A Review of Population-Based Studies on Hypertension in Ghana
Identifieur interne : 001F88 ( Pmc/Checkpoint ); précédent : 001F87; suivant : 001F89A Review of Population-Based Studies on Hypertension in Ghana
Auteurs : J. Addo [Royaume-Uni] ; C. Agyemang [Pays-Bas] ; L. Smeeth [Royaume-Uni] ; A. De-Graft Aikins [Royaume-Uni] ; A K Edusei [Ghana] ; O. Ogedegbe [États-Unis]Source :
- Ghana Medical Journal [ 0016-9560 ] ; 2012.
Abstract
Hypertension is becoming a common health problem worldwide with increasing life expectancy and increasing prevalence of risk factors. Epidemiological data on hypertension in Ghana is necessary to guide policy and develop effective interventions.
A review of population-based studies on hypertension in Ghana was conducted by a search of the PUBMED database, supplemented by a manual search of bibliographies of the identified articles and through the Ghana Medical Journal. A single reviewer extracted data using standard data collection forms.
Eleven studies published on hypertension with surveys conducted between 1973 and 2009 were identified. The prevalence of hypertension was higher in urban than rural areas in studies that covered both types of area and increased with increasing age (prevalence ranging from 19.3% in rural to 54.6% in urban areas). Factors associated with high blood pressure included increasing body mass index, increased salt consumption, family history of hypertension and excessive alcohol intake. The levels of hypertension detection, treatment and control were generally low (control rates ranged from 1.7% to 12.7%).
An increased burden of hypertension should be expected in Ghana as life expectancy increases and with rapid urbanisation. Without adequate detection and control, this will translate into a higher incidence of stroke and other adverse health outcomes for which hypertension is an established risk factor. Prevention and control of hypertension in Ghana is thus imperative and any delays in instituting preventive measures would most likely pose a greater challenge on the already overburdened health system.
Url:
PubMed: 23661811
PubMed Central: 3645150
Affiliations:
- Ghana, Pays-Bas, Royaume-Uni, États-Unis
- Angleterre, Angleterre de l'Est, Hollande-Septentrionale, État de New York
- Amsterdam, Cambridge
- Université d'Amsterdam, Université de Cambridge
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<author><name sortKey="Agyemang, C" sort="Agyemang, C" uniqKey="Agyemang C" first="C" last="Agyemang">C. Agyemang</name>
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<front><div type="abstract" xml:lang="en"><title>Summary</title>
<sec><title>Background</title>
<p>Hypertension is becoming a common health problem worldwide with increasing life expectancy and increasing prevalence of risk factors. Epidemiological data on hypertension in Ghana is necessary to guide policy and develop effective interventions.</p>
</sec>
<sec sec-type="methods"><title>Methods</title>
<p>A review of population-based studies on hypertension in Ghana was conducted by a search of the PUBMED database, supplemented by a manual search of bibliographies of the identified articles and through the Ghana Medical Journal. A single reviewer extracted data using standard data collection forms.</p>
</sec>
<sec sec-type="results"><title>Results</title>
<p>Eleven studies published on hypertension with surveys conducted between 1973 and 2009 were identified. The prevalence of hypertension was higher in urban than rural areas in studies that covered both types of area and increased with increasing age (prevalence ranging from 19.3% in rural to 54.6% in urban areas). Factors associated with high blood pressure included increasing body mass index, increased salt consumption, family history of hypertension and excessive alcohol intake. The levels of hypertension detection, treatment and control were generally low (control rates ranged from 1.7% to 12.7%).</p>
</sec>
<sec sec-type="conclusion"><title>Conclusion</title>
<p>An increased burden of hypertension should be expected in Ghana as life expectancy increases and with rapid urbanisation. Without adequate detection and control, this will translate into a higher incidence of stroke and other adverse health outcomes for which hypertension is an established risk factor. Prevention and control of hypertension in Ghana is thus imperative and any delays in instituting preventive measures would most likely pose a greater challenge on the already overburdened health system.</p>
</sec>
</div>
</front>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Ghana Med J</journal-id>
