Case Finding of Hypertension at a Secondary Health Care Facility in South-West Nigeria (original) (raw)
Related papers
2017
This research work was carried out to investigate the prevalence of hypertension among adults aged 30-69 years who used Imo State Specialist Hospital, Owerri (IMSSHO), from 2009-2013.The study was designed to ascertain the frequency distribution of hypertension and the associated mortality among these adults who used IMSSHO from 2009-2013.Four specific objectives were formulated for the study. In line with the objectives of the study, four research questions and four research hypotheses were formulated. The study adopted the Ex-Post Facto Design to ascertain the prevalence of hypertension in the population of study. The target and accessible population consisted of all adult hypertensive victims aged 30-69 years who used IMSSHO from 2009-2013. There was no sample and sampling technique. The instrument for data collection was Self-Developed Data Collection Schedule Sheet and the hospital's Medical Records. The validity and reliability of the instrument were ensured. The data collection schedule sheet was approved by the thesis supervisor and validated by three lecturers. The Medical Director (MD) in-charge of IMSSHO signed the data collection schedule sheet and the thesis supervisor confirmed the suitability. The researcher practically visited IMSSHO and retrieved data from the Medical Records. Facts collected were tallied and recorded in the data collection schedule sheet in figures and were analyzed using descriptive statistics of frequency table and percentage and inferential statistics like chi-square (^2) at 0.05 level of significance. The results of the analyses revealed that there were 556 adults aged 30-69 years living with hypertension from 2009-2013. It revealed that age and gender influenced prevalence of hypertension among these adults. The prevalence of hypertension was highest among ages 60-64 years-150 (26.98%) and lowest among ages 30-34 years-8 (1.44%); and by gender, it was higher among women-306 (55.04%) than men-250 (44.96%). It also revealed that there were 33 deaths due to hypertension, out of which, 12 (36.6%) were men and 21 (63.66%) were women. It further revealed that both age and gender did not significantly influence the prevalence of hypertension mortality among these adults. In view of the results, some recommendations were made which included provision of hypertension centers for free blood pressure checking and
Public Health – Open Journal
Background: Hypertension (HTN) is the major risk factor of cardiovascular diseases. Despite the increasing trends suggesting that HTN is a growing public health problem in developing countries; studies on its prevalence, associated risk factors, and extent of blood pressure control have been mostly done in communities in these countries. In Cameroon, there exists few data on the prevalence of hypertension in hospital area. Aim of the study: To determine the prevalence of hypertension and identifying the cardiometabolic risk factors associated with HTN of the patients attending to Deido District Hospital. Methodology: Descriptive and cross sectional survey was carried out at the Deido District Hospital. For this, 805 cameroonians male and female aged 20 years above were recruited on their arrival at the hospital. After filling a questionnaire related to their lifestyle (cigarette, food consumption frequency, practice of physical activity), the following parameters were recorded: age, gender, weight, height and glycemia. HTN was defined according to 2017 American College of Cardiology and the American Heart Association (ACC/AHA) guidelines. Hyperglycemia was diagnosed with Intermediate distribution frame (IDF) criteria. Body mass index was calculated and physical activity was defined according to World Health Organization (WHO) recommendations. Results: The prevalence of hypertension was 28.4%. Concerning subtypes of HTN, the prevalence of subdural hematoma (SDH) was 27.1%, that of ISH was 15.7% and that of intradialytic hypotension (IDH) was 17.8%. Women were more affected than men (63.8% vs 36.2%). The prevalence of hyperglycemia was 16.2%, obesity was 40.2% and overweight was 30.6%. Adults aged 40-59, 60-79 and 80 and above were 1.99, 4.21 and 4.71 times more exposed to HTN (OR=1.99; p=0.002), (OR=4.21; p=0.000) and (OR=4.71; p=0.014). Concerning marital status, individuals "Divorced", "widowed" and "married" individuals were more exposed (OR=5.40; p=0.006), (OR=2.17; p=0.000) and (OR=2.10; p=0.006). Monthly Wages influences the onset of HTN. Individuals having high (OR= 4.40; p=0.000), middle (OR=2.92; p=0.000) and minimum (OR=2.08; p=0.015) monthly wages were more exposed to HTN than none. Concerning educational level, it appears that those with University education were 3.32 times exposed to HTN following by those with secondary education (OR=2.98; p=0.004) and primary education (OR=2.49; p=0.010). In the case of physical activity, those who don't practice physical activity were 0.24 times exposed than others (OR=0.24; p=0.050). Conclusion: Around one-third of the subjects were hypertensive. Age, sedentarity (physical inactivity), monthly wages, marital status and education level were cardiometabolic risk factors associated to hypertension.
