Prevalence, Awareness, Treatment and Control of Hypertension in Nigeria: Data from a Nationwide Survey 2017
| Autor: | Babangida S. Chori, Kefas Zawaya, Innocent Chukwuemeka Okoye, John O. Ogedengbe, Peter C. Nwakile, Akinyemi Aje, Umar Abdullah, Godsent Isiguzo, Ime Essien, Kabiru Sada, Augustine N. Odili, Benjamin Danladi, Maxwell N. Nwegbu |
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| Přispěvatelé: | Tertiary Education Trust Fund (TETFUND). |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Rural Population medicine.medical_specialty lcsh:Diseases of the circulatory (Cardiovascular) system Epidemiology Prevalence Awareness Treatment Control Hypertension Africa Blood pressure Nigeria Blood Pressure 030204 cardiovascular system & hematology Nationwide survey 03 medical and health sciences 0302 clinical medicine Risk Factors medicine Humans 030212 general & internal medicine Risk factor Disease burden Original Research Community and Home Care business.industry Nigerians Public health lcsh:Public aspects of medicine Disease Management lcsh:RA1-1270 Middle Aged lcsh:RC666-701 Population Surveillance Residence Female Cardiology and Cardiovascular Medicine business Demography |
| Zdroj: | Global Heart Global Heart, Vol 15, Iss 1 (2020) Global Heart; Vol 15, No 1 (2020); 47 |
| ISSN: | 2211-8179 2211-8160 |
| Popis: | Background: Previous studies that evaluated the prevalence, awareness and treatment of hypertension in Nigeria were either localized to some specific regions of the country or non-standardized thereby making evaluation of trend in hypertension care difficult.Methods: We used the World Health Organization (WHO) STEPwise approach to chronic disease risk factor surveillance to evaluate in a nationally representative sample of 4192 adult Nigerians selected from a rural and an urban community in one state in each of the six geo-political zones of the country.Results: The overall age-standardized prevalence of hypertension was 38.1% and this varied across the geo-political zones as follows: North-Central, 20.9%; North-East, 27.5%; North-West, 26.8%; South-East, 52.8%; South-South, 44.6%; and South-West, 42.1%. Prevalence rate did not differ significantly (p > 0.05) according to place of residence; 39.2% versus 37.5 %; urban vs rural. Prevalence of hypertension increased from 6.8% among subjects less than 30 years to 63.0% among those aged 70 years and above. Awareness was better (62.2% vs. 56.6%; P = 0.0272); treatment rate significantly higher (40.9 % vs. 30.8%; P < 0.0001) and control similar (14 vs. 10.8%) among urban compared to rural residents. Women were more aware of (63.3% vs. 52.8%; P < 0.0001); had similar (P > 0.05) treatment (36.7 vs. 34.3%) and control (33.9% vs. 35.5%) rates of hypertension compared to men.Conclusion: Our results suggest a large burden of hypertension in Nigeria and a closing up of the rural-urban gap previously reported. This calls for a change in public health policies anchored on a primary health care system to address the emerging disease burden occasioned by hypertension. |
| Databáze: | OpenAIRE |
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