Scaling up the use of home blood pressure monitoring in the management of hypertension in low‐income countries: A step towards curbing the burden of hypertension

Agbor, Valirie Ndip; Temgoua, Mazou Ngou; Noubiap, Jean Jacques

doi:10.1111/jch.12999

Cited by 9 publications

(9 citation statements)

References 32 publications

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“…50 In addition, home BP monitoring has been suggested as a potential strategy to improve treatment compliance and, consequently, optimal BP control. 53 Hence, home BP monitoring could serve as a valuable tool in reducing the burden of HTN in LMICs. 53,54 In response to the rising burden of HTN in Cameroon, the Ministry of Public Health developed the "national strategy for hypertension and diabetes control" and the "development of training and task-shifting programmes to improve detection and management at the primary care level."…”

Section: Resultsmentioning

confidence: 99%

“…53 Hence, home BP monitoring could serve as a valuable tool in reducing the burden of HTN in LMICs. 53,54 In response to the rising burden of HTN in Cameroon, the Ministry of Public Health developed the "national strategy for hypertension and diabetes control" and the "development of training and task-shifting programmes to improve detection and management at the primary care level." 19,[55][56][57] The aim was to promote equitable access to quality health services in order to reduce the morbidity and mortality associated with this condition.…”

Section: Resultsmentioning

confidence: 99%

“…In addition, home BP monitoring has been suggested as a potential strategy to improve treatment compliance and, consequently, optimal BP control . Hence, home BP monitoring could serve as a valuable tool in reducing the burden of HTN in LMICs …”

Section: Discussionmentioning

confidence: 99%

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Prevalence, awareness, treatment, and control of hypertension in Cameroonians aged 50 years and older: A community‐based study

Tianyi

Agbor²,

Njamnshi

2018

Health Science Reports

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AimsTo assess the prevalence of hypertension (HTN) in a rural elderly population (50 y and older) in Cameroon; evaluate the rates of awareness, treatment, and control of HTN in this population; and describe factors associated with HTN in this population.Methods and ResultsA total of 501 participants aged 50 years and older were randomly recruited from May to July 2013 in a house‐to‐house survey of the Batibo Health District. Data were measured using standardized methods modelled after the World Health Organization STEPwise approach to Surveillance. The Statistical Package for the Social Sciences version 20.0 was used for statistical analysis. Chi‐square, Fisher's exact or Student T test were used to compare variables. A multivariable logistic regression analysis was used to identify factors associated with HTN in this population. In our study population, 31% of the participants were men, with a mean age of 65.4 ± 8 years; women had a mean age of 61.4 ± 9 years. The prevalence of HTN was 57.3% (95% CI, 52.9‐61.6). The awareness rate was 63.4%, treatment rate 96.7%, and control rate 32.4%. Being overweight/obese was independently associated with HTN in this group (odds ratio = 3.46; 95% CI, 2.38‐5.03; P < .001).ConclusionThe prevalence of HTN amongst the elderly in the Batibo Health District is high. Emphasis should be on patient education to improve the rates of blood pressure control amongst patients on treatment for HTN. Healthy lifestyle measures such as reduction in salt intake and increase in physical exercise should be encouraged amongst the elderly.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Prevalence, awareness, treatment, and control of hypertension in Cameroonians aged 50 years and older: A community‐based study

Tianyi

Agbor²,

Njamnshi

2018

Health Science Reports

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“…Similarly, owning a home BP monitor may play a role in improving BP control and could save HTrelated treatment expenses, including the cost of medication. In addition, HBPM is a good supplementary tool for the improvement of BP control in low-income countries [40].…”

