Diferencias de género en la interacción entre consumo de tabaco y alcohol con la presión arterial elevada
Presión arterial elevada asociado al consumo de tabaco y alcohol
Palabras clave:
tabaco, alcohol, presión arterial elevada, género, BoliviaResumen
Objetivo: analizar las diferencias de género en la interacción entre consumo de tabaco y alcohol con la presión arterial elevada (PAE) en Cochabamba, Bolivia.
Métodos: estudio transversal, con n=10704 participantes, seleccionados aleatoriamente. Se calcularon proporciones, Odds-ratios y análisis robusto de descomposición Blinder–Oaxaca.
Resultados: 33,5% reportó que solo bebe, 1,8% solo fuma y 9,2% ambos. La probabilidad de presentar PAE fueron mayores en aquellos que fuman (OR:2,04); beben y fuman (OR:1,73) o solo beben (OR:1,43). Los hombres presentaron prevalencias más elevadas de PAE, tabaquismo y consumo nocivo de alcohol; pero las mujeres que fuman presentaron niveles de OR más altos para el desarrollo de PAE. El nivel educativo, la edad, y el tipo de trabajo contribuyeron de manera positiva a explicar la brecha entre hombres y mujeres.
Conclusión: la probabilidad de presentar PAE fue mayor en mujeres, especialmente en aquellas que fuman, a pesar de su baja prevalencia.
Métricas
Citas
- World Health Organization, Pan American
Health Organization. Prevention and control of risk factors of noncommunicable diseases: State of the most cost-effective measures in Latin America. Geneva: World Health Organization; 2019. Available
Yeates K, Lohfeld L, Sleeth J, Morales F, Rajkotia Y, Ogedegbe O. A Global Perspective on Cardiovascular Disease in Vulnerable Populations. Can J Cardiol [Internet]. 2015; 31(9):[1081-93 pp.]. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26321432
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4787293/.
World Health Organization. Health Situation in the Americas: Core Indicators 2017. . Washington, D.C., United States of America, 2017. Available from: http://www.paho.org/data/index.php/en/indicators.html.
World Health Organization. World health statistics 2017: monitoring health for the SDGs, sustainable development goals 2017. Available from: http://apps.who.int/iris/bitstream/handle/10665/255336/9789241565486-eng.pdf?sequence=1.
Fernández Moreno SY. Postura de la Red Latinoamericana de Género y Salud Colectiva de ALAMES frente a la cobertura universal de salud. Revista Cubana de Salud Pública [Internet]. 2015; 41:[335-56 pp.]. Available from: https://www.scielosp.org/scielo.php?pid=S0864-34662015000200012&script=sci_arttext&tlng=en#ModalArticles.
World Health Organization. NonCommunicable
Diseases Country Profiles 2018. Geneva, Switzerland: World Health Organization/Pan American Health Organization; 2018 [cited 2019. Available from: https://www.who.int/nmh/publications/ncdprofiles-2018/en/.
Whelton PK, Carey RM, Aronow WS, Casey DE, Collins KJ, Himmelfarb CD, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Journal of the American College of Cardiology [Internet]. 2018; 71(19):[e127-e248pp.]. Available from: http://www.onlinejacc.org/content/accj/71/19/e127.full.pdf.
Leung AA, Nerenberg K, Daskalopoulou SS, McBrien K, Zarnke KB, Dasgupta K, et al. Hypertension Canada’s 2016 Canadian Hypertension Education Program Guidelines for Blood Pressure Measurement, Diagnosis, Assessment of Risk, Prevention, and Treatment of Hypertension. Canadian Journal of Cardiology [Internet]. 2016 2016/05/01/; 32(5):[569-88 pp.].
Available from: http://www.sciencedirect.com/
science/article/pii/S0828282X16001926.
Bakris G, Ali W, Parati G. ACC/AHA Versus ESC/ESH on Hypertension Guidelines: JACC Guideline Comparison. Journal of the American College of Cardiology [Internet]. 2019 2019/06/18/; 73(23):[3018-26 pp.]. Available from: http://www.sciencedirect.com/science/article/pii/S0735109719348879.
Kim S, Chang Y, Kang J, Cho A, Cho J, Hong YS, et al. Relationship of the Blood Pressure Categories, as Defined by the ACC/AHA 2017 Blood Pressure Guidelines, and the Risk of Development of Cardiovascular Disease in Low‐Risk Young Adults: Insights From a Retrospective Cohort of Young Adults.
Journal of the American Heart Association
[Internet]. 2019; 8(11):[e011946 p.]. Available
from: https://www.ahajournals.org/doi/abs/10.1161/JAHA.119.011946.
Sen B. Using the oaxaca–blinder decomposition
as an empirical tool to analyze racial disparities in
obesity. Obesity [Internet]. 2014; 22(7):[1750-5
pp.]. Available from: http:https://doi.org/10.1002/
oby.20755.
Jann B. A Stata implementation of the BlinderOaxaca decomposition2008; 5. Available from:
https://ideas.repec.org/p/ets/wpaper/5.html.
World Health Organization. WHO STEPS
surveillance manual: the WHO STEPwise
approach to chronic disease risk factor surveillance
Available from: http://apps.who.int/iris/
bitstream/handle/10665/43376/9241593830_eng.
pdf;jsessionid=FDC45147001C32D84F6A286406
E90D?sequence=1.
Instituto Nacional de Estadística Bolivia.
Estado Plurinacional de Bolivia Censo Nacional
de Población y Vivienda: Cochabamba. In: INE,
editor. La Paz-Bolivia.2012. p. 30-5.
