adults aged 35 to 70 years were recruited from 661 urban and rural communities in selected low-, middle- and high-income countries (complete data for this analysis from 151,619 participants). Using blood pressure measurements, self-reported health and household data, concentration indices adjusted for age, sex and urban-rural location, we estimate the magnitude of wealth-related inequalities in the levels of hypertension awareness, treatment, and control in each of the 21 country samples. Overall, the magnitude of wealth-related inequalities in hypertension awareness, treatment, and control was observed to be higher in poorer than in richer countries. In poorer countries, levels of hypertension awareness and treatment tended to be higher among wealthier households; while a similar pro-rich distribution was observed for hypertension control in countries at all levels of economic development. In some countries, hypertension awareness was greater among the poor (Sweden, Argentina, Poland), as was treatment (Sweden, Poland) and control (Sweden). Inequality in hypertension management outcomes decreased as countries became richer, but the considerable variation in patterns of wealth-related inequality - even among countries at similar levels of economic development - underscores the importance of health systems in improving hypertension management for all. These findings show that some, but not all, countries, including those with limited resources, have been able to achieve more equitable management of hypertension; and strategies must be tailored to national contexts to achieve optimal impact at population level.
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38Yongzhen, Mo
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43Yusuf, Salim
titleWealth and cardiovascular health: a cross-sectional study of wealth-related inequalities in the awareness, treatment and control of hypertension in high-, middle- and low-income countries
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0Effective policies to control hypertension require an understanding of its distribution in the population and the barriers people face along the pathway from detection through to treatment and control. One key factor is household wealth, which may enable or limit a household's ability to access health care services and adequately control such a chronic condition. This study aims to describe the scale and patterns of wealth-related inequalities in the awareness, treatment and control of hypertension in 21 countries using baseline data from the Prospective Urban and Rural Epidemiology study.
1A cross-section of 163,397 adults aged 35 to 70 years were recruited from 661 urban and rural communities in selected low-, middle- and high-income countries (complete data for this analysis from 151,619 participants). Using blood pressure measurements, self-reported health and household data, concentration indices adjusted for age, sex and urban-rural location, we estimate the magnitude of wealth-related inequalities in the levels of hypertension awareness, treatment, and control in each of the 21 country samples.
2Overall, the magnitude of wealth-related inequalities in hypertension awareness, treatment, and control was observed to be higher in poorer than in richer countries. In poorer countries, levels of hypertension awareness and treatment tended to be higher among wealthier households; while a similar pro-rich distribution was observed for hypertension control in countries at all levels of economic development. In some countries, hypertension awareness was greater among the poor (Sweden, Argentina, Poland), as was treatment (Sweden, Poland) and control (Sweden).
3Inequality in hypertension management outcomes decreased as countries became richer, but the considerable variation in patterns of wealth-related inequality - even among countries at similar levels of economic development - underscores the importance of health systems in improving hypertension management for all. These findings show that some, but not all, countries, including those with limited resources, have been able to achieve more equitable management of hypertension; and strategies must be tailored to national contexts to achieve optimal impact at population level.
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titleWealth and cardiovascular health: a cross-sectional study of wealth-related inequalities in the awareness, treatment and control of hypertension in high-, middle- and low-income countries
authorPalafox, Benjamin ; Mckee, Martin ; Balabanova, Dina ; Alhabib, Khalid F ; Avezum, Alvaro Jr ; Bahonar, Ahmad ; Ismail, Noorhassim ; Chifamba, Jephat ; Chow, Clara K ; Corsi, Daniel J ; Dagenais, Gilles R ; Diaz, Rafael ; Gupta, Rajeev ; Iqbal, Romaina ; Kaur, Manmeet ; Khatib, Rasha ; Kruger, Annamarie ; Kruger, Iolanthe Marike ; Lanas, Fernando ; Lopez-Jaramillo
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15Khatib, Rasha
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26Poirier, Paul
27Rangarajan, Sumathy
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36Yaguang, Peng
37Yeates, Karen
38Yongzhen, Mo
39Yusoff, Khalid
40Yusuf, Rita
41Yusufali, Afzalhussein
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atitleWealth and cardiovascular health: a cross-sectional study of wealth-related inequalities in the awareness, treatment and control of hypertension in high-, middle- and low-income countries
jtitleInternational journal for equity in health
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volume15
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abstractEffective policies to control hypertension require an understanding of its distribution in the population and the barriers people face along the pathway from detection through to treatment and control. One key factor is household wealth, which may enable or limit a household's ability to access health care services and adequately control such a chronic condition. This study aims to describe the scale and patterns of wealth-related inequalities in the awareness, treatment and control of hypertension in 21 countries using baseline data from the Prospective Urban and Rural Epidemiology study.
pmid27931255
doi10.1186/s12939-016-0478-6
date2016-12-08