Prevalence of Hypertension and Associated Factors in Lubumbashi City, Democratic Republic of Congo: A Community-Based Cross-Sectional Study

Musung, Jacques Mbaz; Kakoma, Placide Kambola; Mukeng, Clarence Kaut; Tshimanga, Stéphane Lubamba; Banze, Jeef Paul Munkemena; Kaj, Nathalie Kayomb; Kamuna, Martin Kazadi; Mwamba, Jimmy Kasali; Nkulu, Dophra Ngoy; Katchunga, Philippe Bianga; Mukuku, Olivier; Muyumba, Emmanuel Kiyana

doi:10.1155/2021/6674336

Cited by 8 publications

(5 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the Congolese study conducted in Kinshasa by Connor et al [ 4 ], hypertension was reported as the commonest identifiable risk factor of stroke in 81%. In Lubumbashi (DRC), a community study reported a high prevalence of hypertension (33.6%) [ 12 ], suggesting a high risk of stroke in this population.…”

Section: Introductionmentioning

confidence: 99%

Risk Factors for Hemorrhagic Stroke among Adults in the Democratic Republic of the Congo: A Hospital-Based Study in a Limited Resource Setting

Musung

Kakoma

Bugeme

et al. 2022

Stroke Research and Treatment

Self Cite

View full text Add to dashboard Cite

Background. The prevalence of stroke is increasing in sub-Saharan Africa. The scarcity of hospital-based stroke data in Lubumbashi (in the Democratic Republic of the Congo) led to the study, which was designed to describe the epidemiology of stroke and identify risk factors associated with hemorrhagic stroke among adult patients in Lubumbashi. Methods. This was a cross-sectional study of 158 adult patients admitted for stroke in the internal medicine department of Lubumbashi University Clinics from January 2018 to December 2020. Sociodemographic and clinical features, cardiovascular risk factors, and hospital mortality were collected. A logistic regression has determined the risk of developing a hemorrhagic stroke. Results. Of 9,919 hospitalized patients, 158 had a stroke with a hospital prevalence of 1.6%; 86 (54.4%) patients had a hemorrhagic stroke while 72 (45.6%) had an ischemic stroke. Of which 41.1% (65/158) were women. The mean age was 60.8 ± 13.3 years. Main clinical signs were hemiplegia (63.3%), headache (48.7%), speech disorders (38.6%), and dizziness (38.6%). Hypertension (82.9%) and hyperglycemia (53.2%) were the most common risk factors. Inhospital mortality was 22.8%. After logistic regression, independent predictors for developing hemorrhagic stroke were hypertension ( aOR = 8.19 ; 95% CI: 2.72–24.66; p < 0.0001 ) and atrial fibrillation ( aOR = 4.89 ; 95% CI: 1.41–16.89; p = 0.012 ). Conclusion. This study highlights the high stroke mortality in a resource-limited hospital and the burden of hypertension in the development of hemorrhagic stroke. It illustrates the need to establish stroke care setting to improve the quality of stroke care.

show abstract

Section: Introductionmentioning

confidence: 99%

Risk Factors for Hemorrhagic Stroke among Adults in the Democratic Republic of the Congo: A Hospital-Based Study in a Limited Resource Setting

Musung

Kakoma

Bugeme

et al. 2022

Stroke Research and Treatment

Self Cite

View full text Add to dashboard Cite

show abstract

“…In the present study, less frequent intake of vegetables and/or fruits (≤ 5 days a week) was observed in most of the participants (81.4%), and this was significantly associated with the development of HTN; likewise, a community-based study in Addis Ababa revealed that 96.2% of participants consumed vegetables and/or fruits < 5 times per day, and consuming vegetables for ≤ 3 days per week had an increased risk of hypertension (30). Besides, a community-based study done in Lubumbashi City, Democratic Republic of the Congo, showed that nonconsumption of vegetables was significantly associated with HTN (31).…”

Section: Discussionmentioning

confidence: 95%

Prevalence and Predictors of Newly Diagnosed Hypertension in an Opportunistic Screening Program in Addis Ababa, Ethiopia: An Institution-Based Cross-Sectional Study

