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

Background 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. Methods 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. Results 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). Conclusion 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. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Palafox, Benjamin [verfasserIn] 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, Patricio Minfan, Fu Mohan, Viswanathan Mony, Prem K. Oguz, Aytekin Palileo-Villanueva, Lia M. Perel, Pablo Poirier, Paul Rangarajan, Sumathy Rensheng, Lei Rosengren, Annika Soman, Biju Stuckler, David Subramanian, S. V. Teo, Koon Tsolekile, Lungiswa P. Wielgosz, Andreas Yaguang, Peng Yeates, Karen Yongzhen, Mo Yusoff, Khalid Yusuf, Rita Yusufali, Afzalhussein Zatońska, Katarzyna Yusuf, Salim

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2016

Schlagwörter:	Global health Hypertension Socioeconomic factors Healthcare disparities

Anmerkung:	© The Author(s). 2016

Übergeordnetes Werk:	Enthalten in: International journal for equity in health - London : BioMed Central, 2002, 15(2016), 1 vom: 08. Dez.
Übergeordnetes Werk:	volume:15 ; year:2016 ; number:1 ; day:08 ; month:12

Links:	Volltext

DOI / URN:	10.1186/s12939-016-0478-6

Katalog-ID:	SPR028711858

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100	1		\|a Palafox, Benjamin \|e verfasserin \|4 aut
245	1	0	\|a 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
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520			\|a Background 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. Methods 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. Results 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). Conclusion 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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650		4	\|a Hypertension \|7 (dpeaa)DE-He213
650		4	\|a Socioeconomic factors \|7 (dpeaa)DE-He213
650		4	\|a Healthcare disparities \|7 (dpeaa)DE-He213
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700	1		\|a Balabanova, Dina \|4 aut
700	1		\|a AlHabib, Khalid F. \|4 aut
700	1		\|a Avezum, Alvaro Jr \|4 aut
700	1		\|a Bahonar, Ahmad \|4 aut
700	1		\|a Ismail, Noorhassim \|4 aut
700	1		\|a Chifamba, Jephat \|4 aut
700	1		\|a Chow, Clara K. \|4 aut
700	1		\|a Corsi, Daniel J. \|4 aut
700	1		\|a Dagenais, Gilles R. \|4 aut
700	1		\|a Diaz, Rafael \|4 aut
700	1		\|a Gupta, Rajeev \|4 aut
700	1		\|a Iqbal, Romaina \|4 aut
700	1		\|a Kaur, Manmeet \|4 aut
700	1		\|a Khatib, Rasha \|4 aut
700	1		\|a Kruger, Annamarie \|4 aut
700	1		\|a Kruger, Iolanthe Marike \|4 aut
700	1		\|a Lanas, Fernando \|4 aut
700	1		\|a Lopez-Jaramillo, Patricio \|4 aut
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700	1		\|a Oguz, Aytekin \|4 aut
700	1		\|a Palileo-Villanueva, Lia M. \|4 aut
700	1		\|a Perel, Pablo \|4 aut
700	1		\|a Poirier, Paul \|4 aut
700	1		\|a Rangarajan, Sumathy \|4 aut
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700	1		\|a Yongzhen, Mo \|4 aut
700	1		\|a Yusoff, Khalid \|4 aut
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700	1		\|a Yusufali, Afzalhussein \|4 aut
700	1		\|a Zatońska, Katarzyna \|4 aut
700	1		\|a Yusuf, Salim \|4 aut
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allfields	10.1186/s12939-016-0478-6 doi (DE-627)SPR028711858 (SPR)s12939-016-0478-6-e DE-627 ger DE-627 rakwb eng Palafox, Benjamin verfasserin aut 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 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2016 Background 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. Methods 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. Results 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). Conclusion 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. Global health (dpeaa)DE-He213 Hypertension (dpeaa)DE-He213 Socioeconomic factors (dpeaa)DE-He213 Healthcare disparities (dpeaa)DE-He213 McKee, Martin aut Balabanova, Dina aut AlHabib, Khalid F. aut Avezum, Alvaro Jr aut Bahonar, Ahmad aut Ismail, Noorhassim aut