Epidemiology of hypertension among a population of school children in Sousse, Tunisia

Harrabi, Imed; Belarbia, A.; Gaha, Rafika; Essoussi, A. S.; Ghannem, H.

doi:10.1016/s0828-282x(06)70898-4

Cited by 20 publications

(17 citation statements)

References 32 publications

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“…In general the study showed that the rate of abnormal blood pressure was higher, although not significant, in girls than in boys; this could be explained by the hormonal modifications related to puberty, which starts earlier among girls than among boys [15]. This agrees with some researches in Kuwait, India [16,17].…”

Section: Discussionsupporting

confidence: 87%

Overweight/obesity and hypertension in schoolchildren aged 6–16 years, Aden governorate, Yemen, 2009

Badi

Garcia-Triana²,

Suarez-Martinez³

2012

East Mediterr Health J

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Section: Discussionsupporting

confidence: 87%

Overweight/obesity and hypertension in schoolchildren aged 6–16 years, Aden governorate, Yemen, 2009

Badi

Garcia-Triana²,

Suarez-Martinez³

2012

East Mediterr Health J

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“…However, many studies have shown that height is independently related to blood pressure in different ethnic groups. [16][17][18][19][20] The effect of height on blood pressures did not differ among different ethnic groups. 19 Height was independently related to blood pressure for all ages.…”

Section: Discussionmentioning

confidence: 86%

How to simplify the diagnostic criteria of hypertension in adolescents

Yin

et al. 2010

J Hum Hypertens

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Diagnosis of hypertension in adolescents is complicated because blood pressure values vary with age, gender and height. How can we simplify the diagnostic criteria for hypertension in adolescents? In 2006, anthropometric measurements were assessed in a cross-sectional population-based study of 3136 Han adolescents aged 13-17 years. Hypertension was defined according to the 2004 National High Blood Pressure Education Program Working Group definition. The following equations for blood pressure-to-height ratio (BPHR) were used: systolic BPHR (SBPHR) ¼ SBP (mm Hg)/height (cm) and diastolic BPHR (DBPHR) ¼ DBP (mm Hg)/height (cm). Receiver-operating characteristic curve analyses were performed to assess the accuracy of SBPHR and DBPHR as diagnostic tests for elevated systolic blood pressure (SBP) and diastolic blood pressure (DBP), respectively. After the cutoff points were determined, hypertension was defined by SBPHR/ DBPHR, and the sensitivity and specificity were calculated. The accuracy of SBPHR and DBPHR (assessed by area under the curve) for identifying elevated SBP and DBP was 40.85 (0.989-1.000). The optimal thresholds of SBPHR/DBPHR for defining hypertension (stages 1 and 2) were 0.75/0.48 for boys and 0.78/0.51 for girls, and for defining hypertension (stage 2) were 0.81/0.57 for boys and 0.84/0.63 for girls. In identifying hypertension, the sensitivity and specificity were both 490% (91.0-99.1%). In identifying stage 2 hypertension, when the sensitivity was 100%, the specificity was 98.6% for boys and 99.1% for girls. BPHR is a simple, accurate and nonage-dependent index for screening hypertension in Han adolescents, especially for stage 2 hypertension.

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“…[10] There is scarce data on prevalence of NCDs among children in Ghana. However, a study conducted by Agyemang et al (2005) among children aged [8][9][10][11][12][13][14][15][16] in the Ashanti Region showed that blood pressure increased with increasing age. Results from the study further showed that rural boys had a lower systolic and diastolic blood pressure than semi-urban boys and lower systolic blood pressure than urban boys.…”

Section: Introductionmentioning

confidence: 99%

“…[12] In another study conducted in Sousse, Tunisia, the prevalence of arterial hypertension was 9.6%, with no significant difference between boys (9.2%) and girls (9.9%). [13] A study by Ohene et al (2009), examining autopsy cases at the Korle Bu Teaching Hospital in Ghana revealed that 41% of adolescents aged 10-19 years died of NCDs. [14] These initial facts underscore the urgent need for public health measures to prevent increasing prevalence of NCDs from becoming a public health burden in Ghana among children or adolescents.…”

Section: Introductionmentioning

confidence: 99%

Religious affiliation and health-seeking behavior related to non-communicable diseases among children in Ghana

Anarfi

Badasu

Yawson

et al. 2016

IJH

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Objective: This study examined the relationship between adults' religious affiliation and their attitudes as they relate to noncommunicable diseases (NCDs) among children. It also looked at how attitudes in turn influence how adults perceive NCDs among children and how those affected by the disease seek care for diseased children. Design: The study was conducted in three regions purposively selected to include all the major ethnic groups in the country and the religions they are affiliated to. The regions are Greater Accra, Ashanti and Volta. Data from 119 respondents were analysed for this study. Descriptive statistics were used to show the characteristics of the respondents. Chi-Square tests were used to show the association between background characteristics of the respondents and their health seeking behaviour. The significant level was set at 0.05. Results: Christians constituted the largest proportion of respondents and the highest proportion of them (41.2%) were Charismatic/Pentecostals. The majority (99.2%) used biomedical treatments for their children's condition, followed by herbal medication (50.5%), prayer camps (47.1%), herbal treatment (43.0%) and spiritual intervention (22.9%). The findings showed that seeking treatment from prayer camps, seeking herbal treatment and spiritual interventions did not vary by religious affiliations of the respondents. Conclusions: This study showed that majority of the respondents sought biomedical treatment for their children with NCDs and more than half use herbal preparations. The findings from this study confirmed other studies that in emergency situations, many Ghanaians seek help from any source including those outside their normal range of religious activities. This probably explains why health seeking behaviour did not vary by religious affiliations. There is need for extended studies to explore this further.

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Epidemiology of hypertension among a population of school children in Sousse, Tunisia

Cited by 20 publications

References 32 publications

Overweight/obesity and hypertension in schoolchildren aged 6–16 years, Aden governorate, Yemen, 2009

Overweight/obesity and hypertension in schoolchildren aged 6–16 years, Aden governorate, Yemen, 2009

How to simplify the diagnostic criteria of hypertension in adolescents

Religious affiliation and health-seeking behavior related to non-communicable diseases among children in Ghana

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