Section: Discussionmentioning

confidence: 99%

Home sphygmomanometers can help in the control of blood pressure: a nationwide field survey

et al. 2018

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Home blood pressure monitoring (HBPM), which integrates patients into their treatment program, is a self-management tool. The prevalence of home sphygmomanometer ownership and patient compliance with HBPM guidelines are not well known, especially in developing and underdeveloped countries. The aims of this study were to measure the prevalence of home sphygmomanometer ownership among hypertensive subjects through a nationwide field survey (PatenT2), to investigate the validation of sphygmomanometers and consistency of the user arm circumference and cuff size of the upper-arm device owned, as well as to compare blood pressure (BP) readings between hypertensive subjects who have or do not have a sphygmomanometer. Sample selection was based on a multistratified proportional sampling procedure to select a nationally representative sample of the adult population (n = 5437). Of 1650 hypertensive subjects, 332 (20.1%) owned a device, but the percentage of patients who owned a sphygmomanometer was 28.8% among patients who were aware of their hypertension (260/902). The usage of wrist devices and nonvalidated devices is common, and selection of an appropriate cuff size is ignored. Linear-regression analysis showed that owning a BP monitor is associated with decreases of 3.7 mmHg and 2.8 mmHg for systolic and diastolic BPs, respectively. Many patients do not own a sphygmomanometer. The decrease of systolic and diastolic BPs among BP monitor owners is a striking finding. The implementation of a hypertension care program consisting of sphygmomanometer reimbursement and training of patients in its use for HBPM might be cost-effective.

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“…Implementing policies to improve population education on hypertension, and the importance of regular follow up by a trained nurse or physician to prevent long-term complications would go a long way to improve awareness, treatment and control of hypertension in our setting [29]. Other cost-effectiveness measurements like the use home BP monitoring could go a long way to improve adherence and control of hypertension in Cameroon [30].…”

Section: Awareness Treatment and Control Of Hypertensionmentioning

confidence: 99%

Hypertension prevalence, associated factors, treatment, and control in rural Cameroon: a cross-sectional study

Simo

Agbor

Noubiap

et al. 2020

Preprint

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Introduction: Sub-Saharan Africa is experiencing a surge in the burden of hypertension, and rural communities seem to be increasingly affected by the epidemic. Objectives: We aimed to determine the prevalence of hypertension, its associated factors, as well as its awareness, treatment, and control rates in rural communities of the Baham Health District (BHD), Cameroon.Design: A community-based cross-sectional study.Setting: Participants from five health areas in the BHD were recruited from August to October 2018.Participants: Consenting participants aged 18 years or older were included. Results: We included 526 participants in this study. The median age of the participants was 53.0 (IQR = 35 – 65) years and 67.1% were female. The prevalence of hypertension was 40.9% (95% confidence interval [CI] = 36.7 – 45.1) were hypertensive with no gender disparity. The overall age-standardised prevalence of hypertension was 23.9% (95% CI = 20.3 – 27.5). Five-year increase in age (adjusted odd’s ratio [AOR] = 1.34; 95% CI = 1.23 – 1.44), family history of hypertension (AOR = 2.22; 95% CI = 1.37 – 3.60), and obesity were associated with higher odds of hypertension (AOR = 2.57; 95% CI = 1.40 – 4.69).The rates of awareness, treatment, and control of hypertension were 37.2% (95% CI = 31.0 – 43.9), 20.9% (95% CI = 16.0 – 26.9), and 22.2% (95% CI = 15.2 – 46.5), respectively.Conclusion: The high hypertension prevalence in this rural community is associated with contrastingly low awareness, treatment, and control rates. Age, family history of hypertension, and obesity are the major drivers of hypertension in this community. Veracious policies are needed to improve awareness, prevention, diagnosis, treatment, and control of hypertension in this rural community.

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Scaling up the use of home blood pressure monitoring in the management of hypertension in low‐income countries: A step towards curbing the burden of hypertension

Cited by 9 publications

References 32 publications

Prevalence, awareness, treatment, and control of hypertension in Cameroonians aged 50 years and older: A community‐based study

Prevalence, awareness, treatment, and control of hypertension in Cameroonians aged 50 years and older: A community‐based study

Home sphygmomanometers can help in the control of blood pressure: a nationwide field survey

Hypertension prevalence, associated factors, treatment, and control in rural Cameroon: a cross-sectional study

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