Socioeconomic Macro-Level Determinants of Hypertension: Ecological Analysis of 138 Low- and Middle-Income Countries

Abba, Mustapha S; Nduka, Chidozie U.; Anjorin, Seun; Zanna, Fatima H.; Uthman, Olalekan A.

doi:10.3390/jcdd10020057

Cited by 3 publications

(4 citation statements)

References 32 publications

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“…28 An analysis of 138 LMICs showed that countries with higher gross domestic product, more health investment, and improved multidimensional poverty index have lower hypertension prevalence, highlighting the importance of favorable policies and equitable health care spending for better BP control. 29 In HICs, residing in underprivileged neighborhoods was associated with an elevated risk of developing coronary heart disease, even after adjusting for individuals' income, educational attainment, and occupation. 30 In the United States, individuals living in rural areas exhibit a higher incidence of hypertension (40%) compared with their urban counterparts (29%).…”

Section: Neighborhood Poverty Poor Housing Environment and Living Con...mentioning

confidence: 94%

Section: Socioecological and Life Course Perspectives Of Sdoh Related...mentioning

confidence: 99%

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Social Determinants of Health and Disparities in Hypertension and Cardiovascular Diseases

Chaturvedi,

Zhu,

Gadela

et al. 2024

Hypertension

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High blood pressure causes over 10 million preventable deaths annually globally. Populations in low- and middle-income countries suffer the most, experiencing increased uncontrolled blood pressure and cardiovascular disease (CVD) deaths. Despite improvements in high-income countries, disparities persist, notably in the United States, where Black individuals face up to 4× higher CVD mortality than White individuals. Social determinants of health encompass complex, multidimensional factors linked to an individual’s birthplace, upbringing, activities, residence, workplaces, socioeconomic and environmental structures, and significantly affect health outcomes, including hypertension and CVD. This review explored how social determinants of health drive disparities in hypertension and related CVD morbidity from a socioecological and life course perspective. We present evidence-based strategies, emphasizing interventions tailored to specific community needs and cross-sector collaboration to address health inequalities rooted in social factors, which are key elements toward achieving the United Nations’ Sustainable Development Goal 3.4 for reducing premature CVD mortality by 30% by 2030.

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Section: Neighborhood Poverty Poor Housing Environment and Living Con...mentioning

confidence: 94%

Section: Socioecological and Life Course Perspectives Of Sdoh Related...mentioning

confidence: 99%

Social Determinants of Health and Disparities in Hypertension and Cardiovascular Diseases

Chaturvedi,

Zhu,

Gadela

et al. 2024

Hypertension

View full text Add to dashboard Cite

show abstract

“…To help prevent hypertension and reduce its impact on cardiovascular health in Iraq, it is important to deal with socioeconomic factors. [3].…”

Section: Factors Influencing the Association 1 Socioeconomic Factorsmentioning

confidence: 99%

“…[2] A number of studies have reported the following biochemical markers for hypertension: electrolytes, C-reactive protein and serum bilirubin. [3] Plasma sodium level, according to studies, is a factor which affects the blood pressure response upon salt in diet. It is also helpful to understand how these indicators relate to blood pressure so as better comprehend the causes of hypertension.…”

Section: Introductionmentioning

confidence: 99%

Association Between High Blood Pressure And Cardiovascular Disease In Iraq: A Review

Abdul-Zahra,

Taiban

2024

IJHMR

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One of the most common ailments is hypertension, or high blood pressure. Many say this disease concerns them because it causes heart attack and stroke, which kill millions around the world each year. In recent years, the number of hypertension patients has been growing at an alarming rate. Humans with Hypertinsure about 1 billion The developing countries are particularly hard-hit What is more worrying than increasing numbers that have already skyrocketed--it's LMICC soaring These countries have also been especially hard hit by the burden of hypertension due to various socioeconomic aspects including income, wealth, employment status and place of residence. [1] Hypertension with its 41.5 incidence rate for every 1000 people is a big concern in Iraq. It is no different for children, obesity, poor dietary choices and lack of physical activity are all also associated with increasing risk of hypertension. Their experience makes clear how important it is to get hypertension under control and take measures prematurely.

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Prevalence of Hypertension and Associated Risk Factors in Galkayo, Puntland- Somalia

Abdille,

Mohamed,

Giama

et al. 2024

Preprint

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Background Hypertension is a significant global public health concern, yet research on its prevalence and associated risk factors in understudied regions in Somalia like Galkayo is very limited. This study aimed to investigate the prevalence of hypertension and its determinants among patients attending the Galkayo Medical Center (GMC). Methods A cross-sectional study was conducted from June to August 2023 at GMC. Participants (N = 382) were selected using systematic sampling and completed a questionnaire assessing demographics, clinical history, and lifestyle factors. Blood pressure measurements were obtained to confirm hypertension diagnosis. Data were analyzed using descriptive statistics, binary logistic regression, and multiple logistic regression. Results The study found a prevalence of 13.6% among participants. Older age, unemployment, and comorbidities are significantly associated with hypertension (p < 0.05). Multiple logistic regression identified younger age, employment status, and comorbidity as independent predictors of hypertension. Conclusion These findings underscore a considerable burden of hypertension among GMC Hospital attendees in Galkayo, Somalia. Efforts to address modifiable risk factors and enhance access to hypertension management services are crucial to mitigating the impact of this chronic condition on public health in the region. This study contributes valuable insights into the epidemiology of hypertension in a previously understudied area, informing targeted interventions to improve health outcomes and reduce the burden of hypertension in Galkayo and similar settings.

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Socioeconomic Macro-Level Determinants of Hypertension: Ecological Analysis of 138 Low- and Middle-Income Countries

Cited by 3 publications

References 32 publications

Social Determinants of Health and Disparities in Hypertension and Cardiovascular Diseases

Social Determinants of Health and Disparities in Hypertension and Cardiovascular Diseases

Association Between High Blood Pressure And Cardiovascular Disease In Iraq: A Review

Prevalence of Hypertension and Associated Risk Factors in Galkayo, Puntland- Somalia

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