BackgroundHypertension is a public health problem worldwide, but the prevalence in Amassoma, Southern Ijaw Local Government Area is not known.ObjectiveTo investigate the prevalence of hypertension in the locality and the extent of control in diagnosed cases.MethodsIt is a prospective study involving interviewing. Four hundred adults aged 20 years and above selected through stratified random sampling across the various compounds called “AMA”; a unit of settlement comprising extended families of common ancestors. A self-developed, validated and pretested interviewer-administered questionnaire on demographics, predisposing factors, and medication history was used. In addition, measurement of respondents’ blood pressure, weight and height was carried out. The Body Mass Index calculated and the data were appropriately analysed.ResultsThe response rate of questionnaire distribution was 100.0% being interviewer administered alongside weight, height and blood pressure measurement. Majority of respondents were female. Almost half of respondents (46.5%) had their BMI above normal, 15.3% (61) of which falls within the obese region (>30.0kg/m2). The mean (SD) systolic blood pressure among males was 133.3 (3.2) mmHg and that of females was 127.4 (3.0) while the mean (SD) diastolic blood pressures were 86.2 (1.7) and 83.9 (2.4) for males and females respectively. Crude prevalence rate of hypertension in the community was 15.0% (60) out of which 13.8 % (55) were previously diagnosed. The hypertension was that of Stage I in 11.5% (46) and Stage II in 3.5% (14). Hypertension prevalence was slightly higher in males (18.8%) than that of the females (12.5%) (p= 0.0889), Relative Risk (RR)=1.500 [95%CI 0.9422:2.388]. The prevalence rate among 40 years and above was 41.6% (42/101) who also constituted 70.0% (42/60) of participants with hypertension in the survey and 10.5% (42/400) of the total. Of the previously diagnosed cases of hypertension, only 31% (17/55) were taking their drugs during the survey and only 12.7% (07/55) had regular adherence to medication and adequate BP control was achieved in 7.3% (04/55). Majority of the patients on drugs (21.8%) (12/55) were either taking methydopa as monotherapy or in combination with amiloride and hydrochlorothiazide. Other drugs being taken by patients include lisinopril, propranolol, amlodipine, atenolol, nifedipine and low dose aspirin.ConclusionsThe prevalence of hypertension in the semi urban community is 15.0% with a pre-hypertension in another 23.5%. There was poor control of blood pressure among previously hypertensive patients.
our sample, a total of 176,891 patients had AF. By reference to the total membership of the two medical insurance funds, the prevalence of AF was 2.132% (men: 2.369 %; women: 1.895%). The average age of these AF patients was 73.1 years, and 55.5% (98,190 patients) were male. The incidence of AF in our sample was 4358 cases per 1000 person-years in men and 3.868 cases in 1000 person-years in women. AF prevalence/incidence clearly depends on age and gender. CONCLUSIONS: A comparison of the distribution of AF prevalence/incidence in our population with that in already published studies shows that our figures are higher, especially in the age groups above 70 years. Obviously, AF prevalence/incidence are further increasing in industrialized countries.
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