Factors associated with hypertension among adults in high burden kidney disease areas of Jigawa State, Nigeria: A cross-sectional survey.

Autor:	Ibrahim UM; Department of Environmental Management, Bayero University Kano, Kano, Nigeria., Jibo AM; Department of Community Medicine, Bayero University and Aminu Kano Teaching Hospital, Kano, Nigeria., Muazu S; Department of Internal Medicine, Federal University Dutse, Dutse, Jigawa, Nigeria., Zubairu Z; Department of Nursing Science, Hemodialysis Unit, Aminu Kano Teaching Hospital, Kano, Nigeria., Ringim SU; Department of Public Health, Texila American University, Georgetown, Guyana, Niger., Namadi FA; Department of Public Health, Maryam Abacha American University of Niger, Maradi, Niger., Ringim SH; Department of Internal Medicine, Rasheed Shekoni Teaching Hospital, Dutse, Jigawa, Nigeria., Buba LF; Department of Environmental Management, Bayero University Kano, Kano, Nigeria., Jalo RI; Department of Community Medicine, Bayero University and Aminu Kano Teaching Hospital, Kano, Nigeria., Tsiga-Ahmed FI; Department of Community Medicine, Bayero University and Aminu Kano Teaching Hospital, Kano, Nigeria., Abdulsalam K; Department of Chemical Pathology and Immunology, Aminu Kano Teaching Hospital, Bayero University, Kano, Nigeria., Karkarna MZ; Department of Environmental Management, Bayero University Kano, Kano, Nigeria.
Jazyk:	angličtina
Zdroj:	The Nigerian postgraduate medical journal [Niger Postgrad Med J] 2023 Oct-Dec; Vol. 30 (4), pp. 275-284.
DOI:	10.4103/npmj.npmj_214_23
Abstrakt:	Background: Hypertension is the leading risk factor for preventable cardiovascular-related complications and mortalities worldwide. Materials and Methods: A cross-sectional survey was conducted to assess the prevalence and factors associated with hypertension among 361 adults from four local government areas (LGAs) of Jigawa state identified to have high burden of kidney diseases. The Modified WHO STEPS questionnaire and multi-stage sampling technique were employed and data were analysed using IBM SPSS version 22.0. Results: The age of the respondents ranged from 18 to 102 years with a median of 45 (interquartile range = 30-80) years. More than a quarter (34.9%) of the respondents were unemployed. Few reported history of alcohol ingestion (0.8%) and cigarette smoking (1.1%). The prevalence of systolic hypertension was 116 (32.1%), while that of diastolic hypertension was 133 (36.8%). Jahun LGA had higher cases (36.7%) of systolic hypertension, whereas Dutse LGA had higher cases (47.8%) of diastolic hypertension. Systolic hypertension was significantly higher (P < 0.001) among those >35 years of age. The odds of developing systolic hypertension were significantly lower among those between the ages of 18 and 35 years, and those between the ages of 18 and 35 years were less likely to have systolic hypertension than those above the age of 35 years (adjusted odds ratio = 9.0; 95% confidence interval = 4.6-17.6). Similarly, those who reported family history of diabetes and hypertension (P < 0.001) had a significantly higher proportion of systolic hypertension. Conclusions: The prevalence of hypertension was alarming in the high burden kidney disease areas. The government should develop a sustainable model for the mass community screening of risk factors and community-based health insurance for the effective management of all identified cases.
Databáze:	MEDLINE
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