Blood pressure and burden of hypertension in Cameroon, a microcosm of Africa
| Autor: | Sylvie Perreault, Sébastien Sauvé, Jean Claude Mbanya, Barthelemy Kuate Defo, Christina Zarowsky, Elham Emami, Lucie Richard, Dora Mbanya, Robert Côté, Simeon Pierre Choukem, Carl-Ardy Dubois, Olúgbémiga T. Ekúndayò, Paul Ndom, Samuel Kingue, Isabelle Roy, Jean-Claude Tardif, Roxane Borgès Da Silva, Evelyne Rey, Pierre Fournier, Paul Khairy, Bianca D’Antono, Felix K. Assah, Maryse F. Bouchard, Louise Potvin, Warner M. Mampuya, Marie-Josée Aubin |
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| Rok vydání: | 2019 |
| Předmět: |
Rural Population
hypertension Physiology Tropical highlands low-income and middle-income countries review MEDLINE Population based 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Hypertension prevalence Ethnicity Prevalence Internal Medicine Humans ORIGINAL PAPERS: Epidemiology Medicine Cameroon 030212 general & internal medicine noncommunicable disease Antihypertensive Agents business.industry blood pressure Hypertension prevention Confidence interval Blood pressure ageing Meta-analysis Africa ComputingMethodologies_DOCUMENTANDTEXTPROCESSING epidemiology Cardiology and Cardiovascular Medicine business Demography |
| Zdroj: | Journal of Hypertension |
| ISSN: | 0263-6352 |
| DOI: | 10.1097/hjh.0000000000002165 |
| Popis: | Supplemental Digital Content is available in the text Objective: To estimate national and geography-based variations in blood pressure and burden of hypertension in Cameroon, generally called ‘miniature Africa’. Methods: PubMed, Medline, EMBASE, CINHAL, Web of Science, Popline, Scopus and BDSP were searched through November 2018, for hypertension studies among Cameroonians aged at least 18 years. Hypertension was measured as SBP at least 140 mmHg or DBP at least 90 mmHg. Random-effects meta-analysis was used. Results: Twenty studies involving 46 491 participants met inclusion criteria. Overall hypertension prevalence was 30.9% [95% confidence interval (CI) 27.0–34.8]: 29.6% (24.1–35.1) and 32.1% (27.2–37.1) in 1994–2010 and 2011–2018, respectively. Of hypertensive participants, only 24.4% (18.9–30.0) – 31.6% (21.0–42.3) and 20.8% (14.0–27.7) in 1994–2010 and 2011–2018, respectively – were aware of their status, 15.1% (10.6–19.6) were taking antihypertensive medications and 8.8% (5.7–11.9) – 10.4% (7.5–13.3) and 8.3% (4.4–12.3) in 1994–2010 and 2011–2018, respectively – were controlled. Hypertension prevalence varied by sex: 34.3% (30.0–38.6) for men and 31.3% (26.5–36.1) for women; ethnicity: from 3.3% (0.4–6.2) among Pygmies to 56.6% (49.4–63.8) among Bamileke; urbanity: 25.4% (17.1–33.7) for rural and 31.4% (27.3–35.5) for urban dwellers; agroecological zone: from 35.1% (28.9–41.3) in Tropical highlands to 28% (20.1–35.9) in Guinea-Savannah; and subnational region: from 36.3% (27.8–44.9) in the West to 17.1% (9.9–44.2) in the South. Conclusion: Cameroon's hypertension prevalence is high and increasing whereas awareness, treatment and control are low and declining. Emerging patterns call urgently for effective campaigns to raise hypertension awareness alongside strategies for hypertension prevention and BP control. |
| Databáze: | OpenAIRE |
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