Prevalence and correlates of undiagnosed hypertension among staff of a Nigerian university community

Bappah, Babangida Shehu; Shittu, Aishat; Usman, Jibrin Sammani; Nuhu, Jibril Mohammed; Sumaila, Farida Garba; Ahmad, Aisha Ahmad; Mohammed, Jibril

doi:10.11604/pamj.2022.42.80.26464

Cited by 8 publications

(8 citation statements)

References 27 publications

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“…This was however not statistically significant (P = 0.18). Other studies have also noted a similar association between hypertension and physical activity [19] [20] [21].…”

Section: Discussionsupporting

confidence: 60%

Prevalence, Awareness and Risk Factors for Hypertension in Adults Attending a Tertiary Hospital in South-East Nigeria

Egwim,

Omokhua,

Azudialu

et al. 2024

OJCD

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Hypertension, a non-communicable disease, is considered a major public health challenge because of its widespread prevalence globally coupled with its huge morbidity and mortality burden, which is largely preventable if early detection and prompt initiation of management are done. Hypertension prevalence is increasing especially in the developing world, despite this, its awareness among the general population is low. This study aimed at determining the prevalence of hypertension among adult attendees of the General Outpatient Clinic of the Federal University Teaching Hospital (FUTH), Owerri, with an assessment of the proportion of hypertensives who were aware of their hypertensive status, and identifying risk factors of hypertension in the study participants. A cross-sectional analytical study was conducted between October and November 2022 at the General Outpatient Clinic of the FUTH, Owerri. A total of 257 consenting and eligible adult patients made up of 135 males and 122 females, aged 18 years and above, were selected by systematic random sampling method. The overall prevalence of hypertension was 34.6%. The prevalence was higher in females than in males (37.7% vs 31.9%, P = 0.325). Among the hypertensive subjects 56.2% had awareness of their hypertensive status. Following a multiple regression analysis, hypertension was independently associated with age, family history of hypertension, occupation (retirees, traders, farmers and the unemployed), and marital status (being widowed). Hypertension is prevalent in our environment; the prevalence rate from this study is higher than in most studies in our environment, suggesting possibly, a rising burden. The results from the study underscore the need for

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“…This was however not statistically significant (P = 0.18). Other studies have also noted a similar association between hypertension and physical activity [19] [20] [21].…”

Section: Discussionsupporting

confidence: 60%

Prevalence, Awareness and Risk Factors for Hypertension in Adults Attending a Tertiary Hospital in South-East Nigeria

Egwim,

Omokhua,

Azudialu

et al. 2024

OJCD

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Section: Discussionmentioning

confidence: 61%

“…However, the prevalence of undiagnosed hypertension was lower than that reported in studies done in Wolaita Sodo Town, Ethiopia 28.8%, 14 Bahir Dar City, Ethiopia 24.8%, 16 and Nigeria (27.8%). 20 This might be because previous studies used a lower cutoff point to classify hypertension, which may have increased the prevalence of undiagnosed hypertension. The above difference might also be due to the inclusion criteria that previous studies used for all previously diagnosed hypertension and undiagnosed individuals, whereas our study assessed only undiagnosed/unknown hypertension.…”

Section: Discussionmentioning

confidence: 99%

“…13 Several studies have revealed a high prevalence of undiagnosed hypertension. A Study conducted in Wolaita Sodo Southern Ethiopia revealed that the prevalence of undiagnosed hypertension was 28.8%, 14 Hossana town Ethiopia 17.2%, 15 Bahir Dar City, Ethiopia 24.8%, 16 Southwest Ethiopia 21.2%, 10 Hawassa, Ethiopia 12.3%, 11 Gurage Zone, Ethiopia 15.3%, 17 Addis Ababa, Ethiopia 13.25%, 18 Debre Markos, Ethiopia 12.7%, 19 Nigeria 27.8%, 20 and Rwanda 18.7%. 21 In Ethiopia, hypertension prevention has not been given attention; therefore, most patients with hypertension know their status when complications develop.…”

Section: Introductionmentioning

confidence: 99%

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Undiagnosed hypertension and associated factors among adult population in central zone of Tigray, Northern Ethiopia 2020: A cross‐sectional study

