Geographical variation in prevalence of hypertension within The Gambia
Hypertension has become an important public health problem for sub-Sahara Africa. In a previous nationwide study, we observed a high degree of geographical variation in the prevalence of diastolic hypertension. Geographical variation provides essential background information for the development of c...
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| Veröffentlicht in: | Journal of human hypertension 2001-10, Vol.15 (10), p.733-739 |
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| creator | VAN DER SANDE, M. A. B MILLIGAN, P. J. M WALRAVEN, G. E. L DOLMANS, W. M. V NEWPORT, M NYAN, O. A BANYA, W. A. S THIEN, Th WARD, R MCADAM, K. P. W. J |
| description | Hypertension has become an important public health problem for sub-Sahara Africa. In a previous nationwide study, we observed a high degree of geographical variation in the prevalence of diastolic hypertension. Geographical variation provides essential background information for the development of community randomised trials could suggest aetiological mechanisms, inform control strategies and prompt further research questions. We designed a follow-up study from the nine high-prevalence communities, and from 18 communities where hypertension was found least prevalent (controls). In each community, 50 households were randomly selected. In each household, an (unrelated) man and woman were enrolled. The risk for hypertension (blood pressure > or =160/95 mm Hg) was higher in the high prevalence communities compared to the control villages (adjusted OR = 1.7, 95% CI 1.3-2.2). The observed coefficient of variation in hypertension prevalence, k, was 0.30. Thus we confirmed significant geographical variation in prevalence of hypertension over time, which has implications for planning of interventions. |
| doi_str_mv | 10.1038/sj.jhh.1001259 |
| format | Article |
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A. B ; MILLIGAN, P. J. M ; WALRAVEN, G. E. L ; DOLMANS, W. M. V ; NEWPORT, M ; NYAN, O. A ; BANYA, W. A. S ; THIEN, Th ; WARD, R ; MCADAM, K. P. W. J</creator><creatorcontrib>VAN DER SANDE, M. A. B ; MILLIGAN, P. J. M ; WALRAVEN, G. E. L ; DOLMANS, W. M. V ; NEWPORT, M ; NYAN, O. A ; BANYA, W. A. S ; THIEN, Th ; WARD, R ; MCADAM, K. P. W. J</creatorcontrib><description>Hypertension has become an important public health problem for sub-Sahara Africa. In a previous nationwide study, we observed a high degree of geographical variation in the prevalence of diastolic hypertension. Geographical variation provides essential background information for the development of community randomised trials could suggest aetiological mechanisms, inform control strategies and prompt further research questions. We designed a follow-up study from the nine high-prevalence communities, and from 18 communities where hypertension was found least prevalent (controls). In each community, 50 households were randomly selected. In each household, an (unrelated) man and woman were enrolled. The risk for hypertension (blood pressure > or =160/95 mm Hg) was higher in the high prevalence communities compared to the control villages (adjusted OR = 1.7, 95% CI 1.3-2.2). The observed coefficient of variation in hypertension prevalence, k, was 0.30. Thus we confirmed significant geographical variation in prevalence of hypertension over time, which has implications for planning of interventions.</description><identifier>ISSN: 0950-9240</identifier><identifier>EISSN: 1476-5527</identifier><identifier>DOI: 10.1038/sj.jhh.1001259</identifier><identifier>PMID: 11607805</identifier><language>eng</language><publisher>Basingstoke: Nature Publishing</publisher><subject>Adolescent ; Adult ; Arterial hypertension. Arterial hypotension ; Biological and medical sciences ; Blood and lymphatic vessels ; Blood pressure ; Cardiology. Vascular system ; Clinical manifestations. 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Etiology ; Female ; Follow-Up Studies ; Gambia - epidemiology ; Geographical variations ; Humans ; Hypertension ; Hypertension - epidemiology ; Hypertension - etiology ; Male ; Medical sciences ; Middle Aged ; Obesity - epidemiology ; Odds Ratio ; Prevalence ; Public health ; Risk Assessment - statistics & numerical data ; Risk Factors</subject><ispartof>Journal of human hypertension, 2001-10, Vol.15 (10), p.733-739</ispartof><rights>2002 INIST-CNRS</rights><rights>COPYRIGHT 2001 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Oct 2001</rights><rights>Macmillan Publishers Limited 2001.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c514t-d63d28ec10165dd0f4b4ca441a524ec2d93f24075aeeb34a0206c47260e7703c3</citedby><cites>FETCH-LOGICAL-c514t-d63d28ec10165dd0f4b4ca441a524ec2d93f24075aeeb34a0206c47260e7703c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14080201$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11607805$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>VAN DER SANDE, M. 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Geographical variation provides essential background information for the development of community randomised trials could suggest aetiological mechanisms, inform control strategies and prompt further research questions. We designed a follow-up study from the nine high-prevalence communities, and from 18 communities where hypertension was found least prevalent (controls). In each community, 50 households were randomly selected. In each household, an (unrelated) man and woman were enrolled. The risk for hypertension (blood pressure > or =160/95 mm Hg) was higher in the high prevalence communities compared to the control villages (adjusted OR = 1.7, 95% CI 1.3-2.2). The observed coefficient of variation in hypertension prevalence, k, was 0.30. Thus we confirmed significant geographical variation in prevalence of hypertension over time, which has implications for planning of interventions.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Arterial hypertension. 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A. B</au><au>MILLIGAN, P. J. M</au><au>WALRAVEN, G. E. L</au><au>DOLMANS, W. M. V</au><au>NEWPORT, M</au><au>NYAN, O. A</au><au>BANYA, W. A. S</au><au>THIEN, Th</au><au>WARD, R</au><au>MCADAM, K. P. W. J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Geographical variation in prevalence of hypertension within The Gambia</atitle><jtitle>Journal of human hypertension</jtitle><addtitle>J Hum Hypertens</addtitle><date>2001-10-01</date><risdate>2001</risdate><volume>15</volume><issue>10</issue><spage>733</spage><epage>739</epage><pages>733-739</pages><issn>0950-9240</issn><eissn>1476-5527</eissn><abstract>Hypertension has become an important public health problem for sub-Sahara Africa. In a previous nationwide study, we observed a high degree of geographical variation in the prevalence of diastolic hypertension. Geographical variation provides essential background information for the development of community randomised trials could suggest aetiological mechanisms, inform control strategies and prompt further research questions. We designed a follow-up study from the nine high-prevalence communities, and from 18 communities where hypertension was found least prevalent (controls). In each community, 50 households were randomly selected. In each household, an (unrelated) man and woman were enrolled. The risk for hypertension (blood pressure > or =160/95 mm Hg) was higher in the high prevalence communities compared to the control villages (adjusted OR = 1.7, 95% CI 1.3-2.2). The observed coefficient of variation in hypertension prevalence, k, was 0.30. 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| subjects | Adolescent Adult Arterial hypertension. Arterial hypotension Biological and medical sciences Blood and lymphatic vessels Blood pressure Cardiology. Vascular system Clinical manifestations. Epidemiology. Investigative techniques. Etiology Female Follow-Up Studies Gambia - epidemiology Geographical variations Humans Hypertension Hypertension - epidemiology Hypertension - etiology Male Medical sciences Middle Aged Obesity - epidemiology Odds Ratio Prevalence Public health Risk Assessment - statistics & numerical data Risk Factors |
| title | Geographical variation in prevalence of hypertension within The Gambia |
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