High prevalence, low awareness, treatment and control rates of hypertension in Guinea: results from a population-based STEPS survey
Hypertension is a major and fast-growing public health problem in Africa. We determined the prevalence of hypertension and assessed the levels of awareness, treatment and control in Guinea. A cross-sectional study based on a stratified cluster random sampling was conducted. In all, 2491 adults (1351...
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| Veröffentlicht in: | Journal of human hypertension 2016-04, Vol.30 (4), p.237-244 |
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| creator | Camara, A Baldé, N M Diakité, M Sylla, D Baldé, E H Kengne, A P Baldé, M D |
| description | Hypertension is a major and fast-growing public health problem in Africa. We determined the prevalence of hypertension and assessed the levels of awareness, treatment and control in Guinea. A cross-sectional study based on a stratified cluster random sampling was conducted. In all, 2491 adults (1351 women) aged 15–64 years were selected and screened during September–December 2009. Hypertension (systolic (and/or diastolic) blood pressure ⩾140 (90) mm Hg or use of antihypertensive medications) and diabetes mellitus (fasting capillary glucose ⩾110 mg dl
−1
or use of antidiabetic medications) were determined. Logistic regressions were used to investigate the determinants of hypertension. The mean body mass index was 22.4 kg m
−2
(s.d.=4.5). The prevalence of hypertension and diabetes was, respectively, 29.9% (95% confidence interval (CI) 29.8–30.0) and 3.5% (95%CI 3.4–3.5). The prevalence of hypertension was 29.4% (29.3–29.5) in men and 30.4% (30.4–30.6) in women. The prevalence was 62.5% in the 44–64 years age group. Overall, 75.8% of hypertensive participants were undetected before the survey and 34.9% of those aware of their hypertensive status were receiving treatment, of whom 16.3% were at target control levels. Age, education, diabetes and obesity were the main factors associated with hypertension. There was a high prevalence of hypertension among the adults in Guinea, but with low awareness, treatment and control rates. Urgent response is needed in the form of integrated and comprehensive action targeting major non-communicable diseases in the country. |
| doi_str_mv | 10.1038/jhh.2015.92 |
| format | Article |
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−1
or use of antidiabetic medications) were determined. Logistic regressions were used to investigate the determinants of hypertension. The mean body mass index was 22.4 kg m
−2
(s.d.=4.5). The prevalence of hypertension and diabetes was, respectively, 29.9% (95% confidence interval (CI) 29.8–30.0) and 3.5% (95%CI 3.4–3.5). The prevalence of hypertension was 29.4% (29.3–29.5) in men and 30.4% (30.4–30.6) in women. The prevalence was 62.5% in the 44–64 years age group. Overall, 75.8% of hypertensive participants were undetected before the survey and 34.9% of those aware of their hypertensive status were receiving treatment, of whom 16.3% were at target control levels. Age, education, diabetes and obesity were the main factors associated with hypertension. There was a high prevalence of hypertension among the adults in Guinea, but with low awareness, treatment and control rates. Urgent response is needed in the form of integrated and comprehensive action targeting major non-communicable diseases in the country.</description><identifier>ISSN: 0950-9240</identifier><identifier>EISSN: 1476-5527</identifier><identifier>DOI: 10.1038/jhh.2015.92</identifier><identifier>PMID: 26310186</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/699/75/243 ; Adolescent ; Adult ; Age Distribution ; Analysis ; Antidiabetics ; Antihypertensive Agents - therapeutic use ; Antihypertensives ; Awareness ; Blood pressure ; Blood Pressure - drug effects ; Body mass index ; Care and treatment ; Cross-Sectional Studies ; Diabetes ; Diabetes mellitus ; Diabetes Mellitus - epidemiology ; Diagnosis ; Epidemiology ; Female ; Guinea - epidemiology ; Health Administration ; Health Care Surveys ; Health Knowledge, Attitudes, Practice ; Humans ; Hyperlipidemias - epidemiology ; Hypertension ; Hypertension - diagnosis ; Hypertension - drug therapy ; Hypertension - epidemiology ; Hypertension - physiopathology ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Obesity - epidemiology ; original-article ; Prevalence ; Prevalence studies (Epidemiology) ; Public Health ; Risk Factors ; Rural Health ; Rural Health Services ; Sex Distribution ; Smoking - adverse effects ; Smoking - epidemiology ; Statistical sampling ; Surveys ; Treatment Outcome ; Urban Health ; Urban Health Services ; Young Adult</subject><ispartof>Journal of human hypertension, 2016-04, Vol.30 (4), p.237-244</ispartof><rights>Macmillan Publishers Limited 2016</rights><rights>COPYRIGHT 2016 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Apr 2016</rights><rights>Macmillan Publishers Limited 2016.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c587t-5c0b541e9091dfcd786c58b76715cbc1afaa877b68ea979f20ec050e20011f623</citedby><cites>FETCH-LOGICAL-c587t-5c0b541e9091dfcd786c58b76715cbc1afaa877b68ea979f20ec050e20011f623</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/jhh.2015.92$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/jhh.2015.92$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26310186$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Camara, A</creatorcontrib><creatorcontrib>Baldé, N M</creatorcontrib><creatorcontrib>Diakité, M</creatorcontrib><creatorcontrib>Sylla, D</creatorcontrib><creatorcontrib>Baldé, E H</creatorcontrib><creatorcontrib>Kengne, A P</creatorcontrib><creatorcontrib>Baldé, M D</creatorcontrib><title>High prevalence, low awareness, treatment and control rates of hypertension in Guinea: results from a population-based STEPS survey</title><title>Journal of human hypertension</title><addtitle>J Hum Hypertens</addtitle><addtitle>J Hum Hypertens</addtitle><description>Hypertension is a major and fast-growing public health problem in Africa. We determined the prevalence of hypertension and assessed the levels of awareness, treatment and control in Guinea. A cross-sectional study based on a stratified cluster random sampling was conducted. In all, 2491 adults (1351 women) aged 15–64 years were selected and screened during September–December 2009. Hypertension (systolic (and/or diastolic) blood pressure ⩾140 (90) mm Hg or use of antihypertensive medications) and diabetes mellitus (fasting capillary glucose ⩾110 mg dl
