<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2307-3349</journal-id>
<journal-title><![CDATA[Revista de salud publica del Paraguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. salud publica Parag.]]></abbrev-journal-title>
<issn>2307-3349</issn>
<publisher>
<publisher-name><![CDATA[INSTITUTO NACIONAL DE SALUD - MSP Y BS]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-33492021000200035</article-id>
<article-id pub-id-type="doi">10.18004/rspp.2021.diciembre.35</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Adherencia al tratamiento antihipertensivo en adultos de Unidades de Salud Familiar del Paraguay: estudio multicéntrico]]></article-title>
<article-title xml:lang="en"><![CDATA[Adherence to antihypertensive treatment in adults at Family Health Units in Paraguay: a multicenter study]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Real Delor]]></surname>
<given-names><![CDATA[Raúl]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gamez Cassera]]></surname>
<given-names><![CDATA[María Alejandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Redes Zeballos]]></surname>
<given-names><![CDATA[María Laurel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Urizar]]></surname>
<given-names><![CDATA[Marilia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguilera Iriarte]]></surname>
<given-names><![CDATA[Gladys Alicia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oviedo Velázquez]]></surname>
<given-names><![CDATA[Gemali]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Belotto Galeano]]></surname>
<given-names><![CDATA[Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ullón Suárez]]></surname>
<given-names><![CDATA[Gabriela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Paredes Sánchez]]></surname>
<given-names><![CDATA[Edgar Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villar Vázquez]]></surname>
<given-names><![CDATA[Verónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Báez Riveros]]></surname>
<given-names><![CDATA[María Betharrám]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz Galeano]]></surname>
<given-names><![CDATA[Astrid]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Privada del Este Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>11</volume>
<numero>2</numero>
<fpage>35</fpage>
<lpage>41</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-33492021000200035&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-33492021000200035&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-33492021000200035&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  Existen múltiples factores que intervienen en la falta de control de la hipertensión arterial como la adherencia al tratamiento antihipertensivo.  Objetivos:  Hallar la frecuencia de adherencia al tratamiento antihipertensivo, describir el nivel de conocimientos sobre la hipertensión arterial y determinar los factores asociados a la falta de control de la presión arterial.  Metodología:  Se realizó un estudio observacional, prospectivo, multicéntrico en varones y mujeres, mayores de edad, portadores de hipertensión arterial, del área de influencia de tres Unidades de Salud Familiar de Paraguay entre mayo-noviembre 2019. Se determinó la adherencia al tratamiento antihipertensivo con el cuestionario ARMS-e y el nivel de conocimientos sobre la hipertensión arterial con el cuestionario de Strelec et al. Se respetaron las normas éticas.  Resultados:  Ingresaron al estudio 171 sujetos, con edad media 59±11 años, con predominio del sexo femenino (68%). El estado nutricional más frecuente fue la obesidad grado 1 (35%). La diabetes mellitus fue la comorbilidad predominante (18%). Los fármacos más utilizados eran los inhibidores de la angiotensina 1 (56%). Se detectó adherencia al tratamiento antihipertensivo en 116 casos (68%) y conocimientos sobre la hipertensión arterial en 141 (82%). La presión arterial no controlada se halló en 83 sujetos (49%) y se asoció significativamente a la falta de adherencia a los antihipertensivos y la dependencia de un cuidador dentro de la familia.  Conclusiones: La frecuencia de adherencia al tratamiento antihipertensivo en pacientes adultos de 3 Unidades de Salud Familiar de Paraguay en 2019 fue 68% y el nivel adecuado de conocimientos sobre la hipertensión arterial fue 82%.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  There are multiple factors that intervene in the lack of control of arterial hypertension such as adherence to antihypertensive treatment.  Objectives:  To find the frequency of adherence to antihypertensive treatment, to describe the level of knowledge about arterial hypertension and to determine the factors associated with the lack of blood pressure control.  Methodology:  An observational, prospective, multicenter study was carried out in men and women, of legal age, with arterial hypertension, from the area of &#8203;&#8203;influence of three Family Health Units in Paraguay between May-November 2019. Adherence to the antihypertensive treatment was determined with the ARMS-e questionnaire and the level of knowledge about arterial hypertension with the questionnaire by Strelec et al. Ethical standards were respected.  Results:  171 subjects entered the study, with a mean age 59 ± 11 years, predominantly female (68%). The most frequent nutritional status was grade 1 obesity (35%). Diabetes mellitus was the predominant comorbidity (18%). The most commonly used drugs were angiotensin 1 inhibitors (56%). Adherence to antihypertensive treatment was detected in 116 cases (68%) and knowledge about arterial hypertension in 141 (82%). Uncontrolled blood pressure was found in 83 subjects (49%) and was significantly associated with lack of adherence to antihypertensive drugs and dependence on a caregiver within the family.  Conclusions:  The frequency of adherence to antihypertensive treatment in adult patients from 3 Family Health Units in Paraguay in 2019 was 68% and the adequate level of knowledge about arterial hypertension was 82%.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hipertensión arterial]]></kwd>
<kwd lng="es"><![CDATA[antihipertensivos]]></kwd>
<kwd lng="es"><![CDATA[cumplimiento y adherencia al tratamiento]]></kwd>
<kwd lng="es"><![CDATA[conocimientos]]></kwd>
<kwd lng="es"><![CDATA[actitudes y práctica en salud]]></kwd>
<kwd lng="es"><![CDATA[atención primaria de salud]]></kwd>
<kwd lng="en"><![CDATA[Arterial hypertension]]></kwd>
<kwd lng="en"><![CDATA[antihypertensives]]></kwd>
<kwd lng="en"><![CDATA[compliance and adherence to treatment]]></kwd>
<kwd lng="en"><![CDATA[knowledge]]></kwd>
<kwd lng="en"><![CDATA[attitudes and health practice]]></kwd>
<kwd lng="en"><![CDATA[primary health care]]></kwd>
</kwd-group>
</article-meta>
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