Prevalence and Risk Factors of Hypertension in Urban Areas of Cameroon: A Nationwide Population‐Based Cross‐Sectional Study

Kingué, Samuel; Ngoe, Constant Ndong; Menanga, Alain; Jingi, Ahmadou Musa; Noubiap, Jean Jacques; Fesuh, Betrand Nono; Nouedoui, C.; Andze, G; Muna, W. F. T.

doi:10.1111/jch.12604

Cited by 94 publications

(117 citation statements)

References 24 publications

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“…Hypertension has been documented to be higher in urban population than in rural dwellers. [7,8,9] High unawareness of hypertension in this study (54.1%) was nonetheless, lower than that observed in the Ulasi et al study previously mentioned. [10] The time lapse between their study (2011) and ours 2016) might account for this difference.…”

Section: Discussioncontrasting

confidence: 56%

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Hypertension and Its Socioeconomic Factors in a Market Population in Awka, Nigeria

Anyabolu¹,

Okoye²,

Chukwumobi³

et al. 2017

AJMSM

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Background and Objectives:Hypertension is a major healthcare problem in Nigeria with a probable prevalence of 36.6%. A large population of Nigerians are engaged in market activities. This study was set out to determine the prevalence of hypertension and the factors which may influence it in a population of market workers in Awka, Southeast Nigeria. Methodology: This was a cross-sectional study conducted in an unstructured market workers' population. The subjects were screened for hypertension and its potential associated factors. The results were compared between the hypertensive and the non-hypertensive groups. Results: The prevalence of hypertension was 41.5%. The prevalence of unawareness of hypertension was 54.1% among those who were hypertensive. Increasing age, non-smoking, poor educational status, thickened arterial wall, marriage, diabetes mellitus, low economic status, small number of persons living in an apartment, fair complexion as well as positive family history of hypertension were significantly associated with hypertension. Thickened arterial wall and tobacco snuff use predicted hypertension. Conclusion: The prevalence of hypertension and unawareness of hypertension were high in this study. Obesity, cardiovascular risks, small family size, low income and low educational status were common among hypertensive subjects in the market population.

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Section: Discussioncontrasting

confidence: 56%

“…In Sub-Saharan African countries, the prevalence is not completely known. Kenya reported 22.8% [6], Cameroon 16.4 -29.4% [7] and Ghana 19.3 -54.6%. [8] However, a recent study reported a prevalence of 36.6% in urban areas and 26.4% in rural areas in Nigeria.…”

Section: Introductionmentioning

confidence: 99%

Hypertension and Its Socioeconomic Factors in a Market Population in Awka, Nigeria

Anyabolu¹,

Okoye²,

Chukwumobi³

et al. 2017

AJMSM

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“…The estimated prevalence of hypertension among adults in SSA increased 4 folds from 2005 to 2008 and is projected to affect 125.5 million adults by 2025 (3). In Cameroon; two recent population based studies estimated the prevalence rate of hypertension between 30% and 47.5% (4,5).…”

Section: Original Articlementioning

confidence: 99%

Factors associated with blood pressure control amongst adults with hypertension in Yaounde, Cameroon: a cross-sectional study

Menanga

Edie

Nkoké

et al. 2016

Cardiovasc. Diagn. Ther.

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Background: Hypertension is associated with considerable morbidity and mortality. Improvement of its management to reduce adverse cardiovascular outcomes will require an understanding of the patient characteristics and treatment factors associated with uncontrolled blood pressure. Factors that affect blood pressure control have not been sufficiently described in Cameroon. The main goal of our study was to determine the predictors of blood pressure control in patients with hypertension in an urban city in Cameroon.Methods: This was descriptive cross-sectional study from five outpatient hypertension consultation units in Hospitals in Yaoundé. Controlled hypertension was defined as blood pressure ≤140/90 mmHg. Logistic regression was used to determine factors associated with blood pressure control.Results: Among the 440 patients enrolled in the survey, 280 (63.6%) were females. The mean age was 61 (SD ±11) years. Mean systolic blood pressure (SBP) was 147 mmHg and mean diastolic blood pressure (DBP) was 88 mmHg. Only 36.8% of patients had their mean blood pressure controlled (BP ≤140/90 mmHg).Multivariable logistic regression analysis revealed good adherence to anti-hypertensive medications (OR= 3.99; 95% CI: 2.20-7.23; P<0.000) and dietary lifestyle changes (OR =1.5; 95% CI: 0.53-2.49; P=0.031) to be factors independently associated with controlled hypertension.Conclusions: Only one out of three patients has their blood pressure controlled. The results of our study suggest that good adherence to treatment are important factors for tight blood pressure control in primary care. Further identification of patients at risk of non-adherence to treatment and poor blood pressure control can lead to targeted interventions to reduce hypertension related morbidity and mortality in this setting.

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“…Likewise, adequate blood pressure (BP) control has been on the decline, ranging between 1.7% in rural Ghana [3], 4% in urban slum dwellers in Nigeria [5], and 21.5% in urban Kenya [6]. In Cameroon, the prevalence of HTN spans from 5.7% in rural settings [7] through 21.9% in semiurban [8] to 47.5% in urban milieu [9], with a national average survey of 31.0% [10]. Despite the relatively better BP control in urban over rural settings, levels of adequate BP control as low as 2% [11] to 27.5% (in men) and 38.7% (in women) [9] have been reported in urban settings.…”

Section: Introductionmentioning

confidence: 99%

Hypertension, an Emerging Problem in Rural Cameroon: Prevalence, Risk Factors, and Control

Arrey¹,

Dimala

Atashili

et al. 2016

International Journal of Hypertension

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Background. Despite the increasing trends suggesting that hypertension is a growing public health problem in developing countries, studies on its prevalence, associated risk factors, and extent of blood pressure control have been inequitably done in urban and rural communities in these countries. We therefore aimed to determine the prevalence of hypertension and extent of blood pressure control in rural Cameroon. Methods. This was a community-based cross-sectional study conducted in rural Cameroon (the Moliwe Health Area). Participants aged 21 years and above were recruited by a probability proportional to size multistage sampling method, using systematic sampling for household selection and random sampling for participant selection. Blood pressure, weight, and height were measured by standard methods. Hypertension was defined as BP ≥ 140/90 mmHg. Results. The prevalence of hypertension among the 733 participants recruited was 31.1% (95% CI: 27.8–34.6) and 71% (95% CI: 58.7–81.7) of these hypertensive patients were newly diagnosed. Only 21.2% (95% CI: 12.1–33.3) of known hypertensives had a well controlled BP. Age, obesity, low educational status, and being married were associated with HTN after adjusting for confounders. Conclusions. The high prevalence of hypertension and inadequate BP control among known hypertensives in rural Cameroon warrants greater sensitization and regular screening to reduce hypertension-related morbidity and mortality.

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Prevalence and Risk Factors of Hypertension in Urban Areas of Cameroon: A Nationwide Population‐Based Cross‐Sectional Study

Cited by 94 publications

References 24 publications

Hypertension and Its Socioeconomic Factors in a Market Population in Awka, Nigeria

Hypertension and Its Socioeconomic Factors in a Market Population in Awka, Nigeria

Factors associated with blood pressure control amongst adults with hypertension in Yaounde, Cameroon: a cross-sectional study

Hypertension, an Emerging Problem in Rural Cameroon: Prevalence, Risk Factors, and Control

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