Prevalence of Hypertension and Associated Factors in Lubumbashi City, Democratic Republic of Congo: A Community-Based Cross-Sectional Study.

Autor: Musung JM; Department of Internal Medicine, University of Lubumbashi, Lubumbashi, Congo., Kakoma PK; Department of Internal Medicine, University of Lubumbashi, Lubumbashi, Congo., Kaut Mukeng C; Department of Public Health, University of Lubumbashi, Lubumbashi, Congo., Tshimanga SL; Provincial Division of Health, Haut-Katanga Province, Lubumbashi, Congo., Munkemena Banze JP; Sendwe Hospital, Lubumbashi, Congo., Kaj NK; Department of Public Health, University of Kolwezi, Kolwezi, Congo., Kamuna MK; Sendwe Hospital, Lubumbashi, Congo., Mwamba JK; Sendwe Hospital, Lubumbashi, Congo., Nkulu DN; Department of Internal Medicine, University of Lubumbashi, Lubumbashi, Congo., Katchunga PB; Faculty of Medicine, Catholic University of Bukavu, Bukavu, South-Kivu, Congo., Mukuku O; Department of Research, Institu Supérieur des Techniques Médicales de Lubumbashi, Lubumbashi, Congo., Muyumba EK; Department of Internal Medicine, University of Lubumbashi, Lubumbashi, Congo.
Jazyk: angličtina
Zdroj: International journal of hypertension [Int J Hypertens] 2021 Apr 07; Vol. 2021, pp. 6674336. Date of Electronic Publication: 2021 Apr 07 (Print Publication: 2021).
DOI: 10.1155/2021/6674336
Abstrakt: Background: Hypertension is the leading cause of cardiovascular disease morbidity and mortality worldwide. Its struggle involves knowing its prevalence. Insufficient data on hypertension in adults in Lubumbashi, Democratic Republic of Congo (DRC), prompted the conduct of this study. The objectives were to determine the prevalence of hypertension and to identify the associated factors in adults in Lubumbashi. Methodology . A cross-sectional study was carried out among 6,708 adults from October 15 th to November 24 th , 2018, in Lubumbashi. Anthropometric data, lifestyle, and medical history were collected. Hypertension was defined when the mean of the last two blood pressure (BP) measurements was greater than or equal for systolic (SBP) at 140 mmHg and for diastolic (DBP) at 90 mmHg or a history of taking antihypertensive medication whatever the value of the BP. Logistic regression was used to identify the relative effects of hypertension risk factors and all statistical tests were declared significant at a p value <0.05.
Results: The female participants numbered 4479 (66.8%). The mean age of all participants was 47.9 ± 16.5 years. The mean SBP and DBP were 128.4 ± 25.9 mmHg and 79.1 ± 15.3 mmHg, respectively. The overall prevalence of hypertension was 33.6%. This prevalence was statistically higher in women than in men (34.5% vs. 31.7%; p =0.024). After logistic regression, the risk of hypertension increased with age >50 years (aOR = 5.85 [5.19-6.60]), overweight (aOR = 1.25 [1.11-1.41]), obesity (aOR = 1.25 [1.11-1.41]), central obesity (aOR = 1.37 [1.16-1.61]), diabetes mellitus (aOR = 2.19 [1.63-2.95]), alcohol consumption (aOR = 1.21 [1.05-1.39]), nonconsumption of vegetables (aOR = 1.35 [1.02-1.80]), and history of stroke (aOR = 2.57 [1.88-3.51]). Hypertension was inversely associated with being underweight (aOR = 0.68 [0.53-0.87]).
Conclusion: The prevalence of hypertension in the city of Lubumbashi is high as in other cities of the DRC and Africa. This situation requires the implementation of prevention, detection, and treatment programs for hypertension.
Competing Interests: The authors declare that they have no conflicts of interest.
(Copyright © 2021 Jacques Mbaz Musung et al.)
Databáze: MEDLINE
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