Prevalence and associated factors of hypertension in Amhara regional state city and its’ surrounding rural districts: a community-based cross-sectional study

Abstract

Background: Nowadays, among non-communicable diseases hypertension is a growing public health important disease both in developed and developing nations. Objective: The aim of this study was to determine the prevalence and associated factors of hypertension in Amhara Regional State city and its’ surrounding rural districts, Ethiopia. Method: Community-based cross-sectional study was conducted in the urban and rural communities living in Amhara Regional State city and its’ surrounding rural districts administrations in 2015. The WHO Stepwise approach was used for data collection.Result: A total of 1405 subjects participated and the response rate was 95.5%. The overall prevalence of hypertension was 11.4% either previously diagnosed or undiagnosed and was higher in older ages. Whereas the prevalence of hypertension was 13% for urban and 10% for rural residents. Nearly half of them (46.3%) were newly diagnosed. A family history of hypertension, being underweight, overweight, obese, and raised fasting blood sugar were found to be significantly associated with raised blood pressure.Conclusion: One among every three (37.4 %) and one among every nine study participants were found to have pre-hypertension and hypertension respectively.Keywords: Prevalence of hypertension, blood pressure, Bahir Dar.

Prevalence of and risk factors for hypertension in Ethiopia: A systematic review and meta‐analysis

“…In this subcategorical analysis, 15 studies were included for the assessment of residence, educational status and salt intake as risk factors for hypertension. 21,22,[26][27][28]30,32,33,[42][43][44][45]50,52 The pooled metaregression analysis showed that there is a statistically significant association between urban residence and low education status (<Grade 12) with hypertension, with the odds of 1.47 and 1.67 (95% CI: 1.28, 1.70 vs 1.38, 2.01), respectively (Figure 5). However, the pooled meta-regression analysis of salt intake showed nonsignificant association between salt intake and hypertension, with the odds of 2.70 (95% CI: 0.68, 10.73).…”

“…In this subcategorical analysis, 20 studies were included for the assessment of age as a risk factor for hypertension. 20,22,[24][25][26][27][28][30][31][32][33]37,38,[42][43][44][49][50][51][52] P Association of sex with hypertension F I G U R E Forest plot of odds ratio for the association of male sex with hypertension.…”

“…Note: Weights are from random effects analysis Nineteen of the included studies showed a statistically significant association between older age (≥40 years) and hypertension. 20,[24][25][26][27][28][30][31][32][33]37,38,[42][43][44][49][50][51][52] However, one study showed nonsignificant association between older age (≥40 years) and hypertension. 22 The pooled meta-regression analysis showed that there is a statistically significant association between older age (≥40 years) and hypertension, with the odds of 3.46 (95% CI: 2.67, 4.49) (Figure 3).…”

“…In this subcategorical analysis, 19 studies were included for the assessment of BMI as a risk factor for hypertension. 12,13,20,24,[26][27][28][29][30]33,35,37,40,[42][43][44]49,50,52 Seventeen of the included studies showed a statistically significant association of BMI ≥25 with hypertension. 12,13,20,24,[26][27][28]30,33,35,37,40,[42][43][44]49,50 However, one study 29 showed lower risk and another study 52 showed nonsignificant association between BMI ≥25 and P Associations of residence, educational satus and salt intake with hypertension…”

“…Note: Weights are from random effects analysis hypertension. 13,20,24,26,27,37,40,42,44,50,52 Ten of the included studies showed a statistically significant association between family history and hypertension. 13,20,24,26,27,37,40,42,44,50 However, one study 52 showed non-significant association with hypertension.…”