<journal-title-group><journal-title>Ghana Medical Journal</journal-title>
</journal-title-group>
<issn pub-type="ppub">0016-9560</issn>
<publisher><publisher-name>Ghana Medical Association</publisher-name>
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<article-meta><article-id pub-id-type="pmid">23661811</article-id>
<article-id pub-id-type="pmc">3645150</article-id>
<article-id pub-id-type="publisher-id">jGMJ.v46.i2S.pg4</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Articles</subject>
</subj-group>
</article-categories>
<title-group><article-title>A Review of Population-Based Studies on Hypertension in Ghana</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Addo</surname>
<given-names>J</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Agyemang</surname>
<given-names>C</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Smeeth</surname>
<given-names>L</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>de-Graft Aikins</surname>
<given-names>A</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Edusei</surname>
<given-names>A K</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ogedegbe</surname>
<given-names>O</given-names>
</name>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK</aff>
<aff id="A2"><label>2</label>
Department of Social Medicine, Academic Medical Centre, University of Amsterdam, Post bus 22660, 1100 DD Amsterdam, The Netherlands</aff>
<aff id="A3"><label>3</label>
Department of Social and Developmental Psychology, University of Cambridge, Free School Lane, Cambridge, CB2 3RQ</aff>
<aff id="A4"><label>4</label>
Department of Community Health, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</aff>
<aff id="A5"><label>5</label>
New York University, Division of General Internal Medicine at the School of Medicine, New York, NY 10016</aff>
<author-notes><corresp><bold>Corresponding Author</bold>
: Juliet Addo <bold>Email:</bold>
<email>Juliet.addo@lshtm.ac.uk</email>
</corresp>
<fn fn-type="conflict"><p><bold>Conflict Of Interest:</bold>
None declared</p>
</fn>
</author-notes>
<pub-date pub-type="ppub"><month>6</month>
<year>2012</year>
</pub-date>
<volume>46</volume>
<issue>2 Suppl</issue>
<fpage>4</fpage>
<lpage>11</lpage>
<permissions><copyright-statement>Copyright © Ghana Medical Association 2012</copyright-statement>
<copyright-year>2012</copyright-year>
</permissions>
<abstract abstract-type="executive-summary"><title>Summary</title>
<sec><title>Background</title>
<p>Hypertension is becoming a common health problem worldwide with increasing life expectancy and increasing prevalence of risk factors. Epidemiological data on hypertension in Ghana is necessary to guide policy and develop effective interventions.</p>
</sec>
<sec sec-type="methods"><title>Methods</title>
<p>A review of population-based studies on hypertension in Ghana was conducted by a search of the PUBMED database, supplemented by a manual search of bibliographies of the identified articles and through the Ghana Medical Journal. A single reviewer extracted data using standard data collection forms.</p>
</sec>
<sec sec-type="results"><title>Results</title>
<p>Eleven studies published on hypertension with surveys conducted between 1973 and 2009 were identified. The prevalence of hypertension was higher in urban than rural areas in studies that covered both types of area and increased with increasing age (prevalence ranging from 19.3% in rural to 54.6% in urban areas). Factors associated with high blood pressure included increasing body mass index, increased salt consumption, family history of hypertension and excessive alcohol intake. The levels of hypertension detection, treatment and control were generally low (control rates ranged from 1.7% to 12.7%).</p>
</sec>
<sec sec-type="conclusion"><title>Conclusion</title>
<p>An increased burden of hypertension should be expected in Ghana as life expectancy increases and with rapid urbanisation. Without adequate detection and control, this will translate into a higher incidence of stroke and other adverse health outcomes for which hypertension is an established risk factor. Prevention and control of hypertension in Ghana is thus imperative and any delays in instituting preventive measures would most likely pose a greater challenge on the already overburdened health system.</p>
</sec>
</abstract>
<kwd-group><kwd>hypertension</kwd>
<kwd>salt consumption</kwd>
<kwd>alcohol intake</kwd>
<kwd>urbanization</kwd>
<kwd>Ghana</kwd>
</kwd-group>
</article-meta>
</front>
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