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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Stroke risk factors differ between rural and urban communities: population survey in central Uganda</title>
<author><name sortKey="Nakibuuka, Jane" sort="Nakibuuka, Jane" uniqKey="Nakibuuka J" first="Jane" last="Nakibuuka">Jane Nakibuuka</name>
</author>
<author><name sortKey="Sajatovic, Martha" sort="Sajatovic, Martha" uniqKey="Sajatovic M" first="Martha" last="Sajatovic">Martha Sajatovic</name>
</author>
<author><name sortKey="Nankabirwa, Joaniter" sort="Nankabirwa, Joaniter" uniqKey="Nankabirwa J" first="Joaniter" last="Nankabirwa">Joaniter Nankabirwa</name>
</author>
<author><name sortKey="Furlan, Anthony J" sort="Furlan, Anthony J" uniqKey="Furlan A" first="Anthony J" last="Furlan">Anthony J. Furlan</name>
</author>
<author><name sortKey="Kayima, James" sort="Kayima, James" uniqKey="Kayima J" first="James" last="Kayima">James Kayima</name>
</author>
<author><name sortKey="Ddumba, Edward" sort="Ddumba, Edward" uniqKey="Ddumba E" first="Edward" last="Ddumba">Edward Ddumba</name>
</author>
<author><name sortKey="Katabira, Elly" sort="Katabira, Elly" uniqKey="Katabira E" first="Elly" last="Katabira">Elly Katabira</name>
</author>
<author><name sortKey="Byakika Tusiime, Jayne" sort="Byakika Tusiime, Jayne" uniqKey="Byakika Tusiime J" first="Jayne" last="Byakika-Tusiime">Jayne Byakika-Tusiime</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">25967045</idno>
<idno type="pmc">4458230</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4458230</idno>
<idno type="RBID">PMC:4458230</idno>
<idno type="doi">10.1159/000381453</idno>
<date when="2015">2015</date>
<idno type="wicri:Area/Pmc/Corpus">001C43</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001C43</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Stroke risk factors differ between rural and urban communities: population survey in central Uganda</title>
<author><name sortKey="Nakibuuka, Jane" sort="Nakibuuka, Jane" uniqKey="Nakibuuka J" first="Jane" last="Nakibuuka">Jane Nakibuuka</name>
</author>
<author><name sortKey="Sajatovic, Martha" sort="Sajatovic, Martha" uniqKey="Sajatovic M" first="Martha" last="Sajatovic">Martha Sajatovic</name>
</author>
<author><name sortKey="Nankabirwa, Joaniter" sort="Nankabirwa, Joaniter" uniqKey="Nankabirwa J" first="Joaniter" last="Nankabirwa">Joaniter Nankabirwa</name>
</author>
<author><name sortKey="Furlan, Anthony J" sort="Furlan, Anthony J" uniqKey="Furlan A" first="Anthony J" last="Furlan">Anthony J. Furlan</name>
</author>
<author><name sortKey="Kayima, James" sort="Kayima, James" uniqKey="Kayima J" first="James" last="Kayima">James Kayima</name>
</author>
<author><name sortKey="Ddumba, Edward" sort="Ddumba, Edward" uniqKey="Ddumba E" first="Edward" last="Ddumba">Edward Ddumba</name>
</author>
<author><name sortKey="Katabira, Elly" sort="Katabira, Elly" uniqKey="Katabira E" first="Elly" last="Katabira">Elly Katabira</name>
</author>
<author><name sortKey="Byakika Tusiime, Jayne" sort="Byakika Tusiime, Jayne" uniqKey="Byakika Tusiime J" first="Jayne" last="Byakika-Tusiime">Jayne Byakika-Tusiime</name>
</author>
</analytic>
<series><title level="j">Neuroepidemiology</title>
<idno type="ISSN">0251-5350</idno>
<idno type="eISSN">1423-0208</idno>
<imprint><date when="2015">2015</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title>
<p id="P1">Socioeconomic transition is changing urban and rural communities in Sub-Saharan Africa. This study assessed stroke risk factors and associated characteristics in urban and rural Uganda.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">We surveyed 5420 urban and rural participants and assessed stroke risk factor prevalence and socio-behavioural characteristics associated with risk factors.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Rural participants were older with higher proportions of men and fewer poor compared to urban areas. Most prevalent modifiable stroke risk factors in all areas were hypertension (27.1% rural and 22.4% urban, P=0.004), overweight and obesity (22.0% rural and 42% urban P<0.0001), and elevated waist hip ratio (25.8% rural and 24.1% urban P=0.045). Diabetes, smoking, physical inactivity, harmful alcohol consumption were found in ≤5%. Age, family history of hypertension, and waist hip ratio were associated with hypertension in all while BMI, HIV were associated with hypertension only in urban dwellers. Sex and family history of hypertension were associated with BMI in all, while age and socio-economic status, diabetes were associated with BMI in urban dwellers only.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Stroke risk factors of diabetes, smoking, inactivity and harmful alcohol consumption are rare in Uganda. Rural dwellers tend to be older with hypertension and elevated waist hip ratio. Unlike high-income countries, higher socioeconomic status is associated with overweight and obesity.</p>
</sec>
</div>
</front>
</TEI>
<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>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">8218700</journal-id>
<journal-id journal-id-type="pubmed-jr-id">6054</journal-id>
<journal-id journal-id-type="nlm-ta">Neuroepidemiology</journal-id>
<journal-id journal-id-type="iso-abbrev">Neuroepidemiology</journal-id>
<journal-title-group><journal-title>Neuroepidemiology</journal-title>
</journal-title-group>
<issn pub-type="ppub">0251-5350</issn>
