Prevalence and Associated Factors of Hypertension: A Crossectional Community Based Study in Northwest Ethiopia
Identifieur interne : 003038 ( Ncbi/Merge ); précédent : 003037; suivant : 003039Prevalence and Associated Factors of Hypertension: A Crossectional Community Based Study in Northwest Ethiopia
Auteurs : Solomon Mekonnen Abebe [Éthiopie] ; Yemane Berhane [Éthiopie] ; Alemayehu Worku [Éthiopie] ; Assefa Getachew [Éthiopie]Source :
- PLoS ONE [ 1932-6203 ] ; 2015.
Abstract
Hypertension, being the root cause of many of the body sytem and organs failure, remains to be a major public health challenge globally. Though the problem is huge in both developed and developing countries, data are scarce in developing countries like Ethiopia. Therefore, this study was aimed to determine the magnitude and associated factors of hypertension in North West Ethiopia.
A cross-sectional survey was conducted on adults aged 35 years and above in the rural and urban communities of Dabat district and Gondar town in 2012. The data were collected using the WHO STEPwise strategy. Hypertension was defined as having a Systolic blood pressure of ≥140 mmHg and/ or a Diastolic BP of ≥ 90mmHg or a reported use of anti-hypertensive medications for raised blood pressure. Prevalence was computed with a 95% confidence interval. Selected risk factors were assessed using a biviarete logistic regression.
A total of 2200 participants were included in the study. The median age (±SD) was 47 (±12.4) years. The overall prevalence of hypertension was found to be 27.9% [95% CI 26.0, 29.8], with the proportion in the urban and rural residents being 30.7% and 25.3% respectively. The prevalence of hypertension was 29.3% for women and 26.3% for men. Out of the 598 hypertensive patients 241 (40.3%) had blood pressure measurements, and 99 (16.6%) had known hypertension and were on treatment. The proportion of systolic and diastolic hypertension in this subgroup of adults was 133(6.2%). The multivariable logistic regression analysis showed older age (AOR = 1.06; 1.05, 1.07), raised fasting glucose (AOR = 1.01; 1.001, 1.01), alcohol consumption (AOR = 1.71; 1.24, 2.36), and raised BMI (AOR =1.07; 1.04, 1.10) were significantly associated with hypertension.
The prevalence of hypertension was considerably higher in rural areas than previously reported. The health system needs to develop strategies to increase the reach of relevant screening and diagnostic services to both rural and urban populations.
Url:
DOI: 10.1371/journal.pone.0125210
PubMed: 25909382
PubMed Central: 4409323
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<front><div type="abstract" xml:lang="en"><sec id="sec001"><title>Background</title>
<p>Hypertension, being the root cause of many of the body sytem and organs failure, remains to be a major public health challenge globally. Though the problem is huge in both developed and developing countries, data are scarce in developing countries like Ethiopia. Therefore, this study was aimed to determine the magnitude and associated factors of hypertension in North West Ethiopia.</p>
</sec>
<sec id="sec002"><title>Methods</title>
<p>A cross-sectional survey was conducted on adults aged 35 years and above in the rural and urban communities of Dabat district and Gondar town in 2012. The data were collected using the WHO STEPwise strategy. Hypertension was defined as having a Systolic blood pressure of ≥140 mmHg and/ or a Diastolic BP of ≥ 90mmHg or a reported use of anti-hypertensive medications for raised blood pressure. Prevalence was computed with a 95% confidence interval. Selected risk factors were assessed using a biviarete logistic regression.</p>
</sec>
<sec id="sec003"><title>Results</title>
<p>A total of 2200 participants were included in the study. The median age (±SD) was 47 (±12.4) years. The overall prevalence of hypertension was found to be 27.9% [95% CI 26.0, 29.8], with the proportion in the urban and rural residents being 30.7% and 25.3% respectively. The prevalence of hypertension was 29.3% for women and 26.3% for men. Out of the 598 hypertensive patients 241 (40.3%) had blood pressure measurements, and 99 (16.6%) had known hypertension and were on treatment. The proportion of systolic and diastolic hypertension in this subgroup of adults was 133(6.2%). The multivariable logistic regression analysis showed older age (AOR = 1.06; 1.05, 1.07), raised fasting glucose (AOR = 1.01; 1.001, 1.01), alcohol consumption (AOR = 1.71; 1.24, 2.36), and raised BMI (AOR =1.07; 1.04, 1.10) were significantly associated with hypertension.</p>
