Addressing global disparities in blood pressure control : perspectives of the International Society of Hypertension
(2023) In Cardiovascular Research 119(2). p.381-409- Abstract
Raised blood pressure (BP) is the leading cause of preventable death in the world. Yet, its global prevalence is increasing, and it remains poorly detected, treated, and controlled in both high- and low-resource settings. From the perspective of members of the International Society of Hypertension based in all regions, we reflect on the past, present, and future of hypertension care, highlighting key challenges and opportunities, which are often region-specific. We report that most countries failed to show sufficient improvements in BP control rates over the past three decades, with greater improvements mainly seen in some high-income countries, also reflected in substantial reductions in the burden of cardiovascular disease and deaths.... (More)
Raised blood pressure (BP) is the leading cause of preventable death in the world. Yet, its global prevalence is increasing, and it remains poorly detected, treated, and controlled in both high- and low-resource settings. From the perspective of members of the International Society of Hypertension based in all regions, we reflect on the past, present, and future of hypertension care, highlighting key challenges and opportunities, which are often region-specific. We report that most countries failed to show sufficient improvements in BP control rates over the past three decades, with greater improvements mainly seen in some high-income countries, also reflected in substantial reductions in the burden of cardiovascular disease and deaths. Globally, there are significant inequities and disparities based on resources, sociodemographic environment, and race with subsequent disproportionate hypertension-related outcomes. Additional unique challenges in specific regions include conflict, wars, migration, unemployment, rapid urbanization, extremely limited funding, pollution, COVID-19-related restrictions and inequalities, obesity, and excessive salt and alcohol intake. Immediate action is needed to address suboptimal hypertension care and related disparities on a global scale. We propose a Global Hypertension Care Taskforce including multiple stakeholders and societies to identify and implement actions in reducing inequities, addressing social, commercial, and environmental determinants, and strengthening health systems implement a well-designed customized quality-of-care improvement framework.
(Less)
- author
- organization
- publishing date
- 2023
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Awareness, Cardiovascular disease, Control, Epidemiology, Global, Hypertension, Inequity, International, Prevention, Regions, Treatment
- in
- Cardiovascular Research
- volume
- 119
- issue
- 2
- pages
- 29 pages
- publisher
- Oxford University Press
- external identifiers
-
- pmid:36219457
- scopus:85151574220
- ISSN
- 0008-6363
- DOI
- 10.1093/cvr/cvac130
- language
- English
- LU publication?
- yes
- id
- 168c94c3-af75-4f70-b555-7fe7fda4cebd
- date added to LUP
- 2023-05-22 14:30:40
- date last changed
- 2024-06-16 05:46:47
@article{168c94c3-af75-4f70-b555-7fe7fda4cebd,
abstract = {{<p>Raised blood pressure (BP) is the leading cause of preventable death in the world. Yet, its global prevalence is increasing, and it remains poorly detected, treated, and controlled in both high- and low-resource settings. From the perspective of members of the International Society of Hypertension based in all regions, we reflect on the past, present, and future of hypertension care, highlighting key challenges and opportunities, which are often region-specific. We report that most countries failed to show sufficient improvements in BP control rates over the past three decades, with greater improvements mainly seen in some high-income countries, also reflected in substantial reductions in the burden of cardiovascular disease and deaths. Globally, there are significant inequities and disparities based on resources, sociodemographic environment, and race with subsequent disproportionate hypertension-related outcomes. Additional unique challenges in specific regions include conflict, wars, migration, unemployment, rapid urbanization, extremely limited funding, pollution, COVID-19-related restrictions and inequalities, obesity, and excessive salt and alcohol intake. Immediate action is needed to address suboptimal hypertension care and related disparities on a global scale. We propose a Global Hypertension Care Taskforce including multiple stakeholders and societies to identify and implement actions in reducing inequities, addressing social, commercial, and environmental determinants, and strengthening health systems implement a well-designed customized quality-of-care improvement framework.</p>}},
author = {{Schutte, Aletta E. and Jafar, Tazeen H. and Poulter, Neil R. and Damasceno, Albertino and Khan, Nadia A. and Nilsson, Peter M. and Alsaid, Jafar and Neupane, Dinesh and Kario, Kazuomi and Beheiry, Hind and Brouwers, Sofie and Burger, Dylan and Charchar, Fadi J. and Cho, Myeong Chan and Guzik, Tomasz J. and Haji Al-Saedi, Ghazi F. and Ishaq, Muhammad and Itoh, Hiroshi and Jones, Erika S.W. and Khan, Taskeen and Kokubo, Yoshihiro and Kotruchin, Praew and Muxfeldt, Elizabeth and Odili, Augustine and Patil, Mansi and Ralapanawa, Udaya and Romero, Cesar A. and Schlaich, Markus P. and Shehab, Abdulla and Mooi, Ching Siew and Steckelings, U. Muscha and Stergiou, George and Touyz, Rhian M. and Unger, Thomas and Wainford, Richard D. and Wang, Ji Guang and Williams, Bryan and Wynne, Brandi M. and Tomaszewski, MacIej}},
issn = {{0008-6363}},
keywords = {{Awareness; Cardiovascular disease; Control; Epidemiology; Global; Hypertension; Inequity; International; Prevention; Regions; Treatment}},
language = {{eng}},
number = {{2}},
pages = {{381--409}},
publisher = {{Oxford University Press}},
series = {{Cardiovascular Research}},
title = {{Addressing global disparities in blood pressure control : perspectives of the International Society of Hypertension}},
url = {{http://dx.doi.org/10.1093/cvr/cvac130}},
doi = {{10.1093/cvr/cvac130}},
volume = {{119}},
year = {{2023}},
}