Undiagnosed Hypertension and Its Associated Factors Among Adult People Living in Southern Ethiopia: Discovery From Gunchire Woreda of Gurage Zone

Haligamo, Demamu; Ayalew, Abinet; Genemo, Hilina; Yiriga, Nega

doi:10.5430/jms.v12n4p37

Cited by 6 publications

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“…Enabling/disabling factors associated with undiagnosed HTN include socioeconomic status (lower economic status [ 5 , 13 ], higher economic status [ 14 ], lower education [ 7 , 13 , 14 ], higher education [ 15 ]), rural residence [ 13 ], geographical region [ 14 ], no health care visit in the past month [ 16 ], and no health insurance [ 17 ]. Furthermore, health risk behaviours associated with undiagnosed HTN include physical inactivity [ 18 ], not physically inactive [ 13 ], high sedentary behaviour [ 19 ], dietary habit [ 19 ], and tobacco use [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

Undiagnosed hypertension in Sudan: results of the cross-sectional national STEPS survey in 2016

Pengpid¹,

Peltzer²

2022

Pan Afr Med J

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Introduction the rate of hypertension has been increasing in Africa. The study aimed to estimate the prevalence and associated factors of undiagnosed hypertension (HTN) among adults in Sudan. Methods cross-sectional data were analyzed from 7,226 persons (18-69 years, median 37 years, interquartile range 27-49 years, 4557 were females) who participated in the 2016 Sudan STEPS survey, had complete blood pressure measurement and non-pregnant, and responded to a questionnaire, physical measures, and biomedical tests. Logistic regression was used to determine the predictors of undiagnosed HTN. Results the prevalence of undiagnosed HTN was 26.2% (n=2057) (79.2% of total HTN), diagnosed HTN 6.9% (n=690) and total HTN 33.1% (n=2747). In multivariable analysis older age (50-69 years) (adjusted risk ratio-aRR: 2.49, 95% CI: 2.02-3.09; p<0.001), obesity (aRR: 2.51, 95% CI: 1.97-3.21; p<0.001), diabetes (aRR: 1.59, 95% CI: 1.17-2.16; p=0.002) and elevated total cholesterol (aRR: 1.48, 95% CI: 1.19-1.84; p<0.001) were positively associated and health care advice (aRR: 0.79, 95% CI: 0.64-0.98; p=0.036) was negatively associated with undiagnosed HTN versus no HTN. Male sex (adjusted odds ratio-aOR: 2.22, 95% CI: 1.63-3.01; p<0.001) was positively associated, and older age (50-69 years) (aOR: 0.31, 95% CI: 0.21-0.46; p<0.001), married (aOR: 0.45, 95% CI: 0.33-0.62; p<0.001), urban residence (aOR: 0.70, 95% CI: 0.51-0.96; p=0.022), health care advice (aOR: 0.32, 95% CI: 0.22-0.45; p<0.001), ever cholesterol measured (aOR: 0.43, 95% CI: 0.27-0.67; p<0.001), overweight (aOR: 0.63, 95% CI: 0.47-0.85; p=0.003) and heart attack or stroke (aOR: 0.31, 95% CI: 0.17-0.55; p<0.001) were negatively associated with undiagnosed HTN versus diagnosed HTN. Conclusion one in four adults in Sudan had undiagnosed HTN (eight in ten of total HTN) and several associated factors that can help guide interventions were identified.

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Section: Introductionmentioning

confidence: 99%

Undiagnosed hypertension in Sudan: results of the cross-sectional national STEPS survey in 2016

Pengpid¹,

Peltzer²

2022

Pan Afr Med J

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“…All of the included studies were cross‐sectional 13–17,20,22,23,33–35 13,15,22,33,34 two studies were done in Addis Ababa (AA), 20,23 two studies were done in Oromia region, 17,35 and the remaining two studies were done in Amhara region 14,16 …”

Section: Resultsmentioning

confidence: 99%

“…All of the included studies were cross-sectional. [13][14][15][16][17]20,22,23,[33][34][35] Five studies were done in southern nations nationalities and peoples region (SNNPR), 13,15,22,33,34 two studies were done in Addis Ababa (AA), 20,23 two studies were done in Oromia region, 17,35 and the remaining two studies were done in Amhara region. 14,16 Seven studies used the ≥140/90 mmHg blood pressure threshold for hypertension [15][16][17]20,23,33,35 ; whereas the remaining four studies used the ≥130/80 mmHg blood pressure threshold for diagnosing hypertension.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…14,16 Seven studies used the ≥140/90 mmHg blood pressure threshold for hypertension [15][16][17]20,23,33,35 ; whereas the remaining four studies used the ≥130/80 mmHg blood pressure threshold for diagnosing hypertension. 13,14,22,34 On the other hand, eight studies were done on the general population (community), 13,[15][16][17]23,[33][34][35] but the remaining three studies were done on specific populations (Bank workers 14 and HIV-positive patients 20,22 ). Finally, nine studies were published, 13,14,16,17,22,23,[33][34][35] one study was an MSc thesis, 20 and the left one paper was an MSc thesis preprint.…”