</sec>
<sec id="sec004"><title>Conclusion</title>
<p>The prevalence of hypertension was considerably higher in rural areas than previously reported. The health system needs to develop strategies to increase the reach of relevant screening and diagnostic services to both rural and urban populations.</p>
</sec>
</div>
</front>
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<biblStruct><analytic><author><name sortKey="Chen, L" uniqKey="Chen L">L Chen</name>
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<author><name sortKey="Davey, Smith G" uniqKey="Davey S">Smith G Davey</name>
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<author><name sortKey="Harbord, Rm" uniqKey="Harbord R">RM Harbord</name>
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<author><name sortKey="Lewis, Sj" uniqKey="Lewis S">SJ Lewis</name>
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</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Hillbom, M" uniqKey="Hillbom M">M Hillbom</name>
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</author>
<author><name sortKey="Suvankulov, F" uniqKey="Suvankulov F">F Suvankulov</name>
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</biblStruct>
</listBibl>
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</back>
</TEI>
<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">PLoS One</journal-id>
<journal-id journal-id-type="iso-abbrev">PLoS ONE</journal-id>
<journal-id journal-id-type="publisher-id">plos</journal-id>
<journal-id journal-id-type="pmc">plosone</journal-id>
<journal-title-group><journal-title>PLoS ONE</journal-title>
</journal-title-group>
<issn pub-type="epub">1932-6203</issn>
<publisher><publisher-name>Public Library of Science</publisher-name>
<publisher-loc>San Francisco, CA USA</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">25909382</article-id>
<article-id pub-id-type="pmc">4409323</article-id>
<article-id pub-id-type="doi">10.1371/journal.pone.0125210</article-id>
<article-id pub-id-type="publisher-id">PONE-D-14-37494</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Prevalence and Associated Factors of Hypertension: A Crossectional Community Based Study in Northwest Ethiopia</article-title>
<alt-title alt-title-type="running-head">Prevalence of Hypertension in Ethiopia</alt-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Abebe</surname>
<given-names>Solomon Mekonnen</given-names>
</name>
<xref ref-type="aff" rid="aff001"><sup>1</sup>
</xref>
<xref rid="cor001" ref-type="corresp">*</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Berhane</surname>
<given-names>Yemane</given-names>
</name>
<xref ref-type="aff" rid="aff002"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Worku</surname>
<given-names>Alemayehu</given-names>
</name>
<xref ref-type="aff" rid="aff003"><sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Getachew</surname>
<given-names>Assefa</given-names>
</name>
<xref ref-type="aff" rid="aff004"><sup>4</sup>
</xref>
</contrib>
</contrib-group>
<aff id="aff001"><label>1</label>
<addr-line>Institute of Public health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia</addr-line>
</aff>
<aff id="aff002"><label>2</label>
<addr-line>Addis Continental Institute of Public Health, Addis Ababa, Ethiopia</addr-line>
</aff>
<aff id="aff003"><label>3</label>
<addr-line>School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia</addr-line>
</aff>
<aff id="aff004"><label>4</label>
<addr-line>School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia</addr-line>
</aff>
<contrib-group><contrib contrib-type="editor"><name><surname>Li</surname>
<given-names>Yan</given-names>
</name>
<role>Academic Editor</role>
<xref ref-type="aff" rid="edit1"></xref>
</contrib>
</contrib-group>
<aff id="edit1"><addr-line>Shanghai Institute of Hypertension, CHINA</addr-line>
</aff>
<author-notes><fn fn-type="conflict" id="coi001"><p><bold>Competing Interests: </bold>
The authors have declared that no competing interests exist.</p>
</fn>
<fn fn-type="con" id="contrib001"><p>Conceived and designed the experiments: SMA YB AW. Performed the experiments: SMA. Analyzed the data: SMA AG. Wrote the paper: SMA YB AW AG.</p>
</fn>
<corresp id="cor001">* E-mail: <email>solomekonnen@yahoo.com</email>
</corresp>
</author-notes>
<pub-date pub-type="epub"><day>24</day>