Prevalence and control of hypertension in a Niger Delta semi urban community, Nigeria
Pharmacy Practice (Internet), 2013
Background: Hypertension is a public health problem worldwide, but the prevalence in Amassoma, Southern Ijaw Local Government Area is not known. Objective: To investigate the prevalence of hypertension in the locality and the extent of control in diagnosed cases. Methods: It is a prospective study involving interviewing. Four hundred adults aged 20 years and above selected through stratified random sampling across the various compounds called "AMA"; a unit of settlement comprising extended families of common ancestors. A self-developed, validated and pretested interviewer-administered questionnaire on demographics, predisposing factors, and medication history was used. In addition, measurement of respondents' blood pressure, weight and height was carried out. The Body Mass Index calculated and the data were appropriately analysed. Results: The response rate of questionnaire distribution was 100.0% being interviewer administered alongside weight, height and blood pressure measurement. Majority of respondents were female. Almost half of respondents (46.5%) had their BMI above normal, 15.3% (61) of which falls within the obese region (>30.0kg/m 2). The mean (SD) systolic blood pressure among males was 133.3 (3.2) mmHg and that of females was 127.4 (3.0) while the mean (SD) diastolic blood pressures were 86.2 (1.7) and 83.9 (2.4) for males and females respectively. Crude prevalence rate of hypertension in the community was 15.0% (60) out of which 13.8 % (55) were previously diagnosed. The hypertension was that of Stage I in 11.5% (46) and Stage II in 3.5% (14). Hypertension prevalence was slightly higher in males (18.8%) than that of the females (12.5%) (p= 0.0889), Relative Risk (RR)=1.500 [95%CI 0.9422:2.388]. The prevalence rate among 40 years and above was 41.6% (42/101) who also constituted 70.0% (42/60) of participants with hypertension in the survey and 10.5% (42/400) of the total. Of the previously *
Background: Arterial hypertension is a sustained elevation of the systemic arterial pressure (systolic BP ≥140 and/or diastolic BP ≥90). It is most commonly due to increased peripheral resistance and is a very common abnormality in humans. The main objective of this study is to estimate the prevalence of hypertension and factors associated with it in the study area. Methods: A community based cross-sectional study was conducted in 548 sampled adults (age 25-64 yrs) of Sodo town from July-September, 2016. Data were collected and analyzed by using SPSS version 20.0. Arterial blood pressure was measured from brachial artery of left arm in sitting position using the mercury sphygmomanometer. Result: The overall prevalence of high blood pressure in the study population was 21.9% (in male and female was almost the same 22%, 21.8 % respectively). The mean arterial blood pressure (MAP) in this population was 91.3±10.7. In bivariate analysis of independent variables with hypertension; age, educational status, occupation, family history, physical activities, BMI & Waist to Hip ratio were significantly associated with occurrence of hypertension in this population. In multivariate analysis, age group 45-54 years (AOR = 3.999, 95% CI (1.5,10.5)), family history, AOR = 2.5, 95% CI (2.0,4.0), WHR of >95 (AOR=2.9) and BMI ≥ 25.00 (AOR=200) were independent predictors for the occurrence of hypertension in the study population. Conclusion & Recommendations: Advancing age, family history of hypertension, physically in active which may be related to change anthropometric measurements were observed as significant risk factors for the prevalence of hypertension in the studied population. Early detection, combined with early treatment and lifestyle modifications can reduce the risk of complications and the burden of hypertension diseases on the individual with advancing age and family history as well as high BMI.