Section: Study Characteristicsmentioning

confidence: 99%

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Undiagnosed hypertension and its associated factors in Ethiopia: A systematic review and meta‐analysis

Solbana,

Chaka,

Tola

2023

Health Science Reports

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Background and AimsEarly identification and treatment of hypertension could lower the risk of cardiovascular diseases; which share the largest proportion of death. The findings of previous studies done in Ethiopia on undiagnosed hypertension were inconsistent. Therefore, this systematic review and meta‐analysis aimed to assess the prevalence and associated factors of undiagnosed hypertension among adults in Ethiopia.MethodsA protocol with registration number CRD42023395445 was registered to Prospective Register of Systematic Reviews (PROSPERO). A comprehensive search of observational studies done on undiagnosed hypertension was identified in PubMed, Google Scholar, Cochrane Library, Hinari databases, and other sources available until January 10, 2023. The quality of the identified studies using the set criteria and necessary data was extracted and exported to R version 4.2.3 and STATA version 15.0 for analysis. The pooled prevalence of undiagnosed hypertension and its associated factors were identified. The risk of bias was evaluated using a funnel plot and Egger's test. The findings were presented using tables, figures, and statements. This study was not funded by any organization.ResultsEleven studies having 6132 participants were included in the analysis. The pooled prevalence of undiagnosed hypertension was 21% (95% confidence interval [CI]: 16–27). In subanalysis, according to the American Heart Association ( ≥ 130/80 mmHg), the pooled prevalence was 29% (95% CI: 18–40). However, according to the International Society of Hypertension ( ≥ 140/90), the pooled prevalence was 16% (95% CI: 13–20).Sex (AOR = 2.49, 1.48–3.49), age ≥55 years (AOR = 2.68, 1.16–4.21), alcohol drinking (AOR = 2.68, 1.68–3.69), body mass index ≥25 kg/m2 (AOR = 2.62, 1.77–3.48), and high triglyceride levels (AOR = 1.87, 1.22–2.51) were significantly associated with it.ConclusionIn Ethiopia, about one in five adults ≥ 18 years has undiagnosed hypertension; therefore raising public awareness for medical checkups, early hypertension detection, and treatment is suggested. However, these findings cannot be generalized to pediatrics.

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“…9 Despite this, about 37-78% of hypertensive patients were unaware of their blood pressure situation, 10 and 12.3% to 40% of the population affected by undiagnosed hypertension. [11][12][13][14][15][16] This evidence suggests the importance of blood pressure screening for preventive, control and timely treatment of hypertension.…”

Section: Introductionmentioning

confidence: 99%

Blood Pressure Examination Habit and Its Determinants Among Civil Servants in Arba Minch Town: A Cross-Sectional Study – Using Hurdle Poisson Regression Model

Legisso¹,

Mamo²,

Bimrew³

et al. 2023

IBPC

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Background: Hypertension is a common non-communicable disease detected through blood pressure measurement that makes periodic health examinations crucial for the detection, prevention, and timely treatment. Objective: To assess the frequency of blood pressure examination and its determinant among civil servants in Arba Minch Town, south Ethiopia. Methods: From February to March 2020 an organization-based cross-sectional study design was employed among civil servants in Arba Minch town. Data were collected from 580 randomly selected civil servants using a well-structured questionnaire. Hurdle Poisson regression model was conducted to identify determinants of frequency of blood pressure examination using R version 4.0.2. Results: A total of 407 (70.2%) civil servants had never examined their blood pressure within a year before the study time. The mean frequency of blood pressure examination was 0.71 with a standard deviation of 1.46. The hurdle Poisson regression analysis indicates age above 40 years (IRR = 6.11, p < 0.001), elevated blood pressure (IRR = 1.48, p < 0.001), no family history of hypertension (IRR = 0.59, p < 0.001) had significant effects on the expected number of non-zero counts blood pressure examination. And education status (OR; 2.39, p < 0.05), poor knowledge about hypertension, not getting advice from health professionals (OR = 8.93, p < 0.001), and age above 40 years had significant effects on not taking blood pressure examination. Conclusion:The frequency of blood pressure examinations among civil servants was found to be low. This study reveals age, elevated blood pressure, family history of hypertension, getting advice, and knowledge on hypertension were found to be determinants of the frequency of blood pressure examination. Thus, concerned health authorities and medical workers should work on these factors to prevent and detect hypertension among apparently healthy civil servants.

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Undiagnosed Hypertension and Its Associated Factors Among Adult People Living in Southern Ethiopia: Discovery From Gunchire Woreda of Gurage Zone

Cited by 6 publications

References 0 publications

Undiagnosed hypertension in Sudan: results of the cross-sectional national STEPS survey in 2016

Undiagnosed hypertension in Sudan: results of the cross-sectional national STEPS survey in 2016

Undiagnosed hypertension and its associated factors in Ethiopia: A systematic review and meta‐analysis

Blood Pressure Examination Habit and Its Determinants Among Civil Servants in Arba Minch Town: A Cross-Sectional Study – Using Hurdle Poisson Regression Model

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