<month>4</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="collection"><year>2015</year>
</pub-date>
<volume>10</volume>
<issue>4</issue>
<elocation-id>e0125210</elocation-id>
<history><date date-type="received"><day>4</day>
<month>9</month>
<year>2014</year>
</date>
<date date-type="accepted"><day>23</day>
<month>3</month>
<year>2015</year>
</date>
</history>
<permissions><copyright-year>2015</copyright-year>
<copyright-holder>Abebe et al</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License</ext-link>
, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited</license-p>
</license>
</permissions>
<self-uri content-type="pdf" xlink:type="simple" xlink:href="pone.0125210.pdf"></self-uri>
<abstract><sec id="sec001"><title>Background</title>
<p>Hypertension, being the root cause of many of the body sytem and organs failure, remains to be a major public health challenge globally. Though the problem is huge in both developed and developing countries, data are scarce in developing countries like Ethiopia. Therefore, this study was aimed to determine the magnitude and associated factors of hypertension in North West Ethiopia.</p>
</sec>
<sec id="sec002"><title>Methods</title>
<p>A cross-sectional survey was conducted on adults aged 35 years and above in the rural and urban communities of Dabat district and Gondar town in 2012. The data were collected using the WHO STEPwise strategy. Hypertension was defined as having a Systolic blood pressure of ≥140 mmHg and/ or a Diastolic BP of ≥ 90mmHg or a reported use of anti-hypertensive medications for raised blood pressure. Prevalence was computed with a 95% confidence interval. Selected risk factors were assessed using a biviarete logistic regression.</p>
</sec>
<sec id="sec003"><title>Results</title>
<p>A total of 2200 participants were included in the study. The median age (±SD) was 47 (±12.4) years. The overall prevalence of hypertension was found to be 27.9% [95% CI 26.0, 29.8], with the proportion in the urban and rural residents being 30.7% and 25.3% respectively. The prevalence of hypertension was 29.3% for women and 26.3% for men. Out of the 598 hypertensive patients 241 (40.3%) had blood pressure measurements, and 99 (16.6%) had known hypertension and were on treatment. The proportion of systolic and diastolic hypertension in this subgroup of adults was 133(6.2%). The multivariable logistic regression analysis showed older age (AOR = 1.06; 1.05, 1.07), raised fasting glucose (AOR = 1.01; 1.001, 1.01), alcohol consumption (AOR = 1.71; 1.24, 2.36), and raised BMI (AOR =1.07; 1.04, 1.10) were significantly associated with hypertension.</p>
</sec>
<sec id="sec004"><title>Conclusion</title>
<p>The prevalence of hypertension was considerably higher in rural areas than previously reported. The health system needs to develop strategies to increase the reach of relevant screening and diagnostic services to both rural and urban populations.</p>
</sec>
</abstract>
<funding-group><funding-statement>Partial funding for this study was received from the World Health Organization and the Addis Continental Institute of Public Health. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.</funding-statement>
</funding-group>
<counts><fig-count count="1"></fig-count>
<table-count count="3"></table-count>
<page-count count="11"></page-count>
</counts>
<custom-meta-group><custom-meta id="data-availability"><meta-name>Data Availability</meta-name>
<meta-value>All relevant data are within the paper.</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
<notes><title>Data Availability</title>
<p>All relevant data are within the paper.</p>
</notes>
</front>
</pmc>
<affiliations><list><country><li>Éthiopie</li>
</country>
</list>
<tree><country name="Éthiopie"><noRegion><name sortKey="Abebe, Solomon Mekonnen" sort="Abebe, Solomon Mekonnen" uniqKey="Abebe S" first="Solomon Mekonnen" last="Abebe">Solomon Mekonnen Abebe</name>
</noRegion>
<name sortKey="Berhane, Yemane" sort="Berhane, Yemane" uniqKey="Berhane Y" first="Yemane" last="Berhane">Yemane Berhane</name>
<name sortKey="Getachew, Assefa" sort="Getachew, Assefa" uniqKey="Getachew A" first="Assefa" last="Getachew">Assefa Getachew</name>
<name sortKey="Worku, Alemayehu" sort="Worku, Alemayehu" uniqKey="Worku A" first="Alemayehu" last="Worku">Alemayehu Worku</name>
</country>
</tree>
</affiliations>
</record>
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