Gender differences in population-based prevalences of cardiovascular and cerebrovascular diseases in Chile: are men being under-diagnosed?

  • Corinna Dressler Department of Health Sciences University of York, York, United Kingdom
  • Báltica Cabieses Lecturer at Faculty of Medicine Universidad del Desarrollo Clinica Alemana Visiting scholar at Department of Health Sciences University of York, UK Postal address: Avenida Las Condes 12.587 Lo Barnechea, Santiago, Chile; 7590943
Keywords: , "Chile/epidemiology"[Mesh], "Hypertension"[Mesh], "Health Surveys"[Mesh], “Cerebrovascular Disorders” [Mesh]


Background: Cardiovascular diseases (CVD) are the biggest killer worldwide. Chile has a long standing CVD preventive system, but no gender-focused study has been conducted so far. The purpose of this study was to analyse the existence of gender differences in the prevalence of CVD in Chile. This was a secondary analysis of the cross-sectional Chilean Health Survey 2009- 2010, including 5277 adult participants. 

Method: The relationship between CVDs and gender, crude and adjusted by potential confounders, were estimated by weighted Poisson regressions.

Results and discussion: Crude overall prevalence of self-reported hypertension was 28.13% and it was significantly lower in men (10.92%) than women (17.20%). Half of the population were overweight/obese (39.20%/22.92%) and alcohol consumption in the past month was high (58.42%). Around 40.19% currently smoke. Gender was significantly associated with hypertensions (PR 1.58, 95% CI [1.23-2.03]) as well as having public healthcare insurance (PR1.45, 95% CI [1.01-2.10]).

Conclusion: The results suggest that men reported hypertension less often than women, but comparisons with objective measures suggested they were under-diagnosed. These discrepancies need further consideration in preventive programmes and gender-focused policies in Chile. Nurses and other health professionals are key in creating, implementing and evaluating novel recruitment strategies for men.

Author Biographies

Corinna Dressler, Department of Health Sciences University of York, York, United Kingdom

Dr. Corinna Dressler


Báltica Cabieses, Lecturer at Faculty of Medicine Universidad del Desarrollo Clinica Alemana Visiting scholar at Department of Health Sciences University of York, UK Postal address: Avenida Las Condes 12.587 Lo Barnechea, Santiago, Chile; 7590943
Dr. Báltica Cabieses


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