IntroductionHypertension is a global health challenge and its prevalence is increasing rapidly amongst adults in many African countries. Some studies on the prevalence and risk factors of hypertension have been conducted in Nigeria, but none within Delta State. We assessed the prevalence of hypertension and associated risk factors amongst adults in three villages in the Ibusa community in Delta State, Nigeria.MethodHomesteads were randomly selected and all consenting adults (≥ 18 years of age) were recruited for this cross-sectional study (134 individuals: 48 men, 86 women). Sociodemographic data and anthropometric measurements (weight, height and abdominal circumference) were recorded. Diagnosis of hypertension was based on blood pressure ≥ 140/90 mmHg.ResultHypertension prevalence in this rural community was 44%. Results from one village (Ogboli: 82%) and ethnic group (Ibo: 50%) were significantly higher than in others in the same variable category. Multivariate logistic regression analysis suggested increasing age, increasing body mass index and high salt intake as prominent risk factors for hypertension. Lack of funds and equipment shortage in clinics were most often reported as barriers to health care.ConclusionA nutritional education programme to promote low-cholesterol and low-salt diets is recommended to specifically target people in higher-risk areas and of higher-risk ethnicity. Local barriers to accessing health care need to be addressed.

Demography of Hypertension Hypertension literarily means "High Blood Pressure". (World Health Organization, 2002) defined it is as a persistent rise in blood pressure above what is considered normal for that age and that sex. It is a major public health problem in most African countries. (Graziano, 2005). It is the leading cause of death in developed and many developing countries being responsible for the deaths of 17 million people each year (World Health Organization, 2002). Hypertension affects approximately 50 million individuals in the United States and approximately 4 billion individuals Worldwide (Aram, George, & Henry, 2006). In Ghana, among urban adults, the prevalence of hypertension was 8% to 13% compared to 4.5% among rural adults (Muna, 1993). In a university community in South West Nigeria,

Science comprises nursing science, anatomy, physiology, pharmacology and medical biochemistry, with a population of about 4 500 students. The total population of nursing science students (2015/2016 session) is shown in Table 1.Background. Clinical exposure is an important component of the nursing curriculum aimed at engaging student nurses in learning and developing essential skills. Studies on students' attitude to clinical exposure have been conducted in Nigeria, but none in Delta State. Objectives. To evaluate student nurses' attitude to and identify factors that influence their attitude to clinical exposure at Delta State University, Abraka, Nigeria. Methods. A descriptive quantitative design was used to elicit information from a sample of 181 individuals: 31 males and 150 females statistically drawn using a stratified sampling technique from a population of 237 at levels 300, 400 and 500 of study. A post hoc test was done to evaluate student nurses' attitude to clinical exposure at different levels of study. Results. Results showed that 88% of respondents had a positive attitude towards clinical exposure. Post hoc tests indicated that attitude towards clinical exposure among 300-and 500-level students was statistically different (p=0.001). Factors such as adequate clinical equipment, adequate supervision and guidance from clinical supervisors, behaviour of staff nurses in the ward and readiness to learn were the most frequently reported factors that influenced their attitude to clinical exposure. Fisher's exact test showed no association between these factors and respondents' attitude to clinical exposure (p=0.369). Conclusion. Students' attitude to clinical exposure was positive, with average scores higher among 500-level students. Hence, the higher the level of study, the more positive their attitude was towards clinical exposure. Intensive preparation of nursing students before clinical training will help to improve their attitude.This open-access article is distributed under Creative Commons licence CC-BY-NC 4.0.