Lilliefors HW. On the Kolmogorov-Smirnov
Test for Normality with Mean and Variance
Unknown. Journal of the American Statistical
Association [Internet]. 1967 1967/06/01;
(318):[399-402 pp.]. Available from: http://
amstat.tandfonline.com/doi/abs/10.1080/016214
1967.10482916.
Bauer T, Göhlmann S, Sinning M.
Gender differences in smoking behavior. Health
Economics [Internet]. 2007; 16(9):[895-909 pp.].
Available from: https://onlinelibrary.wiley.com/
doi/abs/10.1002/hec.1259.
World Health Organization WHO, Unit
WHOMoSA. Global status report on alcohol
and health, 2014: World Health Organization;
Available from: http://apps.who.int/iris/
bitstream/handle/10665/112736/9789240692763_
eng.pdf?sequence=1.
Organización Panamericana de
la Salud/Organización Mundial de la Salud.
Evidencia e Inteligencia para la Acción en
Salud / Análisis de Salud, Métricas y Evidencia:
Situación de Salud en las Américas: Indicadores
Básicos 2018. Washington, D.C., Estados
Unidos de America, 2018 [cited 2019 09-03-
. Available from: http://iris.paho.org/
xmlui/bitstream/handle/123456789/49511/
IndicadoresBasicos2018_spa.
pdf?sequence=2&isAllowed=y.
Mamani-Ortiz Y, San Sebastián M, Armaza
AX, Luizaga JM, Illanes DE, Ferrel M, et al.
Prevalence and determinants of cardiovascular
disease risk factors using the WHO STEPS
approach in Cochabamba, Bolivia. BMC Public
Health [Internet]. 2019 June 20; 19(1):[786 p.].
Available from: https://doi.org/10.1186/s12889-
-7064-y.
Paz-Ballesteros WC, Zavala-Arciniega L,
Gutiérrez-Torres DS, Ponciano-Rodríguez G,
Reynales-Shigematsu LM. Evaluación de la
dependencia física y psicológica al tabaco en
fumadores mexicanos adultos, Encodat 2016. 2019
[Internet]. 2019 2019-01-10; 61(2, Mar-Abr):[11
p.]. Available from: http://www.saludpublica.mx/
index.php/spm/article/view/9858.
Borràs JM. La perspectiva del género en el
cáncer: una visión relevante y necesaria. 2015
[Internet]. 2015 2015-06-30; 191(773). Available
from: http://arbor.revistas.csic.es/index.php/
arbor/article/view/2034.
Smith PH, Bessette AJ, Weinberger AH,
Sheffer CE, McKee SA. Sex/gender differences in
smoking cessation: A review. Preventive Medicine
[Internet]. 2016 2016/11/01/; 92:[135-40 pp.].
Available from: http://www.sciencedirect.com/
science/article/pii/S009174351630189X.
Abasto Gonzales DS, Mamani Ortiz Y,
Luizaga Lopez JM, Pacheco Luna S, Illanes
Velarde DE. Factores de riesgo asociados al síndrome metabólico en conductores del
transporte público en Cochabamba-Bolivia.
Gaceta Médica Boliviana [Internet]. 2018; 41:[47-
pp.]. Available from: http://www.scielo.org.
bo/scielo.php?script=sci_arttext&pid=S1012-
&nrm=iso.
Mamani Ortiz Y, Armaza Cespedes A, Medina
Bustos M, Luizaga Lopez JM, Abasto Gonzales
DS, Argote Omonte M, et al. Caracterización del
perfil epidemiológico del síndrome metabólico
y factores de riesgo asociados. Cochabamba,
Bolivia. Gaceta Médica Boliviana [Internet]. 2018;
:[24-34 pp.]. Available from: http://www.scielo.
org.bo/scielo.php?script=sci_arttext&pid=S1012-
&nrm=iso.
Peltzer K, Pengpid S. Concurrent Tobacco Use
and Binge Drinking Among University Students
in 30 Countries in Africa, Asia, Latin America,
and the Caribbean. International Journal of
Mental Health and Addiction [Internet]. 2018
February 01; 16(1):[164-74 pp.]. Available from:
https://doi.org/10.1007/s11469-017-9850-z.
Waldron I, Bratelli G, Carriker L, Sung
W-C, Vogeli C, Waldman E. Gender differences in
tobacco use in Africa, Asia, the Pacific, and Latin
America. Social Science & Medicine [Internet].
1988/01/01/; 27(11):[1269-75 pp.]. Available
from: http://www.sciencedirect.com/science/
article/pii/0277953688903577.
Melotti R, Heron J, Hickman M, Macleod
J, Araya R, Lewis G. Adolescent Alcohol and
Tobacco Use and Early Socioeconomic Position:
The ALSPAC Birth Cohort. Pediatrics [Internet].
; 127(4):[e948-e55 pp.]. Available from:
https://pediatrics.aappublications.org/content/
pediatrics/127/4/e948.full.pdf.
Reckelhoff JF. Gender differences in hypertension. Current Opinion in Nephrology
and Hypertension [Internet]. 2018 //;
(3):[176-81 pp.]. Available from: https://www.ingentaconnect.com/content/wk/mnh/2018/00000027/00000003/art00008. https://doi.org/10.1097/MNH.0000000000000404.
Di Pilla M, Bruno RM, Taddei S, Virdis A.
Gender differences in the relationships between
psychosocial factors and hypertension. Maturitas
[Internet]. 2016 2016/11/01/; 93:[58-64 pp.].
Available from: http://www.sciencedirect.com/science/article/pii/S0378512216301359.
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