A population-based national estimate of the prevalence and risk factors associated with hypertension in Rwanda: implications for prevention and control

Nahimana, Marie-Rosette; Nyandwi, Alypio; Muhimpundu, Marie Aimée; Olu, Olushayo Oluseun; Condo, Jeanine; Rusanganwa, André; Koama, Jean Baptiste; Ngoc, Candide Tran; Gasherebuka, Jean Bosco; Ota, Martin O. C.; Okeibunor, Joseph

doi:10.1186/s12889-017-4536-9

Cited by 54 publications

(62 citation statements)

References 53 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Hasil ini berbeda dengan hasil beberapa penelitian sebelumnya yang menyatakan bahwa persentase tertinggi penderita hipertensi umumnya terjadi pada kelompok pasien dengan pendidikan rendah dan pasien usia nonproduktif. 11 Namun hal tersebut tidak signifikan, sebab berdasarkan kajian H.L. Blum, derajat kesehatan seseorang dipengaruhi oleh empat faktor, yaitu pola hidup, lingkungan, akses ke sarana kesehatan, dan faktor genetik.…”

Section: Pembahasanunclassified

Medication Adherence among Hypertensive Patients in Primary Healthcare in Bandung City

Sinuraya¹,

Destiani

Puspitasari

et al. 2018

Indones J Clin Pharm

View full text Add to dashboard Cite

Section: Pembahasanunclassified

Medication Adherence among Hypertensive Patients in Primary Healthcare in Bandung City

Sinuraya¹,

Destiani

Puspitasari

et al. 2018

Indones J Clin Pharm

View full text Add to dashboard Cite

“…The high proportions above the overall prevalence are observed in people with cardiovascular comorbidity, married, people aged between 40-60 years or 60 and above and over, chronic kidney failure, men, smokers, obese people, with secondary and university level. These prevalence are 16 (Figure 1) shows that 97% (343/353) are between -2 and 2. Observations with residues ( Figure 2) greater than 2 are ten (9,34,105,108,114,199,212,232,265,273).…”

Section: Resultsmentioning

confidence: 99%

“…Data from the World Health Organisation Global Health Observatory Repository [12] found the highest prevalence of hypertension in the Africa region (46%) followed by the Americas (35%) and other regions, majority of whom, were undiagnosed and untreated [13]. In sub-Saharan Africa (SSA), just like other settings, hypertension has been associated with lifestyles, diets, physical inactivity urbanization and socio economic status [14,15,16]. More than 125 million people with hypertension are expected by the year 2025 in SSA alone [17,18].…”

Section: Introductionmentioning

confidence: 99%

Predictive Risk Factors of Hypertension in Sub-Saharan Africa: A Fixed Effect Modelling Study in Burundi

Iradukunda¹,

Odjidja²,

Izere³

et al. 2020

Preprint

View full text Add to dashboard Cite

BackgroundHypertension, signalled by persistently high systolic and diastolic blood pressure is a major threat to public health globally. Especially in sub-Saharan African countries, this coexists with high burden of other infectious diseases, creating a complex public health situation which is difficult to address. Tackling this will require targeted public health intervention based on evidence that well defines the at risk population. In this study, using retrospective data from two referral hospitals in Burundi, we model the risk factors associated with hypertension in Burundi MethodsRetrospective data of a sample of 353 randomly selected from a population of 4,380 patients admitted in 2019 in two referral hospitals in Burundi: Military and University teaching hospital of Kamenge. The predictive risk factors were carried out by fixed effect logistic regression. Model performance was assessed by Area under Curve (AUC). Model was internally validated via bootstrapping with 2000 replications. All analysis were conducted in R.ResultsOverall, 16.7% of the patients were found to be hypertensive. After adjustment of the model for cofounding covariates, associated risk factors found were advanced age (40 years) AOR: 6.03, 95% CI: 1.86- 17.19) and above 60 years, (AOR: 12.76, 95% CI: 3.30 – 14.26). Patients comorbid with chronic kidney failure were 4.95 times more (95% CI: 1.83-15.82) to be hypertensive and among those with family history of hypertension, the adjusted risk were twice. Compared to non-smokers, smokers were 2.87 times more likely to develop hypertension (95% CI: 0.87 – 9.15).The highest probabilities are observed to patients who are at the same time smokers, overweight, with chronic kidney failure, family history with hypertension with secondary or university as highest educational level. The model had an excellent predictive performance (AUC), accurately predicting 88.71% (95% CI: 84.17%-92.5%) of all observations Conclusion The relatively high prevalence and associated risk factors of hypertension in Burundi raises a call for concern especially in this context where there exist an equally high burden of infectious diseases, other chronic diseases including chronic malnutrition. Targeting interventions based on these identified risk factors will allow judicious channel of resources and effective public health planning.

show abstract

“…Both HTN and T2DM have a characteristics of being asymptomatic which results in low awareness leading to many cases remaining undiagnosed and contributing to the high mortality in SSA (6)(7)(8). The prevalence of the 'toxic combination' of HTN and T2DM was reported to be equal to T2DM alone in Cameroon (9).HTN and T2DM are important risk factors for cardiovascular diseases which overlap and have a common pathophysiology (9)(10)(11) .…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore urbanization, sedentary lifestyle and nutritional transition contribute to the increase in the prevalence of HTN and T2DM (5,6,19).…”

Section: Introductionmentioning

confidence: 99%

A cross-sectional study to assess the magnitude of Hypertension and Type 2 Diabetes Mellitus in Hatcliffe, Harare

Chimbari

Manyangadze

2019

Preprint

View full text Add to dashboard Cite

BackgroundHypertension (HTN) and type 2 diabetes mellitus (T2DM) are reported to be on the increase in developing countries. In this study we investigated the epidemiology of the prevalence of HTN and T2DM and its correlates in a high density area. We carried out this study to assess the magnitude of the prevalence of HTN and T2DM so that we can query the drivers that are causing an increase conditions in these conditions. MethodsWe conducted a cross-sectional study in Hatcliffe, a high density area (HDA) in Harare. We interviewed, bled, took anthropometric and measured blood pressure of 381 participants. We investigated HbA1c, blood pressure, BMI and prevalence of prehypertension, prediabetes, co-existence of HTN and T2DM. A geospatial analysis was carried out to ascertain distribution patterns of HTN and T2DM in Hatcliffe. ResultsThe prevalence for prehypertension and prediabetes is higher than it is for full blown conditions of the HTN and T2DM. The prevalence of prehypertension was 35.4% and prediabetes was 29%.The prevalence of HTN in this study was 14.4% whilst that of T2DM was 3.93%. Out of the 55 participants that had developed HTN five had developed T2DM. There was no significant difference in the HTN and T2DM clusters. ConclusionsThe prevalence for prehypertension and prediabetes is higher than it is for full blown conditions of the HTN and T2DM. This indicates the importance of having a strategy for reducing the number of prediabetes and prehypertensive cases so that cases of full blown T2DM and HTN remain low.

show abstract

A population-based national estimate of the prevalence and risk factors associated with hypertension in Rwanda: implications for prevention and control

Cited by 54 publications

References 53 publications

Medication Adherence among Hypertensive Patients in Primary Healthcare in Bandung City

Medication Adherence among Hypertensive Patients in Primary Healthcare in Bandung City

Predictive Risk Factors of Hypertension in Sub-Saharan Africa: A Fixed Effect Modelling Study in Burundi

A cross-sectional study to assess the magnitude of Hypertension and Type 2 Diabetes Mellitus in Hatcliffe, Harare

Contact Info

Product

Resources

About