Population with high cardiovascular risk receiving drug therapy and counseling: Brazil’s status regarding the global goal, 2014-2015

Deborah Carvalho Malta

Universidade Federal de Minas Gerais, Departamento de Enfermagem Materno-Infantil e Saúde Pública, Belo Horizonte, MG, Brasil

Pedro Cisalpino Pinheiro

Universidade Federal de Minas Gerais, Faculdade de Medicina, Belo Horizonte, MG, Brazil

Fabiana Martins Dias de Andrade

Universidade Federal de Minas Gerais, Faculdade de Medicina, Belo Horizonte, MG, Brazil

Luciana Monteiro Vasconcelos Sardinha

Ministério da Saúde, Departamento de Análise em Saúde e Vigilância de Doenças não Transmissíveis, Brasília, DF, Brazil

Leonardo Ferreira Matoso

Universidade Federal de Minas Gerais, Escola de Enfermagem, Belo Horizonte, MG, Brazil

Roberta de Betânia Caixeta

Organização Mundial da Saúde para as Américas, the Pan American Health Organization Regional Office, Washington, DC, The United States

Dolores Ondarsuhu

Organização Mundial da Saúde para as Américas, the Pan American Health Organization Regional Office, Washington, DC, The United States

Correspondence: Deborah Carvalho Malta - Universidade Federal de Minas Gerais, Departamento de Enfermagem Materno-Infantil e Saúde Pública, Escola de Enfermagem, Av. Prof. Alfredo Balena, No. 190, Santa Efigênia, Belo Horizonte, MG, Brazil. Postcode: 30130-100 E-mail: dcmalta@uol.com.br

Authors’ contributions

Malta DC collaborated with the concept and design of the study, data acquisition, analysis and interpretation, and drafting of the first version of the manuscript. Pinheiro PC collaborated with data statistical analysis, interpretation and critically reviewing the manuscript. Andrade FMD, Sardinha LMV, Matoso LF, Caixeta RB and Ondarsuhu D collaborated with data analysis and interpretation, drafting and critical reviewing of the manuscript. All authors have approved the final version and have declared themselves to be responsible for all aspects of the work, including ensuring its accuracy and integrity.

Variables	Women (n=3.080)		Men (n=2.239)
	Low	High	Low	High
	% (95%CI)^a	% (95%CI)^a	% (95%CI)^a	% (95%CI)^a
Total	89.6 (88.2;90.8)	10.4 (9.2;11.8)	88.8 (87.1;90.4)	11.2 (9.6;12.9)
Age (years)
40-49	95.7 (94.1;97.0)	4.2 (3.0;5.9)	96.5 (93.9;98.1)	3.5 (1.9;6.1)
50-59	92.4 (89.9;94.3)	7.6 (5.7;10.1)	90.9 (87.8;93.3)	9.1 (6.7;12.2)
60-69	85.6 (82.0;88.5)	14.4 (11.5;18.0)	83.7 (79.2;87.3)	16.3 (12.7;20.8)
≥70	78.0 (73.2;81.9)	22.2 (18.1;26.8)	75.1 (69.2;80.2)	24.9 (19.8;30.8)
Education
Incomplete elementary education	86.6 (84.4;88.4)	13.4 (11.6;15.6)	86.8 (84.4;89.0)	13.2 (11.0;15.6)
Complete elementary education	92.8 (90.9;94.3)	7.2 (5.7;9.1)	91.1 (88.4;93.2)	8.9 (6.8;11.6)
Race/skin color
White and other	88.8 (86.5;90.7)	11.2 (9.3;13.5)	87.6 (84.8;90)	12.4 (10;15.2)
Black or Brown	90.5 (88.7;92.0)	9.5 (8.0;11.3)	90.2 (88;92.0)	9.8 (8.0;12.0)
Health insurance
No	88.6 (86.9;90.1)	11.4 (9.9;13.1)	89.0 (87;90.7)	11.0 (9.3;13.0)
Yes	91.7 (89.1;93.7)	8.3 (6.3;10.9)	88.4 (84.5;91.4)	11.6 (8.6;15.5)
Self-rated health
Poor/very poor	77.7 (72.0;82.5)	22.3 (17.5;28.0)	77.0 (69.6;830.)	23.0 (17.0;30.4)
Fair/good/very good	91.0 (89.6;92.2)	9.0 (7.8;10.4)	89.8 (88.0;91.4)	10.2 (8.6;12.0)
Region
North	92.2 (89.8;94.1)	7.8 (5.9;10.2)	93.3 (90.6;95.3)	6.7 (4.7;9.4)
Northeast	89.7 (87.7;91.4)	10.3 (8.6;12.3)	90.0 (87.6;92.0)	10.0 (8.0;12.4)
Southeast	90.9 (88.3;92.9)	9.1 (7.1;11.7)	88.6 (85.2;91.3)	11.4 (8.7;14.8)
South	85.1 (81.3;88.1)	14.9 (11.9;18.7)	85.8 (81.1;89.5)	14.2 (10.5;18.9)
Midwest	88.6 (84.8;91.6)	11.4 (8.4;15.2)	89.0 (84.5;92.3)	11.0 (7.7;15.5)

