Objectives: Hypertension has become a major health burden in sub-Saharan Africa, mainly due to urbanization and Western acculturation. We investigated the prevalence of hypertension and risk factors in a rural community in South-South Nigeria.
Design, Setting, Participants: Blood pressure and anthropometric indices were measured during a cross-sectional study of community health status among 1078 adults, aged > or = 18 years, in 2008. Information on lifestyle was also collected through structured interviews.
Statistics: Unadjusted hypertension prevalence was calculated against selected risk factors, and association was demonstrated using risk ratios with 95% confidence intervals. Chi-square was used to test for statistical significance at P < .05. Adjusted analysis was done for age by direct standardization using a reference population.
Main Outcome Measure: Prevalence of hypertension, defined as systolic and diastolic blood pressure > or = 140 mm Hg and > or = 90 mm Hg respectively and/or current use of antihypertensive medication.
Results: Crude prevalence of hypertension was 18.3% (95% CI = 16.0-20.7), while the age-adjusted prevalence was 2.63% (95% Cl = 2.59-2.66). Hypertension rate increased with age (RRs > 2.0, P = .00) and was higher in those married (RR = .35, P = .00), but showed no sex difference (RR = 1.13, P = .34). Hypertension was associated with tobacco chewing/ snuffing (RR = 2.32, P = .05) and history of diabetes (RR = 3.36, P = .00); but central obesity, alcohol intake, cigarette smoking, and family history of hypertension or diabetes showed no valid association.
Conclusions: The study found a high prevalence of hypertension in a rural community. Although, the influence of selected risk factors could not be established, screening and health promotion in rural areas should be intensified.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Cardiovascular Disease Risk in South Asians in the Baylor Scott and White Health DILWALE Registry.
JACC Adv
December 2024
Johns Hopkins Department of Internal Medicine, Baltimore, Maryland, USA.
Background: Despite implementation of preventive interventions targeting cardiovascular disease (CVD), atherosclerotic CVD (ASCVD) remains a major public health concern in the South Asian (SA) population.
Objectives: The purpose of this study was to assess the risk factor prevalence and ASCVD outcomes in SA population in the United States.
Methods: The DIL Wellness and Arterial health Longitudinal Evaluation registry collected data retrospectively on SA adult patients receiving care in the Baylor Scott & White Healthcare system.
Background: Cardiovascular diseases are the primary cause of nonobstetric morbidity and mortality in pregnant women worldwide. Pakistan's high maternal and neonatal mortality rates underscore the need for effective screening protocols to detect cardiovascular diseases during pregnancy.
Objectives: The objective of this study was to assess the prevalence and factors associated with structural heart disease among pregnant women without active cardiorespiratory symptoms (no symptoms or symptoms attributed to pregnancy) attending routine antenatal appointments.
Electrical Heterogeneity in Hispanic Background Subpopulations: The HCHS/SOL.
JACC Adv
December 2024
Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York, New York, USA.
Background: The Hispanic/Latino population is not uniform. Prevalence and clinical outcomes of cardiac arrhythmias in ethnic background subgroups are variable, but the reasons for differences are unclear. Vectorcardiographic Global Electrical Heterogeneity (GEH) has been shown to be associated with adverse cardiovascular outcomes.
View Article and Find Full Text PDFPromotion of Cardiovascular Health in Africa: The Alliance for Medical Research in Africa (AMedRA) Expert Panel.
JACC Adv
December 2024
Alliance for Medical Research in Africa, Dakar, Senegal.
This proposed scientific statement is focused on providing new insights regarding challenges and opportunities for cardiovascular health (CVH) promotion in Africa. The statement includes an overview of the current state of CVH in Africa, with a particular interest in the cardiometabolic risk factors and their evaluation through metrics. The statement also explains the main principles of primordial prevention, its relevance in reducing noncommunicable disease and the different strategies that have been effective worldwide.
View Article and Find Full Text PDFIncidence and Progression of Diastolic Dysfunction in People With HIV in Tanzania: A Comparative Cohort.
JACC Adv
December 2024
Weill Bugando School of Medicine, Department of Medicine, Catholic University of Health and Allied Sciences, Mwanza, Tanzania.
Background: People living with HIV (PLWH) have a higher prevalence of diastolic dysfunction and left ventricular hypertrophy (LVH) in cross-sectional studies. Longitudinal data are lacking, especially from Africa.
Objectives: The aim was to examine: 1) the incidence of diastolic dysfunction in PLWH compared to community controls in Tanzania; 2) the progression of diastolic function and LVH in PLWH after antiretroviral therapy initiation; and 3) traditional, endemic, and HIV-specific risk factors for diastolic function and LVH.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!