@article{22634,
  author = {Teo K. and Rangarajan S. and Diaz R. and Gupta R. and Iqbal R. and Kruger A. and Lanas F. and Lopez-Jaramillo P. and Oguz A. and Yusoff K. and Rosengren A. and McKee M. and Corsi D. and Yusufali A. and Stuckler D. and Yeates K. and Perel P. and Subramanian S. and Bahonar A. and Chifamba J. and Wielgosz A. and Yusuf R. and Mohan V. and Yusuf S. and Mony P. and Ismail N. and Zatonska K. and Poirier P. and Khatib R. and Kaur M. and Palafox B. and Balabanova D. and AlHabib K. and Avezum A. and Dagenais G. and Kruger I. and Minfan F. and Palileo-Villanueva L. and Rensheng L. and Soman B. and Tsolekile L. and Yaguang P. and Yongzhen M. and Chow Clara},
  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},
  abstract = {<p>
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.
</p>
},
  year = {2016},
  journal = {Int J Equity Health},
  volume = {15},
  edition = {2016/12/10},
  number = {1},
  pages = {199},
  isbn = {1475-9276 (Electronic)<br/>1475-9276 (Linking)},
  note = {Palafox, Benjamin<br/>McKee, Martin<br/>Balabanova, Dina<br/>AlHabib, Khalid F<br/>Avezum, Alvaro Jr<br/>Bahonar, Ahmad<br/>Ismail, Noorhassim<br/>Chifamba, Jephat<br/>Chow, Clara K<br/>Corsi, Daniel J<br/>Dagenais, Gilles R<br/>Diaz, Rafael<br/>Gupta, Rajeev<br/>Iqbal, Romaina<br/>Kaur, Manmeet<br/>Khatib, Rasha<br/>Kruger, Annamarie<br/>Kruger, Iolanthe Marike<br/>Lanas, Fernando<br/>Lopez-Jaramillo, Patricio<br/>Minfan, Fu<br/>Mohan, Viswanathan<br/>Mony, Prem K<br/>Oguz, Aytekin<br/>Palileo-Villanueva, Lia M<br/>Perel, Pablo<br/>Poirier, Paul<br/>Rangarajan, Sumathy<br/>Rensheng, Lei<br/>Rosengren, Annika<br/>Soman, Biju<br/>Stuckler, David<br/>Subramanian, S V<br/>Teo, Koon<br/>Tsolekile, Lungiswa P<br/>Wielgosz, Andreas<br/>Yaguang, Peng<br/>Yeates, Karen<br/>Yongzhen, Mo<br/>Yusoff, Khalid<br/>Yusuf, Rita<br/>Yusufali, Afzalhussein<br/>Zatonska, Katarzyna<br/>Yusuf, Salim<br/>England<br/>Int J Equity Health. 2016 Dec 8;15(1):199.},
  language = {eng},
}