<issn pub-type="epub">1423-0208</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">25967045</article-id>
<article-id pub-id-type="pmc">4458230</article-id>
<article-id pub-id-type="doi">10.1159/000381453</article-id>
<article-id pub-id-type="manuscript">NIHMS682244</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Stroke risk factors differ between rural and urban communities: population survey in central Uganda</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Nakibuuka</surname>
<given-names>Jane</given-names>
</name>
<degrees>MD</degrees>
<aff id="A1">Department of Medicine, School of Medicine, Makerere University College of Health Sciences, P.O. Box 7051, Kampala, Uganda, Tel: +256772618111, Fax: +256041532591,<email>nakibuukajm@yahoo.com</email>
</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Sajatovic</surname>
<given-names>Martha</given-names>
</name>
<degrees>MD</degrees>
<aff id="A2">Neurological and Behavioral Outcomes Center, University Hospitals Case Medical Center, Case Western Reserve University, School of Medicine, 11100 Euclid Avenue, Cleveland Ohio 44106, USA,<email>Martha.sajatovic@uhhospitals.org</email>
</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Nankabirwa</surname>
<given-names>Joaniter</given-names>
</name>
<degrees>MD</degrees>
<aff id="A3">Department of Medicine, School of Medicine, Makerere University College of Health Sciences, P.O. Box 7051, Kampala, Uganda,<email>jnankabirwa@yahoo.co.uk</email>
</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Furlan</surname>
<given-names>Anthony J</given-names>
</name>
<degrees>MD</degrees>
<aff id="A4">University Hospitals Case Medical Center, Neurological Institute Case Western Reserve University, School of Medicine, 11100 Euclid Avenue, Cleveland Ohio 44106, USA,<email>Anthony.furlan@uhhospitals.org</email>
</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Kayima</surname>
<given-names>James</given-names>
</name>
<degrees>MD</degrees>
<aff id="A5">Department of Medicine, School of Medicine, Makerere University College of Health Sciences, P.O. Box 7051, Kampala, Uganda,<email>jkkayima@gmail.com</email>
</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Ddumba</surname>
<given-names>Edward</given-names>
</name>
<degrees>MD</degrees>
<aff id="A6">Department of Medicine, St Raphael of St Francis Nsambya Hospital, Nkozi University, P.O. Box 7146, Kampala, Uganda,<email>ddumbaentamuezala@gmail.com</email>
</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Katabira</surname>
<given-names>Elly</given-names>
</name>
<degrees>FRCP</degrees>
<aff id="A7">Department of Medicine, School of Medicine, Makerere University College of Health Sciences, P.O. Box 7051, Kampala, Uganda,<email>Katabira@infocom.co.ug</email>
</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Byakika-Tusiime</surname>
<given-names>Jayne</given-names>
</name>
<degrees>PhD</degrees>
<aff id="A8">Department of Epidemiology and Biostatistics, School of Public Health, Makerere University College of Health Sciences, P.O. Box 7072, Kampala, Uganda,<email>tusjayne@hotmail.com</email>
</aff>
</contrib>
</contrib-group>
<pub-date pub-type="nihms-submitted"><day>19</day>
<month>5</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub"><day>07</day>
<month>5</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="ppub"><year>2015</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>07</day>
<month>5</month>
<year>2016</year>
</pub-date>
<volume>44</volume>
<issue>3</issue>
<fpage>156</fpage>
<lpage>165</lpage>
<pmc-comment>elocation-id from pubmed: 10.1159/000381453</pmc-comment>
<abstract><sec id="S1"><title>Background</title>
<p id="P1">Socioeconomic transition is changing urban and rural communities in Sub-Saharan Africa. This study assessed stroke risk factors and associated characteristics in urban and rural Uganda.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">We surveyed 5420 urban and rural participants and assessed stroke risk factor prevalence and socio-behavioural characteristics associated with risk factors.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Rural participants were older with higher proportions of men and fewer poor compared to urban areas. Most prevalent modifiable stroke risk factors in all areas were hypertension (27.1% rural and 22.4% urban, P=0.004), overweight and obesity (22.0% rural and 42% urban P<0.0001), and elevated waist hip ratio (25.8% rural and 24.1% urban P=0.045). Diabetes, smoking, physical inactivity, harmful alcohol consumption were found in ≤5%. Age, family history of hypertension, and waist hip ratio were associated with hypertension in all while BMI, HIV were associated with hypertension only in urban dwellers. Sex and family history of hypertension were associated with BMI in all, while age and socio-economic status, diabetes were associated with BMI in urban dwellers only.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Stroke risk factors of diabetes, smoking, inactivity and harmful alcohol consumption are rare in Uganda. Rural dwellers tend to be older with hypertension and elevated waist hip ratio. Unlike high-income countries, higher socioeconomic status is associated with overweight and obesity.</p>
</sec>
</abstract>
<kwd-group><kwd>Risk factors</kwd>
<kwd>Rural</kwd>
<kwd>Urban</kwd>
<kwd>Stroke</kwd>
<kwd>Uganda</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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