Mekonen,

Gebru,

Kiros

et al. 2024

Health Science Reports

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Background and AimsUndiagnosed hypertension is a major risk factor for cardiovascular diseases and complications such as heart attack and stroke. Limited information is available on the prevalence of undiagnosed hypertension and its associated factors in Ethiopia, particularly in the study setting. This study aimed to assess the prevalence of undiagnosed hypertension and its associated factors in the central zone of Tigray, Northern Ethiopia.MethodsA community‐based cross‐sectional study was conducted from April 1 to May 31, 2020. A pretested structured questionnaire was used and both face‐to‐face interview and physical measurement were used to collect the data. Blood pressure was measured on two different days for each study participant, and an average of the measurements were taken. In addition, 736 participants were included in this study, through a systematic random sampling technique. Data were analyzed using SPSS version 23. Bivariate and multivariable logistic regression analyses were performed to identify factors associated with undiagnosed hypertension. Adjusted odds ratios and 95% confidence intervals were used to show the strength of the association and declare statistical significance at p < 0.05.ResultsIn the study, the mean age of the participants was 51.9 (standard deviation: 17.9) years old. Prevalence of undiagnosed hypertension was found 15.4% (N = 113). The factors associated with undiagnosed hypertension were being divorced (adjusted odds ratio [AOR] = 15.2, 95% confidence interval [CI]: 8.2–28.3), alcohol consumption (AOR = 2.07, 95% CI: 1.22–3.51), not eating fruits (AOR = 4.1, 95% CI: 2.37–7.08), not eating vegetables (AOR = 3.47, 95% CI: 2.02–5.96) and poor knowledge (AOR = 3.05, 95% CI: 2.75–7.83).ConclusionAround one in six study participants had undiagnosed hypertension. Being divorced, drinking alcohol, not eating fruits, not consuming vegetables, and having poor knowledge of hypertension were significant factors. Public health interventions, like providing adequate hypertension health information, frequent screening, and implementation of an appropriate intervention for particular factors, are critical for reducing the burden of undiagnosed hypertension.

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“…5 Several other studies across Nigeria have reported the prevalence of hypertension ranging from 15% to as high as 55.9%. [6][7][8][9][10][11][12] The public health significance of hypertension is the number of many undiagnosed cases in the population. An estimated 46% of adults with hypertension are unaware that they have the condition and less than half of adults (42%) with the disease are diagnosed and treated, hence it is referred to as a silent killer.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and risk factors of hypertension and diabetes mellitus in riverine communities in Nigeria’s Niger delta: implications for community-based interventions

Fajola,

Isara,

Alali

et al. 2024

Int J Community Med Public Health

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Background: The global burden of non-communicable diseases is enormous, especially in low- and middle-income countries. This study assessed the prevalence of hypertension and diabetes mellitus and associated factors among adult residents of riverine communities in Niger delta region of Nigeria. Methods: A community-based descriptive cross-sectional study. Adults aged 18 years and above residing in riverine communities who attended a free medical outreach programme were screened for hypertension and diabetes mellitus. Anthropometry and measurements were done using standard methods. Data was analysed using SPSS version 26. Results: Of the 1597 participants, 1066 (66.6%) were females, 470 (29.4%) overweight and 356 (22.3%) were obese. Their mean age was 41.0±14.5 years. The prevalence of hypertension diabetes mellitus and hypercholesterolemia was 37.6%, 3.9% and 65.6% respectively. Significant predictors of hypertension were age ≥40 years (OR =3.86, CI: 2.59-5.75, p<0.001), male sex (OR=1.78, CI: 1.19-2.65, p=0.005), overweight (OR=1.92, CI: 1.19-3.11, p=0.008) and obesity (OR=1.73, CI: 1.05-2.85, p=0.032). No statistically significant association between demographic characteristics and diabetes mellitus was observed. Conclusions: The high prevalence of hypertension and diabetes mellitus in the riverine communities calls for an urgent need to set up community based noncommunicable diseases prevention programmes and then develop and implement effective targeted interventions to help residents of the riverine communities diagnosed with these conditions to better manage the disease.

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Prevalence and correlates of undiagnosed hypertension among staff of a Nigerian university community

Cited by 8 publications

References 27 publications

Prevalence, Awareness and Risk Factors for Hypertension in Adults Attending a Tertiary Hospital in South-East Nigeria

Prevalence, Awareness and Risk Factors for Hypertension in Adults Attending a Tertiary Hospital in South-East Nigeria

Undiagnosed hypertension and associated factors among adult population in central zone of Tigray, Northern Ethiopia 2020: A cross‐sectional study

Prevalence and risk factors of hypertension and diabetes mellitus in riverine communities in Nigeria’s Niger delta: implications for community-based interventions

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