Chifamba, Jephat aut Chow, Clara K. aut Corsi, Daniel J. aut Dagenais, Gilles R. aut Diaz, Rafael aut Gupta, Rajeev aut Iqbal, Romaina aut Kaur, Manmeet aut Khatib, Rasha aut Kruger, Annamarie aut Kruger, Iolanthe Marike aut Lanas, Fernando aut Lopez-Jaramillo, Patricio aut Minfan, Fu aut Mohan, Viswanathan aut Mony, Prem K. aut Oguz, Aytekin aut Palileo-Villanueva, Lia M. aut Perel, Pablo aut Poirier, Paul aut Rangarajan, Sumathy aut Rensheng, Lei aut Rosengren, Annika aut Soman, Biju aut Stuckler, David aut Subramanian, S. V. aut Teo, Koon aut Tsolekile, Lungiswa P. aut Wielgosz, Andreas aut Yaguang, Peng aut Yeates, Karen aut Yongzhen, Mo aut Yusoff, Khalid aut Yusuf, Rita aut Yusufali, Afzalhussein aut Zatońska, Katarzyna aut Yusuf, Salim aut Enthalten in International journal for equity in health London : BioMed Central, 2002 15(2016), 1 vom: 08. Dez. (DE-627)356253716 (DE-600)2092056-8 1475-9276 nnns volume:15 year:2016 number:1 day:08 month:12 https://dx.doi.org/10.1186/s12939-016-0478-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4367 GBV_ILN_4700 AR 15 2016 1 08 12
spelling	10.1186/s12939-016-0478-6 doi (DE-627)SPR028711858 (SPR)s12939-016-0478-6-e DE-627 ger DE-627 rakwb eng Palafox, Benjamin verfasserin aut 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 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2016 Background 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. Methods 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. Results 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). Conclusion 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. Global health (dpeaa)DE-He213 Hypertension (dpeaa)DE-He213 Socioeconomic factors (dpeaa)DE-He213 Healthcare disparities (dpeaa)DE-He213 McKee, Martin aut Balabanova, Dina aut AlHabib, Khalid F. aut Avezum, Alvaro Jr aut Bahonar, Ahmad aut Ismail, Noorhassim aut Chifamba, Jephat aut Chow, Clara K. aut Corsi, Daniel J. aut Dagenais, Gilles R. aut Diaz, Rafael aut Gupta, Rajeev aut Iqbal, Romaina aut Kaur, Manmeet aut Khatib, Rasha aut Kruger, Annamarie aut Kruger, Iolanthe Marike aut Lanas, Fernando aut Lopez-Jaramillo, Patricio aut Minfan, Fu aut Mohan, Viswanathan aut Mony, Prem K. aut Oguz, Aytekin aut Palileo-Villanueva, Lia M. aut Perel, Pablo aut Poirier, Paul aut Rangarajan, Sumathy aut Rensheng, Lei aut Rosengren, Annika aut Soman, Biju aut Stuckler, David aut Subramanian, S. V. aut Teo, Koon aut Tsolekile, Lungiswa P. aut Wielgosz, Andreas aut Yaguang, Peng aut Yeates, Karen aut Yongzhen, Mo aut Yusoff, Khalid aut Yusuf, Rita aut Yusufali, Afzalhussein aut Zatońska, Katarzyna aut Yusuf, Salim aut Enthalten in International journal for equity in health London : BioMed Central, 2002 15(2016), 1 vom: 08. Dez. (DE-627)356253716 (DE-600)2092056-8 1475-9276 nnns volume:15 year:2016 number:1 day:08 month:12 https://dx.doi.org/10.1186/s12939-016-0478-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4367 GBV_ILN_4700 AR 15 2016 1 08 12
allfields_unstemmed	10.1186/s12939-016-0478-6 doi (DE-627)SPR028711858 (SPR)s12939-016-0478-6-e DE-627 ger DE-627 rakwb eng Palafox, Benjamin verfasserin aut 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 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2016 Background 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. Methods 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. Results 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). Conclusion 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. Global health (dpeaa)DE-He213 Hypertension (dpeaa)DE-He213 Socioeconomic factors (dpeaa)DE-He213 Healthcare disparities (dpeaa)DE-He213 McKee, Martin aut Balabanova, Dina aut AlHabib, Khalid F. aut Avezum, Alvaro Jr aut Bahonar, Ahmad aut Ismail, Noorhassim aut Chifamba, Jephat aut Chow, Clara K. aut Corsi, Daniel J. aut Dagenais, Gilles R. aut Diaz, Rafael aut Gupta, Rajeev aut Iqbal, Romaina aut Kaur, Manmeet aut Khatib, Rasha aut Kruger, Annamarie aut Kruger, Iolanthe Marike aut Lanas, Fernando aut Lopez-Jaramillo, Patricio aut Minfan, Fu aut Mohan, Viswanathan aut Mony, Prem