<p>Prevalence of Hypertension and Its Associated Factors Among Gimbi Town Residents, Ethiopia: A Community-Based Cross-Sectional Study</p>

Abstract

Background: Globally, sixty-two percent of cerebrovascular disease and forty-nine percent of ischemic heart disease are attributable to increased blood pressure. Half of the patients with stroke and heart disease were due to hypertension. Objective: This study aimed to identify prevalence of hypertension and its associated factors in Gimbi town, Ethiopia. Methods: We conducted a community-based cross-sectional study from May to June 2017 on 471 participants in Gimbi town, western Ethiopia. A systematic sampling method was used to recruit study participants. Data collectors used structured questionnaires to gather data through face to face interview. The standardized procedure followed to measure blood pressure and anthropometric measurements by trained extension health workers. We entered data into Epidata and exported to SPSS version 20.00 for analysis. Variables having a P-value less than or equal to 0.05 were declared as statistically significant in multivariable analysis. Results: Four hundred seventy-one participants were included with a response rate of 98.85%, and 248 (52.6%) were female. The prevalence of isolated systolic and diastolic hypertension was 9.55% and 9.3%, respectively. Of 157 (33.5%) hypertensive participants, 117 (24.8%) were newly diagnosed. Age 35-55 [AOR: 2.335 95% CI (1.360-4.009)], ≥55 [(AOR: 3.566 95% CI (1.288-9.876))], occupation, government employee [(AOR: 3.072 95% CI (1.458-6.474))], merchants [(AOR: 3.177 95% CI (1.290-7.824))], ever alcohol drinker [(AOR: 2.333 95% CI (1.320-4.122))], and family history of hypertension [(AOR: 6.642 95% CI (4.068-10.843))] were found to be predictor variables for hypertension. Conclusion: The findings of this study indicated a hidden high prevalence of hypertension indicating the need for stakeholders' collaboration to design and implement a mobile blood pressure screening programs at the community level.

Prevalence and Predictors of Newly Diagnosed Hypertension in an Opportunistic Screening Program in Addis Ababa, Ethiopia: An Institution-Based Cross-Sectional Study

“…These figures were higher than those reported in the study done at Jimma University Specialized Hospital, where 26.4% were overweight and only one individual was obese (32). Body mass index was significantly associated with hypertension in the present study, and this was also replicated in other studies done in different regions of Ethiopia (23,25,26,27). Other studies in Sub-Saharan Africa (Angola and Kenya) have also demonstrated the presence of a significant association between overweight or obesity and hypertension (33,34).…”

“…The prevalence of newly diagnosed HTN (36.2%) in the present study is higher than the overall prevalence of hypertension reported from the national NCDs STEPS survey among the Ethiopian adult population (15.8%) [20], community-based cross-sectional studies in Addis Ababa, central Ethiopia (29.2%) [21], and Dire Dawa city, eastern Ethiopia (24.43%) [22], and a cross-sectional study on public health facilities in Addis Ababa, central Ethiopia (32.3%) [23]. It was also much higher than the prevalence of newly diagnosed HTN reported from studies done in Debre Markos town, north-west Ethiopia (12.7%) [24], Durame town, southern Ethiopia (14%) [25], and Gimbi Town, western Ethiopia (24.8%) [26]. The higher prevalence of undiagnosed HTN in the current study as compared with that of the overall prevalence of HTN in the national NCDs STEPS survey may be explained by the increasing burden of the predisposing factors for HTN.…”

Prevalence and associated factors of hypertension among adult patients attending the outpatient department at the primary hospitals of Wolkait tegedie zone, Northwest Ethiopia

“…Patients with a family history of hypertension were more likely to be hypertensive compared to patients without a family history of hypertension. This is supported by a study in Gimbi, Ethiopia (19), southwest Ethiopia (6), a community-based study in Gondar, Ethiopia (13), and the Miyun district of Beijing, China (25). This could be because family members may share genetic factors and mostly exercise similar lifestyles.…”

“…In our study, patients aged >60 years were found to be with nearly two times higher chance of having hypertension compared to patients who were aged 18-40 years. This is supported by a systematic review and meta-analysis (7), a community-based study in Gondar, Ethiopia (13), Gimbi, Ethiopia (19), and a study among older adults in rural Ethiopia (18). This could be due to the biological effect of increased arterial resistance caused by arterial thickening and stiffness that occurs as one gets older (13,23).…”

“…This is in line with a study among older adults in rural Ethiopia (41.9%) (18). But it is higher than a pooled prevalence study all over Ethiopia (21.81%) (7), a hospital-based study in southwest Ethiopia (13.2%) ( 6), a community-based study in Gondar, Ethiopia (28.3%) (13), Bedele town, southwest Ethiopia (16.9%)(8), Gimbi, Ethiopia (33.5%) (19). These high burdens of hypertension in our findings might be due to stress secondary to the terrifying civil war that happened in the study setting at the time of data collection.…”