Publication
Regional variation in incidence and mortality due to hypertension in Sao Tome and Principe
| dc.contributor.author | Costa, J | |
| dc.contributor.author | Anes, Eugénia | |
| dc.contributor.author | Trovoada, M J | |
| dc.contributor.author | Teixeira, Cristina | |
| dc.date.accessioned | 2025-02-10T15:56:52Z | |
| dc.date.available | 2025-02-10T15:56:52Z | |
| dc.date.issued | 2024 | |
| dc.description.abstract | The analysis of incidence and mortality due to hypertension (HT) provides statistical data for addressing public health programs, particularly in low-income countries where poor health systems impose constraints to address non-communicable diseases (NCDs). This study aims to assess the geographic pattern of incidence and mortality due to HT in Sao Tome and Principe (STP). Methods This is a descriptive ecological study. Aggregated data on new cases of and deaths due to HT by gender, age-group and district (2022-2023) were extracted from the Health National Database (STP Ministry of Health). Age-standardized incidence and mortality rates (ASIR and ASMR) and respective 95% confidence interval (95%CI) were obtained. Mortality-to-incidence ratio (MIR) was computed by district (lower values indicate better quality of care). Comparison between districts was done through standardized incidence ratios (SIR) and respective p-value. Analyses were stratified by gender. Results ASIR and ASMR per 100,000 were, respectively, 1168.9 (95%CI:1103.3-1237.6) and 76.8 (95%CI:62.0-96.2) among men and 2460.6 (95%CI:2365.0-2559.0) and 99.7 (95%CI:81.4-121.6) among women. Incidence of HT was significantly higher than expected (p < 0.001) in Agua Grande, Caue and Lemba with SIR varying from 122.8% (Agua Grande) to 201.1% (Caue) in men and from 125.1% (Lemba) to 224.1% (Caue) in women. Instead, Mé-Zochi presented much lower incidence than expected for both, men (SIR=43.1%;p<0.001) and women (SIR=38.4%;p<0.001). Large differences between districts were observed in MIR, varying from 0% (Caue and Lobata) to 84% (Mé-Zochi) in men and from 0% (Lobata) to 57% (Mé-Zochi) in women. Conclusions According to our findings there is, not only, a high incidence rate of HT, but also regional variation in this rate, deserving particular attention from policy-makers. Regional variation in hypertension incidence could be partially explained by differences in the quality of healthcare services. Key messages • Awareness should be given to the high incidence of hypertension demanding preventive strategies in the field of public health. • Public health strategies should address the quality of care in regards to the prevention, diagnosis and monitoring of hypertension. | pt_PT |
| dc.description.version | info:eu-repo/semantics/publishedVersion | pt_PT |
| dc.identifier.citation | Costa, J; Anes, Eugénia; Trovoada, M J ; Teixeira, Cristina ( 2024). Regional variation in incidence and mortality due to hypertension in Sao Tome and Principe European Journal of Public Health. 34:3. ISSN 1101-1262. p. iii 525 | pt_PT |
| dc.identifier.doi | 10.1093/eurpub/ckae144.1348 | pt_PT |
| dc.identifier.uri | http://hdl.handle.net/10198/31159 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.publisher | Oxford Academic | pt_PT |
| dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | pt_PT |
| dc.subject | Hypertension | pt_PT |
| dc.subject | Mortality | pt_PT |
| dc.subject | Incidence | pt_PT |
| dc.subject | Sao tome and principe | pt_PT |
| dc.title | Regional variation in incidence and mortality due to hypertension in Sao Tome and Principe | pt_PT |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.conferencePlace | European Public Health Conference, Lisboa, Portugal | pt_PT |
| oaire.citation.endPage | iii 525 | pt_PT |
| oaire.citation.issue | Supplement_3 | pt_PT |
| oaire.citation.startPage | iii 525 | pt_PT |
| oaire.citation.title | European Journal of Public Health | pt_PT |
| oaire.citation.volume | 34 | pt_PT |
| person.familyName | Anes | |
| person.familyName | Teixeira | |
| person.givenName | Eugénia | |
| person.givenName | Cristina | |
| person.identifier.ciencia-id | 771D-4AC1-A09A | |
| person.identifier.ciencia-id | 6E12-F2A0-568F | |
| person.identifier.orcid | 0000-0001-8474-3474 | |
| person.identifier.orcid | 0000-0001-5194-5141 | |
| person.identifier.rid | O-2296-2013 | |
| person.identifier.scopus-author-id | 55207402700 | |
| rcaap.rights | openAccess | pt_PT |
| rcaap.type | article | pt_PT |
| relation.isAuthorOfPublication | 4376f3d5-9b98-4fe8-8979-2336e57a3469 | |
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