K. aut Oguz, Aytekin aut Palileo-Villanueva, Lia M. aut Perel, Pablo aut Poirier, Paul aut Rangarajan, Sumathy aut Rensheng, Lei aut Rosengren, Annika aut Soman, Biju aut Stuckler, David aut Subramanian, S. V. aut Teo, Koon aut Tsolekile, Lungiswa P. aut Wielgosz, Andreas aut Yaguang, Peng aut Yeates, Karen aut Yongzhen, Mo aut Yusoff, Khalid aut Yusuf, Rita aut Yusufali, Afzalhussein aut Zatońska, Katarzyna aut Yusuf, Salim aut Enthalten in International journal for equity in health London : BioMed Central, 2002 15(2016), 1 vom: 08. Dez. (DE-627)356253716 (DE-600)2092056-8 1475-9276 nnns volume:15 year:2016 number:1 day:08 month:12 https://dx.doi.org/10.1186/s12939-016-0478-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4367 GBV_ILN_4700 AR 15 2016 1 08 12
allfieldsGer	10.1186/s12939-016-0478-6 doi (DE-627)SPR028711858 (SPR)s12939-016-0478-6-e DE-627 ger DE-627 rakwb eng Palafox, Benjamin verfasserin aut 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 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2016 Background 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. Methods 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. Results 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). Conclusion 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. Global health (dpeaa)DE-He213 Hypertension (dpeaa)DE-He213 Socioeconomic factors (dpeaa)DE-He213 Healthcare disparities (dpeaa)DE-He213 McKee, Martin aut Balabanova, Dina aut AlHabib, Khalid F. aut Avezum, Alvaro Jr aut Bahonar, Ahmad aut Ismail, Noorhassim aut Chifamba, Jephat aut Chow, Clara K. aut Corsi, Daniel J. aut Dagenais, Gilles R. aut Diaz, Rafael aut Gupta, Rajeev aut Iqbal, Romaina aut Kaur, Manmeet aut Khatib, Rasha aut Kruger, Annamarie aut Kruger, Iolanthe Marike aut Lanas, Fernando aut Lopez-Jaramillo, Patricio aut Minfan, Fu aut Mohan, Viswanathan aut Mony, Prem K. aut Oguz, Aytekin aut Palileo-Villanueva, Lia M. aut Perel, Pablo aut Poirier, Paul aut Rangarajan, Sumathy aut Rensheng, Lei aut Rosengren, Annika aut Soman, Biju aut Stuckler, David aut Subramanian, S. V. aut Teo, Koon aut Tsolekile, Lungiswa P. aut Wielgosz, Andreas aut Yaguang, Peng aut Yeates, Karen aut Yongzhen, Mo aut Yusoff, Khalid aut Yusuf, Rita aut Yusufali, Afzalhussein aut Zatońska, Katarzyna aut Yusuf, Salim aut Enthalten in International journal for equity in health London : BioMed Central, 2002 15(2016), 1 vom: 08. Dez. (DE-627)356253716 (DE-600)2092056-8 1475-9276 nnns volume:15 year:2016 number:1 day:08 month:12 https://dx.doi.org/10.1186/s12939-016-0478-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4367 GBV_ILN_4700 AR 15 2016 1 08 12
allfieldsSound	10.1186/s12939-016-0478-6 doi (DE-627)SPR028711858 (SPR)s12939-016-0478-6-e DE-627 ger DE-627 rakwb eng Palafox, Benjamin verfasserin aut 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 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s). 2016 Background 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. Methods 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. Results 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). Conclusion 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. Global health (dpeaa)DE-He213 Hypertension (dpeaa)DE-He213 Socioeconomic factors (dpeaa)DE-He213 Healthcare disparities (dpeaa)DE-He213 McKee, Martin aut Balabanova, Dina aut AlHabib, Khalid F. aut Avezum, Alvaro Jr aut Bahonar, Ahmad aut Ismail, Noorhassim aut Chifamba, Jephat aut Chow, Clara K. aut Corsi, Daniel J. aut Dagenais, Gilles R. aut Diaz, Rafael aut Gupta, Rajeev aut Iqbal, Romaina aut Kaur, Manmeet aut Khatib, Rasha aut Kruger, Annamarie aut Kruger, Iolanthe Marike aut Lanas, Fernando aut Lopez-Jaramillo, Patricio aut Minfan, Fu aut Mohan, Viswanathan aut Mony, Prem K. aut Oguz, Aytekin aut Palileo-Villanueva, Lia M. aut Perel, Pablo aut Poirier, Paul aut Rangarajan, Sumathy aut Rensheng, Lei aut Rosengren, Annika aut Soman, Biju aut Stuckler, David aut Subramanian, S. V. aut Teo, Koon aut Tsolekile, Lungiswa P. aut Wielgosz, Andreas aut Yaguang, Peng aut Yeates, Karen aut Yongzhen, Mo aut Yusoff, Khalid aut Yusuf, Rita aut Yusufali, Afzalhussein aut Zatońska, Katarzyna aut Yusuf, Salim aut Enthalten in International journal for equity in health London : BioMed Central, 2002 15(2016), 1 vom: 08. Dez. (DE-627)356253716 (DE-600)2092056-8 1475-9276 nnns volume:15 year:2016 number:1 day:08 month:12 https://dx.doi.org/10.1186/s12939-016-0478-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4367 GBV_ILN_4700 AR 15 2016 1 08 12