Prevalence of Hypertension among adults aged 40 years and above in Ahiazu Mbaise, Imo State, Nigeria
Introduction: This study was aimed at determining the prevalence of hypertension among adults aged 40 years and above in a rural Nigerian Population. Materials and Methods: Semi-structured questionnaires were completed by random selected rural dwellers. Aneroid sphygmomanometer was used to measure their blood pressure measurement. The mean of two separate blood pressure measurements was taken in each individual in a sitting position after about 5 minutes of rest. Data were analyzed using Statistical Package for Social Sciences computer software version 21.0 for windows. Total sample of 320 rural dwellers were recruited for the study. Result: The result indicated that 116 were males while 204 were females. The mean Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) of participants were 138.5 ± 19.9mmHg and 80.6 ± 13.9mmHg respectively. The overall prevalence of hypertension in the population was found to be 51.3%. The prevalence of hypertension in this study is 56.9% in males and 48.0% in females. Conclusion: The fi nding of this study indicated need for specifi c interventions, focusing upon providing large scale population screening for hypertension and adequate blood pressure control to mitigate the mortality and morbidity associated with hypertension especially in the rural areas.
Risk Factors Associated with Hypertension among Adults in the Hohoe Municipality, Ghana
British Journal of Medicine and Medical Research, 2016
Hypertension plays a persistent role in the causation of coronary heart disease, stroke, and vascular problems. Many factors like dietary, behavioral, psychological, environmental, genetic, etc have a direct or indirect influence on hypertension. The available evidences shows a higher prevalence of hypertension in Nepal. The objective of this study was to assess the prevalence and risk factors associated with hypertension among adults of Nagarjun Municipality. A descriptive cross-sectional study was conducted among adults of age 18 and above in Nagarjun municipality. A structured questionnaire was used to assess the risk factors and observation was done to determine blood pressure and anthropometric measurement. The data were entered and analyzed by (SPSS) software version 20. Chi-square test was used to identify the association. The overall prevalence of hypertension was 22.8% and prehypertension was 14.5%. More males were found to have hypertension (28.09%) compared to females (16.67%). Age, sex, religion, socioeconomic status, ciggrate smoking, alcohol consumption, BMI, diabetes, family history of hypertension and cardio vascular disease was found to be significantly associated with hypertension. The preventive and intervention measures should be adopted to reduce the behavioral and biological risk factors which are directly related with the causation of hypertension.
Prevalence and pattern of hypertension among elderly in Osun state, Nigeria
International Journal Of Community Medicine And Public Health, 2019
adherence to prescribed medication to reduce the risks of cardiovascular, cerebrovascular and renal disease. 2 Globally, hypertension is a major public health problem and a leading cause of death and disability in developing countries. One-quarter of the world's adult population has hypertension, and this may increase to 29% by 2025. Unlike high-income countries, the prevalence of hypertension has rapidly and continuously risen in the ABSTRACT Background: Hypertension is a major public health challenge worldwide. It is acknowledged as an important risk factor for cardiovascular morbidity and mortality, particularly among the elderly. This study aimed to investigate the prevalence and pattern of hypertension among the elderly in Osun state, Nigeria. Methods: A descriptive cross-sectional design was used. The study involved 425 respondents aged 60 years and above selected randomly in five local government areas in Osun state. The blood pressure was measured (using a standardized Accoson® type pneumatic mercury sphygmomanometer); weight and height of the respondents were checked and recorded in mmHg, Kg and meters respectively. Data were presented using descriptive statistics, charts and frequency distribution table. Statistical association between categorical variables was assessed using Chi-square method at 5% level of significance. Results: Prevalence of hypertension among elderly was 44.7%. Among other factors, respondents' body mass index BMI was found significantly associated with hypertension, p=0.009. However, prevalence of hypertension was higher for respondents that were; rural dwellers, female, not living with spouse, without viable source of income and engaging in little or no physical activity compared to their counterparts. Respondent's BMI and sex were also found to be statistically significantly associated, p=0.011. Conclusions: Prevalence of hypertension was high among the elderly in this study. Health interventions aimed at reducing the diseases should encourage increased physical activities and incorporate financial empowerment schemes particularly for elderly women in rural settings.
