Care Cascades for Hypertension in Low-Income Settings: A Systematic Review and Meta-Analysis

Lamloum, Demetrio; Fassio, Federico; Osetinsky, Brianna; Tediosi, Fabrizio

doi:10.3389/ijph.2023.1606428

Cited by 5 publications

(1 citation statement)

References 130 publications

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“…The conclusions drawn from this study bear limitations, primarily due to its exclusive focus on patients who are seeking healthcare, without comparing them to a random sample of people with NCDs. The challenge of obtaining such a sample via a household survey is underscored by the low awareness of hypertension among Ghanaians, with estimates as low as 20% [37][38][39]. Additionally, it is important to note that the results may not fully represent the true extent of social support experienced by NCD patients, as they rely solely on self-reports from the patients themselves.…”

Section: Discussionmentioning

confidence: 99%

Examining the Utilization of Social Capital by Ghanaians When Seeking Care for Chronic Diseases: A Personal Network Survey

Hooley,

Otchi,

Mayeden

et al. 2023

Int J Public Health

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Objectives: With limited social security and health protection in Ghana, intergenerational support is needed by those living with NCDs, who incur recurrent costs when seeking NCD care. We measured the level of informal support received by NCD patients and identified factors that influence support provision.Methods: We surveyed 339 NCD patients from three hospitals in Ghana, who listed their social ties and answered questions about their relationship and support frequency. We analyzed the relationship between social support, demographic and health information, characteristics of social ties, and network characteristics.Results: Participants described 1,371 social ties. Nearly 60% of respondents reported difficulties in their usual work or household duties due to chronic illness, which was also the strongest predictor of support. Patients with higher wellbeing reported less social support, while older age and having co-habitant supporters were negatively associated with support, indicating caregiver burnout.Conclusion: Ghanaian NCD patients receive support from various caregivers who may not be able to handle the increasing healthcare and social needs of an aging population. Policies should therefore enhance resource pooling and inclusiveness for old age security.

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Section: Discussionmentioning

confidence: 99%

Examining the Utilization of Social Capital by Ghanaians When Seeking Care for Chronic Diseases: A Personal Network Survey

Hooley,

Otchi,

Mayeden

et al. 2023

Int J Public Health

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A Descriptive Review of the Healthcare System and the Provision of Oral Healthcare in the Republic of Sudan

Lamloum,

Campus

2024

International Dental Journal

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Prevalence, risks factors, and control of hypertension in Guinean older adults in 2021: a cross-sectional survey

Camara,

Koné,

Millimono

et al. 2024

BMC Public Health

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Background The incidence of arterial hypertension increases with the aging of the population, but its magnitude remains insufficiently assessed. The aim of this study was to investigate the prevalence of hypertension and associated factors in elderly people in Guinea. Methods Data were obtained from a cross-sectional general population survey, conducted among people aged ≥ 60 years. A stratified enumeration area random sample survey was conducted in the four natural regions of Guinea from February to April 2021. This study included an interview on sociodemographic data, and a clinical examination. Hypertension was defined as systolic blood pressure ≥ 140mmHg and/or diastolic blood pressure ≥ 90mmHg or previous diagnosis of hypertension (with or without antihypertensive medication). Hypertension control was defined as blood pressure below 140/90 mmHg during treatment. Age-standardized prevalence was calculated, and logistic regression was used to examine factors associated with hypertension. Results A total of 1698 adults (1079 men, mean age: 71.6 ± 9.4 years) had at least two blood pressure measurements. The standardized prevalence of hypertension was 61.4% [95% CI: 61.3–61.6], ranging from 52% in Middle Guinea to 67% in Upper Guinea, and was higher in women (65.2%: 65.0-65.4) than in men (59.1%:58.9–59.3). Among those with hypertension, 46.7% were unaware of their condition before the survey and 49.6% were on treatment and only 18.5% had controlled hypertension. Whatever the residence (rural or urban), increasing age, being unmarried, working as a trader or functionary, jobless, living in upper Guinea, low monthly income, intake of extra salt, known diabetic, overweight, and obesity increased the risk of hypertension. In urban area, female sex (AOR: 1.14: 1.12–1.17), living in lower Guinea (AOR: 3.08: 2.97–3.20), being Maninka (AOR: 1.26: 1.21–1.31), being Nguerze (AOR: 1.71: 1.63–1.81) increased the risk of hypertension, but living in forest Guinea (AOR: 0.88: 0.83–0.93), being Soussou (AOR: 0.88: 0.85–0.92) decreased the risk. In rural area, living in forest Guinea (AOR: 2.14: 2.03–2.26), being Soussou (AOR: 1.14: 1.12–1.17) increased the risk of hypertension, but female sex (AOR: 0.96: 0.94–0.98), living in lower Guinea (AOR: 0.87: 0.85–0.89), being Maninka (AOR: 0.94: 0.92–0.97), being Nguerze (AOR: 0.50: 0.47–0.52) decreased the risk. Conclusion Hypertension is a major problem in the elderly population in Guinea, and the level of treatment and control in elderly with known hypertension is inadequate. The place of hypertension among cardiovascular diseases and the identification of associated factors underlines the need to develop innovative approaches to control this major risk factor.

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Care Cascades for Hypertension in Low-Income Settings: A Systematic Review and Meta-Analysis

Cited by 5 publications

References 130 publications

Examining the Utilization of Social Capital by Ghanaians When Seeking Care for Chronic Diseases: A Personal Network Survey

Examining the Utilization of Social Capital by Ghanaians When Seeking Care for Chronic Diseases: A Personal Network Survey

A Descriptive Review of the Healthcare System and the Provision of Oral Healthcare in the Republic of Sudan

Prevalence, risks factors, and control of hypertension in Guinean older adults in 2021: a cross-sectional survey

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