language	English
source	Enthalten in International journal for equity in health 15(2016), 1 vom: 08. Dez. volume:15 year:2016 number:1 day:08 month:12
sourceStr	Enthalten in International journal for equity in health 15(2016), 1 vom: 08. Dez. volume:15 year:2016 number:1 day:08 month:12
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Global health Hypertension Socioeconomic factors Healthcare disparities
isfreeaccess_bool	true
container_title	International journal for equity in health
authorswithroles_txt_mv	Palafox, Benjamin @@aut@@ McKee, Martin @@aut@@ Balabanova, Dina @@aut@@ AlHabib, Khalid F. @@aut@@ Avezum, Alvaro Jr @@aut@@ Bahonar, Ahmad @@aut@@ Ismail, Noorhassim @@aut@@ Chifamba, Jephat @@aut@@ Chow, Clara K. @@aut@@ Corsi, Daniel J. @@aut@@ Dagenais, Gilles R. @@aut@@ Diaz, Rafael @@aut@@ Gupta, Rajeev @@aut@@ Iqbal, Romaina @@aut@@ Kaur, Manmeet @@aut@@ Khatib, Rasha @@aut@@ Kruger, Annamarie @@aut@@ Kruger, Iolanthe Marike @@aut@@ Lanas, Fernando @@aut@@ Lopez-Jaramillo, Patricio @@aut@@ Minfan, Fu @@aut@@ Mohan, Viswanathan @@aut@@ Mony, Prem K. @@aut@@ Oguz, Aytekin @@aut@@ Palileo-Villanueva, Lia M. @@aut@@ Perel, Pablo @@aut@@ Poirier, Paul @@aut@@ Rangarajan, Sumathy @@aut@@ Rensheng, Lei @@aut@@ Rosengren, Annika @@aut@@ Soman, Biju @@aut@@ Stuckler, David @@aut@@ Subramanian, S. V. @@aut@@ Teo, Koon @@aut@@ Tsolekile, Lungiswa P. @@aut@@ Wielgosz, Andreas @@aut@@ Yaguang, Peng @@aut@@ Yeates, Karen @@aut@@ Yongzhen, Mo @@aut@@ Yusoff, Khalid @@aut@@ Yusuf, Rita @@aut@@ Yusufali, Afzalhussein @@aut@@ Zatońska, Katarzyna @@aut@@ Yusuf, Salim @@aut@@
publishDateDaySort_date	2016-12-08T00:00:00Z
hierarchy_top_id	356253716
id	SPR028711858
language_de	englisch
fullrecord	<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">SPR028711858</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230519211553.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">201007s2016 xx \|\|\|\|\|o 00\| \|\|eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1186/s12939-016-0478-6</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)SPR028711858</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(SPR)s12939-016-0478-6-e</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Palafox, Benjamin</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">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</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2016</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">© The Author(s). 2016</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Background 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. Methods 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. Results 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). Conclusion 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. 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author	Palafox, Benjamin
spellingShingle	Palafox, Benjamin misc Global health misc Hypertension misc Socioeconomic factors misc Healthcare disparities 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
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topic_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 Global health (dpeaa)DE-He213 Hypertension (dpeaa)DE-He213 Socioeconomic factors (dpeaa)DE-He213 Healthcare disparities (dpeaa)DE-He213
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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
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title_full	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
