Addressing global disparities in blood pressure control : perspectives of the International Society of Hypertension

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Authors

Schutte, Aletta E.
Jafar, Tazeen H.
Poulter, Neil R.
Damasceno, Albertino
Khan, Nadia A.
Nilsson, Peter M.
Alsaid, Jafar
Neupane, Dinesh
Kario, Kazuomi
Beheiry, Hind

Journal Title

Journal ISSN

Volume Title

Publisher

Oxford University Press

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. 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 welldesigned customized quality-of-care improvement framework.

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DATA AVAILABILITY : Since this paper is a review paper there is no data to be made available.

Keywords

Epidemiology, Hypertension, Global, International, Cardiovascular disease, Regions, Inequity, Prevention, Awareness, Treatment, Control, SDG-03: Good health and well-being, Blood pressure

Sustainable Development Goals

SDG-03:Good heatlh and well-being

Citation

Schutte, A.E., Jafar, T.H., Poulter, N.R. et al. 2023, 'Addressing global disparities in blood pressure control : perspectives of the International Society of Hypertension', Cardiovascular Research, vol. 119, no. 2, pp. 381-409. https://DOI.org/10.1093/cvr/cvac130.