Rural-urban difference in the prevalence of hypertension in West Africa: a systematic review and meta-analysis.

Autor: Sani RN; Department of Medicine, Aminu kano Teaching Hospital, Kano, Nigeria. ruqayyanasir@gmail.com.; Center for Global Health, Usher Institute, The University of Edinburgh, Edinburgh, UK. ruqayyanasir@gmail.com., Connelly PJ; Institute of Cardiovascular & Medical Sciences, University of Glasgow, Glasgow, UK., Toft M; Center for Global Health, Usher Institute, The University of Edinburgh, Edinburgh, UK., Rowa-Dewar N; Center for Global Health, Usher Institute, The University of Edinburgh, Edinburgh, UK., Delles C; Institute of Cardiovascular & Medical Sciences, University of Glasgow, Glasgow, UK., Gasevic D; Center for Global Health, Usher Institute, The University of Edinburgh, Edinburgh, UK.; School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia., Karaye KM; Department of Medicine, Aminu kano Teaching Hospital, Kano, Nigeria.; Bayero University Kano, Kano, Nigeria.
Jazyk: angličtina
Zdroj: Journal of human hypertension [J Hum Hypertens] 2024 Apr; Vol. 38 (4), pp. 352-364. Date of Electronic Publication: 2022 Apr 16.
DOI: 10.1038/s41371-022-00688-8
Abstrakt: Urbanisation is considered a major contributor to the rising prevalence of hypertension in West Africa, yet the evidence regarding rural-urban differences in the prevalence of hypertension in the region has been mixed. A systematic literature search of four electronic databases: PubMed, Embase, African Journals Online, and WHO's African Index Medicus; and reference lists of eligible studies was carried out. Original quantitative studies describing the rural-urban difference in the prevalence of hypertension in one or more countries in West Africa, and published in English language from the year 2000 to 2021 were included. A random effects meta-analysis model was used to estimate the odds ratio of hypertension in rural compared to urban locations. A limited sex-based random effects meta-analysis was conducted with 16 studies that provided sex-disaggregated data. Of the 377 studies screened, 22 met the inclusion criteria (n = 62,907). The prevalence of hypertension was high in both rural, and urban areas, ranging from 9.7% to 60% in the rural areas with a pooled prevalence of 27.4%; and 15.5% to 59.2% in the urban areas with a pooled prevalence of 33.9%. The odd of hypertension were lower in rural compared to urban dwellers [OR 0.74, 95% CI: 0.66-0.83; p < 0.001]. The pooled prevalence of hypertension was 32.6% in males, and 30.0% in females, with no significant difference in the odds of hypertension between the sexes [OR 0.91, 95% CI: 0.8-1.05, p = 0.196]. Comprehensive hypertension control policies are needed for both rural, and urban areas in West Africa, and for both sexes.
(© 2022. The Author(s).)
Databáze: MEDLINE
Externí odkaz: