Factor Associated With The Use Of Preventive Health Services By Adults With Arterial Hypertension In Cartagena.
1
Universidad de Cartagena, Facultad de Enfermería, Cartagena, Colombia
Popul. Med. 2026;8(Supplement Supplement 1):A3058
ABSTRACT
INTRODUCTION:
The utilization of preventive health services is essential for effective management of arterial hypertension. Identifying the factors associated with their use among hypertensive adults in Cartagena is crucial to improve disease control and guide public health interventions.
METHODS:
Analytical cross-sectional study, with a reference population of 12,239 adults diagnosed with hypertension in the city of Cartagena, with a sample size of 410 people diagnosed with high blood pressure in the city of Cartagena (P 15.4%, IC 95% and margin of error of 5%). Developed by a multistage sampling.
RESULTS:
488 people with a diagnosis of hypertension participated, with an average age of 62.4 years (SD=12.9). 65.4% (319) were women, 74.2% (362) came from urban areas. 68.9% (336) were on a subsidized system, 55.1% (269) and were from social stratum 1. 86.9% (424) were satisfied with health services. The factors that showed a relationship with the use of health services were:being over 55 years old (OR = 1.650; I.C. 95%: 1.109- 2.456), having completed secondary school (OR = 1.528; I.C. 95%: 1.1626-2.199), being in the contributory and special regime (OR = 1.833; I.C. 95%: 1.234-2.725). In the colon and rectal exam, people who have completed secondary school attend more (OR = 1.843; 95% CI: 1.159-2.932). Regarding the exclusive services for women, in the DNA-HPV test, the use was associated with being from an urban area (OR = 2.603; 95% CI: 1.164-5.822). In men, those over 65 years of age undergo prostate examination more frequently (OR= 2.99; 95% CI: 1.56-5.73).
CONCLUSIONS:
Factors associated with health service utilization show a positive trend with age, educational level, health system affiliation, and occupation, highlighting the importance of education and social security as key determinants of service use.
The utilization of preventive health services is essential for effective management of arterial hypertension. Identifying the factors associated with their use among hypertensive adults in Cartagena is crucial to improve disease control and guide public health interventions.
METHODS:
Analytical cross-sectional study, with a reference population of 12,239 adults diagnosed with hypertension in the city of Cartagena, with a sample size of 410 people diagnosed with high blood pressure in the city of Cartagena (P 15.4%, IC 95% and margin of error of 5%). Developed by a multistage sampling.
RESULTS:
488 people with a diagnosis of hypertension participated, with an average age of 62.4 years (SD=12.9). 65.4% (319) were women, 74.2% (362) came from urban areas. 68.9% (336) were on a subsidized system, 55.1% (269) and were from social stratum 1. 86.9% (424) were satisfied with health services. The factors that showed a relationship with the use of health services were:being over 55 years old (OR = 1.650; I.C. 95%: 1.109- 2.456), having completed secondary school (OR = 1.528; I.C. 95%: 1.1626-2.199), being in the contributory and special regime (OR = 1.833; I.C. 95%: 1.234-2.725). In the colon and rectal exam, people who have completed secondary school attend more (OR = 1.843; 95% CI: 1.159-2.932). Regarding the exclusive services for women, in the DNA-HPV test, the use was associated with being from an urban area (OR = 2.603; 95% CI: 1.164-5.822). In men, those over 65 years of age undergo prostate examination more frequently (OR= 2.99; 95% CI: 1.56-5.73).
CONCLUSIONS:
Factors associated with health service utilization show a positive trend with age, educational level, health system affiliation, and occupation, highlighting the importance of education and social security as key determinants of service use.
| eISSN: | 2654-1459 |
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