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author_browse	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, Patricio Minfan, Fu Mohan, Viswanathan Mony, Prem K. Oguz, Aytekin Palileo-Villanueva, Lia M. Perel, Pablo Poirier, Paul Rangarajan, Sumathy Rensheng, Lei Rosengren, Annika Soman, Biju Stuckler, David Subramanian, S. V. Teo, Koon Tsolekile, Lungiswa P. Wielgosz, Andreas Yaguang, Peng Yeates, Karen Yongzhen, Mo Yusoff, Khalid Yusuf, Rita Yusufali, Afzalhussein Zatońska, Katarzyna Yusuf, Salim
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title_sort	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
title_auth	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
abstract	Background 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. Methods 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. Results 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). Conclusion 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. © The Author(s). 2016
abstractGer	Background 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. Methods 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. Results 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). Conclusion 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. © The Author(s). 2016
abstract_unstemmed	Background 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. Methods 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. Results 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). Conclusion 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. © The Author(s). 2016
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title_short	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
url	https://dx.doi.org/10.1186/s12939-016-0478-6
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author2	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, Patricio Minfan, Fu Mohan, Viswanathan Mony, Prem K. Oguz, Aytekin Palileo-Villanueva, Lia M. Perel, Pablo Poirier, Paul Rangarajan, Sumathy Rensheng, Lei Rosengren, Annika Soman, Biju Stuckler, David Subramanian, S. V. Teo, Koon Tsolekile, Lungiswa P. Wielgosz, Andreas Yaguang, Peng Yeates, Karen Yongzhen, Mo Yusoff, Khalid Yusuf, Rita Yusufali, Afzalhussein Zatońska, Katarzyna Yusuf, Salim
author2Str	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, Patricio Minfan, Fu Mohan, Viswanathan Mony, Prem K. Oguz, Aytekin Palileo-Villanueva, Lia M. Perel, Pablo Poirier, Paul Rangarajan, Sumathy Rensheng, Lei Rosengren, Annika Soman, Biju Stuckler, David Subramanian, S. V. Teo, Koon Tsolekile, Lungiswa P. Wielgosz, Andreas Yaguang, Peng Yeates, Karen Yongzhen, Mo Yusoff, Khalid Yusuf, Rita Yusufali, Afzalhussein Zatońska, Katarzyna Yusuf, Salim
ppnlink	356253716
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doi_str	10.1186/s12939-016-0478-6
up_date	2024-07-03T21:14:26.511Z
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fullrecord_marcxml	<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">SPR028711858</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230519211553.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">201007s2016 xx \|\|\|\|\|o 00\| \|\|eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1186/s12939-016-0478-6</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)SPR028711858</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(SPR)s12939-016-0478-6-e</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Palafox, Benjamin</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">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</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2016</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">© The Author(s). 2016</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Background 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. Methods 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. Results 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). Conclusion 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. 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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

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