−1
or use of antidiabetic medications) were determined. Logistic regressions were used to investigate the determinants of hypertension. The mean body mass index was 22.4 kg m
−2
(s.d.=4.5). The prevalence of hypertension and diabetes was, respectively, 29.9% (95% confidence interval (CI) 29.8–30.0) and 3.5% (95%CI 3.4–3.5). The prevalence of hypertension was 29.4% (29.3–29.5) in men and 30.4% (30.4–30.6) in women. The prevalence was 62.5% in the 44–64 years age group. Overall, 75.8% of hypertensive participants were undetected before the survey and 34.9% of those aware of their hypertensive status were receiving treatment, of whom 16.3% were at target control levels. Age, education, diabetes and obesity were the main factors associated with hypertension. There was a high prevalence of hypertension among the adults in Guinea, but with low awareness, treatment and control rates. Urgent response is needed in the form of integrated and comprehensive action targeting major non-communicable diseases in the country.</description><subject>692/699/75/243</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Age Distribution</subject><subject>Analysis</subject><subject>Antidiabetics</subject><subject>Antihypertensive Agents - therapeutic use</subject><subject>Antihypertensives</subject><subject>Awareness</subject><subject>Blood pressure</subject><subject>Blood Pressure - drug effects</subject><subject>Body mass index</subject><subject>Care and treatment</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetes Mellitus - epidemiology</subject><subject>Diagnosis</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Guinea - epidemiology</subject><subject>Health Administration</subject><subject>Health Care Surveys</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Humans</subject><subject>Hyperlipidemias - 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Academic</collection><jtitle>Journal of human hypertension</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Camara, A</au><au>Baldé, N M</au><au>Diakité, M</au><au>Sylla, D</au><au>Baldé, E H</au><au>Kengne, A P</au><au>Baldé, M D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>High prevalence, low awareness, treatment and control rates of hypertension in Guinea: results from a population-based STEPS survey</atitle><jtitle>Journal of human hypertension</jtitle><stitle>J Hum Hypertens</stitle><addtitle>J Hum Hypertens</addtitle><date>2016-04-01</date><risdate>2016</risdate><volume>30</volume><issue>4</issue><spage>237</spage><epage>244</epage><pages>237-244</pages><issn>0950-9240</issn><eissn>1476-5527</eissn><abstract>Hypertension is a major and fast-growing public health problem in Africa. We determined the prevalence of hypertension and assessed the levels of awareness, treatment and control in Guinea. A cross-sectional study based on a stratified cluster random sampling was conducted. In all, 2491 adults (1351 women) aged 15–64 years were selected and screened during September–December 2009. Hypertension (systolic (and/or diastolic) blood pressure ⩾140 (90) mm Hg or use of antihypertensive medications) and diabetes mellitus (fasting capillary glucose ⩾110 mg dl
−1
or use of antidiabetic medications) were determined. Logistic regressions were used to investigate the determinants of hypertension. The mean body mass index was 22.4 kg m
−2
(s.d.=4.5). The prevalence of hypertension and diabetes was, respectively, 29.9% (95% confidence interval (CI) 29.8–30.0) and 3.5% (95%CI 3.4–3.5). The prevalence of hypertension was 29.4% (29.3–29.5) in men and 30.4% (30.4–30.6) in women. The prevalence was 62.5% in the 44–64 years age group. Overall, 75.8% of hypertensive participants were undetected before the survey and 34.9% of those aware of their hypertensive status were receiving treatment, of whom 16.3% were at target control levels. Age, education, diabetes and obesity were the main factors associated with hypertension. There was a high prevalence of hypertension among the adults in Guinea, but with low awareness, treatment and control rates. Urgent response is needed in the form of integrated and comprehensive action targeting major non-communicable diseases in the country.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>26310186</pmid><doi>10.1038/jhh.2015.92</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | 692/699/75/243 Adolescent Adult Age Distribution Analysis Antidiabetics Antihypertensive Agents - therapeutic use Antihypertensives Awareness Blood pressure Blood Pressure - drug effects Body mass index Care and treatment Cross-Sectional Studies Diabetes Diabetes mellitus Diabetes Mellitus - epidemiology Diagnosis Epidemiology Female Guinea - epidemiology Health Administration Health Care Surveys Health Knowledge, Attitudes, Practice Humans Hyperlipidemias - epidemiology Hypertension Hypertension - diagnosis Hypertension - drug therapy Hypertension - epidemiology Hypertension - physiopathology Male Medicine Medicine & Public Health Middle Aged Obesity - epidemiology original-article Prevalence Prevalence studies (Epidemiology) Public Health Risk Factors Rural Health Rural Health Services Sex Distribution Smoking - adverse effects Smoking - epidemiology Statistical sampling Surveys Treatment Outcome Urban Health Urban Health Services Young Adult |
| title | High prevalence, low awareness, treatment and control rates of hypertension in Guinea: results from a population-based STEPS survey |
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