The Pan African medical journal, 2017
Introduction: In the past, Hypertension in childhood was not considered a problem but in the last few decades, it has gradually become a source of concern especially as children are known to maintain their blood pressures into adulthood. Therefore, hypertensive children are at risk of developing cardiovascular complications earlier in adulthood. In our own environment, the prevalence of hypertension in children is undocumented, hence the purpose of this study. Methods: Two hundred children aged between 3-17 years were recruited into this study from two public schoolsone primary, one secondary in a semi urban community in Uyo metropolis. The blood pressure of respondents was measured in accordance with the technique described by the 4 th Task Force on Blood Pressure Control in Children. The height and weight of all eligible subjects was measured using a stadiometer and a calibrated scale respectively. Body Mass Index (BMI) was assessed for each subject and World Health Organization (WHO) charts of BMI for age and sex were used as reference standards. Waist circumference was measured according to the technique described in the National Health and Nutrition Examination Survey. Results: The prevalence of hypertension and prehypertension was found to be 3.5% and 2.5% respectively in this study. Only age (OR = 1.74, p = 0.005, 95%CI = 1.186-2.566), BMI (OR = 1.54, p = <0.001, 95% CI = 1.249-1.913) and waist circumference (OR = 1.16, p = 0.002, 95%CI = 1.056-1.271) were found to significantly predict the development of high blood pressure. Conclusion: The prevalence of hypertension and prehypertension in this study was found to be low. Hypertension/prehypertension was more likely to develop with increasing age, BMI and waist circumference.
European Journal of Clinical and Experimental Medicine
Introduction and aim. The prevalence of hypertension is increasing with accompanying poor control. The aim of this study was to assess the predictors of knowledge and practices of adult hypertensives. Material and method. The study was a prospective (before and after) study with health education as the intervention. A simple random sampling technique with computer-generated random numbers was used to recruit 386 patients. Data were analysed using SPSS version 23. Logistic regressions were used to determine the predictors of knowledge and practices. Results. Those who had tertiary education were about four times more likely to have good knowledge of hypertension than those who had secondary education (OR=0.256; 95% CI=0.106–0.617). The females were about 1.73 times more likely to have good practices of hypertension than males (OR=1.729; 95% CI=1.008–2.966). For every 1 unit increase in the body mass index, there was a statistically significant increase in diastolic blood pressure by ...
PREVALENCE OF HIGH BLOOD PRESSURE AMONG YOUNG ADULTS IN ILE-IFE, NIGERIA
High blood pressure is a major public health concerns globally. This study determined the mean blood pressure, prevalence of high blood pressure, gender difference in blood pressure and relationship between blood pressure and body mass index (BMI) among Nigerian young adults. A cross sectional study was conducted among the students of Obafemi Awolowo University, Ile-Ife, Nigeria. Seven hundred and two (702) students (412males and 290females) with age range between 18-40years participated in the study. Weight, height and blood pressure (BP) were measured using standard methods. BMI and blood pressure were classified using WHO and JNC VII classifications respectively. Data was analysed using SPSS version 17.0 software. The student t-test was used to determine the significant difference. A p value < 0.05 was taken as statistically significant. The mean systolic blood pressure, diastolic blood pressure and BMI were 119.24±11.89mmHg, 71.79±9.15mmHg and 21.89kg/m2 respectively. The prevalence of high blood pressure, overweight and obesity were 8.4%, 14.8% and 1.3% respectively. The prevalence of high blood pressure among males and females were 5.3% and 3.1% respectively with significant sex difference (χ2 = 43.56, p value < 0.001). In conclusion, the prevalence of high blood pressure was higher in male than female young adult. Periodic blood pressure screening for young adult population in our environment will play a significant role in early detection and management of hypertensive heart diseases.