Solela,

Tewabe,

Ambachew

et al. 2024

Preprint

View full text Add to dashboard Cite

Background: Hypertension is highly prevalent in the general population, and it is a recognized risk factor that underlies the epidemic of cardiovascular diseases. Because of its major role as a cause of death and morbidity, its detection is crucially important for public health, and in line with this, guidelines like the European Society of Hypertension recommend opportunistic screening for hypertension in all adults. However, there are no studies on the prevalence and predictors of hypertension using opportunistic screening strategies in many African countries, including Ethiopia. Hence, this study aimed to assess the prevalence and predictors of newly diagnosed hypertension in an opportunistic screening program in Ethiopia. Methods: This was an institution-based cross-sectional study conducted on adult participants (≥ 18 years old) in an opportunistic hypertension screening program at Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia. Data were collected using a pretested and structured questionnaire, which was prepared using the WHO STEPwise approach to non-communicable disease risk factor surveillance (STEPS). The data was analyzed using SPSS version 26. The descriptive analysis was used to compile the sociodemographic data, lifestyle factors, and clinical profiles of the participants. Bivariate and multivariable logistic regression analyses were performed to determine the predictors of hypertension by using the crude odds ratio (COR) and adjusted odds ratio (AOR) with the accompanying 95% confidence interval (CI). Results: A total of 301 adult participants were included in this study. The mean age of the participants was 47.6 years (standard deviation: 13.5), and 62% were males. Only 13% had obesity; 62.5% had physical inactivity; and 81.4% were consuming vegetables and/or fruits ≤ 5 days a week. The prevalence of newly diagnosed hypertension was 36.2%. Multivariable logistic analysis revealed that male sex (adjusted odds ratio (AOR) = 2.06, 95% confidence interval (CI): 1.05, 4.04), being married (AOR = 4.8, 95% CI: 1.84, 2.77) or widowed (AOR = 5.14, 95% CI: 1.23, 1.46), less frequent intake of vegetables and/or fruits (<5 days a week) [<3 days per week (AOR = 2.88, 95% CI: 1.12, 7.39, P value = 0.028), and 3 to 5 times per week (AOR = 2.22, 95% CI: 1.02, 4.86, P value = 0.046)], physical inactivity (AOR = 2.26, 95% CI: 1.21, 4.22), and body mass index (AOR = 1.17, 95% CI: 1.09, 1.26), had significant associations with hypertension. Conclusion: In this study, one out of three individuals had newly diagnosed hypertension in an opportunistic screening program in Addis Ababa, Ethiopia. It has also been shown that important predictors of hypertension were male sex, being married or widowed, less frequent intake of vegetables and/or fruits, physical inactivity, and body mass index. Therefore, targeted interventions are required to improve public awareness about hypertension, and expanding institution-based opportunistic screening programs is a cost-effective approach for early detection of hypertension and improving access to its treatment.

show abstract

“…The major difference regarding the DRC MMM21 hypertension prevalence (14.0%) and the rates reported in previous local campaigns such as the VITARAA Study (30.8%) and DRC-MMM-18 (33.5%) in Kinshasa, 3 , 6 the DRC-MMM-19 (25.5%) in Kinshasa and Mbuji-Mayi 7 and the study by Musung et al . 4 (33.6%) in Lubumbashi largely lies on the fact that the present campaign was carried out totally in a semi-rural setting. Indeed, most studies carried out in DRC and elsewhere showed lower BP levels among rural inhabitants than city dwellers who are exposed to different diets and various stressors.…”

Section: Discussionmentioning

confidence: 99%

May Measurement Month 2021: an analysis of blood pressure screening results from a suburban community in the Democratic Republic of the Congo

Buila,

Tshiswaka,

Lubenga

et al. 2024

European Heart Journal Supplements

View full text Add to dashboard Cite

Hypertension remains the most powerful contributor to the global morbidity and mortality. May Measurement Month (MMM), a worldwide screening campaign initiated by the International Society of Hypertension (ISH), is organized annually to increase awareness of high blood pressure (BP). We screened 20 913 adult (≥18 years) residents of suburb hamlets of Mbujimayi (mean age 35.1 ± 15.1 years; Black ethnicity: 98.8%; women: 29.6%; diabetes: 1.6%; alcohol drinkers: 16.8% and smokers: 6.7%, previous myocardial infarction: 1.4%; stroke: 0.8%; taking aspirin: 3.2%; taking statins: 1.9%). Three sitting BP readings were taken, and hypertension was defined as a systolic BP ≥ 140 mmHg or diastolic BP ≥ 90 mmHg or being on antihypertensive medication. Half of the participants had never had their BP checked, whilst 4.2% of respondents had participated in the MMM19 campaign. 0.9% and 1.7% reported COVID-19 vaccination and positive test, respectively. After multiple imputation of missing BP readings, 14.0% of respondents had hypertension of which 35.8% were aware, 28.0% were on antihypertensive medication and 14.1% had controlled BP. Of those on antihypertensive medication, 40.4% were on monotherapy, 37.2% adhered to taking their medication regularly, and 50.4% had controlled BP (<140/90 mmHg). In regression analyses adjusted for age, sex, and antihypertensive treatment, smoking was associated with lower systolic BP, having more years of education was associated with higher systolic and diastolic BP, and physical activity was associated with lower systolic and diastolic BP. This campaign contributes somewhat to reducing the ‘black hole’ on the prevalence of hypertension in DRC pending systematic countrywide BP screening.

show abstract

Prevalence of Hypertension and Associated Factors in Lubumbashi City, Democratic Republic of Congo: A Community-Based Cross-Sectional Study

Cited by 8 publications

References 39 publications

Risk Factors for Hemorrhagic Stroke among Adults in the Democratic Republic of the Congo: A Hospital-Based Study in a Limited Resource Setting

Risk Factors for Hemorrhagic Stroke among Adults in the Democratic Republic of the Congo: A Hospital-Based Study in a Limited Resource Setting

Prevalence and Predictors of Newly Diagnosed Hypertension in an Opportunistic Screening Program in Addis Ababa, Ethiopia: An Institution-Based Cross-Sectional Study

May Measurement Month 2021: an analysis of blood pressure screening results from a suburban community in the Democratic Republic of the Congo

Contact Info

Product

Resources

About