Variables	Total	Women	Men
Variables	% (95%CI)^a	% (95%CI)^a	% (95%CI)^a
Counseling
No	31.2 (26.6;36.3)	29.2 (23.4;35.7)	33.5 (26.3;41.5)
Yes	68.8 (63.7;73.4)	70.8 (64.3;76.6)	66.5 (58.5;73.7)
Drug treatment
No	40.7 (36.4;46.6)	37.0 (30.8;43.7)	44.7 (37;52.6)
Yes	59.3 (54.2;64.3)	63.0 (56.3;69.2)	55.3 (47.4;63.0)
Drug treatment and counseling
No	44.4 (49.6;39.3)	40.9 (34.5;47.6)	48.2 (40.4;56.0)
Yes	55.6 (50.4;60.7)	59.1 (52.4;65.5)	51.8 (44;59.6)

Variable	Women (3.080)			Men (2.059)
Variable	PR^a	95%CI^b	p-value	PR^a	95%CI^b	p-value
Age (years)			<0.01^c			<0.01^c
40-49	1.00	-		1.00	-	-
50-59	1.69^d	(1.09;2.63)	0.02	2.48^d	(1.29;4.75)	0.01
60-69	3.11^d	(2.06;4.69)	<0.01	4.37^d	(2.33;8.18)	<0.01
≥70	4.61^d	(3.07;6.94)	<0.01	6.29^d	(3.41;11.62)	<0.01
Education
Incomplete elementary education	1.00	-	-	1.00	-	-
Complete elementary education	1.13	(0.84;1.5)	0.42	1.12	(0.79;1.57)	0.53
Race/skin color
Black or brown	1.00	-	-	1.00	-	-
White and other	1.09	(0.83;1.42)	0.53	1.13	(0.82;1.55)	0.46
Health insurance
No	1.00	-	-	1.00	-	-
Yes	0.8	(0.58;1.1)	0.17	1.04	(0.73;1.47)	0.83
Self-rated health
Poor/very poor	2.04^d	(1.53;2.71)	<0.01	1.74	(1.24;2.45)	<0.01
Fair/good/very good	1.00	-	-	1.00	-	-
Region			<0.01^c			0.03^c
North	1.00	-	-	1.00	-	-
Northeast	1.17	(0.84;1.61)	0.36	1.28	(0.86;1.91)	0.22
Southeast	1.12	(0.78;1.62)	0.54	1.42	(0.91;2.2)	0.12
South	1.80^d	(1.23;2.64)	0.00	1.72^d	(1.03;2.89)	0.04
Midwest	1.49^d	(1.01;2.21)	0.05	1.57	(0.97;2.53)	0.07

Variable	Bivariate			Multivariate
Variable	PR^a	95%CI^b	p-value	PR^a	95%CI^b	p-value
Sex
Female	1.14	(0.94;1.38)	0.17	1.13	(0.95;1.35)	0.17
Male	1.00	-		1.00	-	-
Age (years)			<0.01^c			<0.01^c
40-49	1.00	-	-	1.00	-	-
50-59	1.80^d	(1.08;3.01)	0.02	1.89^d	(1.14;3.13)	0.01
60-69	2.05^d	(1.25;3.35)	<0.01	2.28^d	(1.39;3.73)	<0.01
≥70	2.31^d	(1.42;3.74)	<0.01	2.56^d	(1.57;4.16)	<0.01
Education
Incomplete elementary education	1.00	-	-	1.00	-	-
Complete elementary education	0.93	(0.76;1.15)	0.51	1.17	(0.96;1.44)	0.12
Race/skin color
Black or brown	1.09	(0.91;1.3)	0.37	1.13	(0.93;1.37)	0.23
White and other	1.00	-	-	1.00	-	-
Health insurance
No	1.00	-	-	1.00	-	-
Yes	1.02	(0.82;1.26)	0.88	1.02	(0.82;1.27)	0.85
Self-rated health
Poor/very poor	1.26^d	(1.05;1.53)	0.01	1.26^d	(1.06;1.51)	0.01
Fair/good/very good	1.00	-	-	1.00	-	-
Region			0.81^c			0.40^c
North	1.00	-	-	1.00	-	-
Northeast	1.00	(0.79;1.25)	0.97	0.98	(0.78;1.21)	0.83
Southeast	0.89	(0.68;1.16)	0.38	0.88	(0.67;1.14)	0.33
South	0.95	(0.74;1.24)	0.72	1.01	(0.77;1.32)	0.95
Midwest	1.09	(0.84;1.41)	0.52	1.06	(0.83;1.37)	0.64

Brasil