Undiagnosed status and associated factors of hypertension among adults living in rural of central, Ethiopia, 2020: Uncovering the hidden magnitude of hypertension

Regea, Firaol; Birhanu, Adamu; Shibiru, Abera; Nagari, Shalama Lekasa; Jabena, Desalegn Emana

doi:10.1371/journal.pone.0277709

Cited by 6 publications

(9 citation statements)

References 21 publications

(18 reference statements)

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Section: Resultsmentioning

confidence: 99%

“…All of the included studies were cross‐sectional 13–17,20,22,23,33–35 13,15,22,33,34 two studies were done in Addis Ababa (AA), 20,23 two studies were done in Oromia region, 17,35 and the remaining two studies were done in Amhara region 14,16 15–17,20,23,33,35 ; whereas the remaining four studies used the ≥130/80 mmHg blood pressure threshold for diagnosing hypertension 13,14,22,34 .…”

Section: Resultsmentioning

confidence: 99%

“…13,14,22,34 On the other hand, eight studies were done on the general population (community), 13,[15][16][17]23,[33][34][35] but the remaining three studies were done on specific populations (Bank workers 14 and HIV-positive patients 20,22 ). Finally, nine studies were published, 13,14,16,17,22,23,[33][34][35] one study was an MSc thesis, 20 and the left one paper was an MSc thesis preprint. 15 The response rate for the studies ranged from 94.05% to 100% (Table 2).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…All of the included studies were cross-sectional. [13][14][15][16][17]20,22,23,[33][34][35] Five studies were done in southern nations nationalities and peoples region (SNNPR), 13,15,22,33,34 two studies were done in Addis Ababa (AA), 20,23 two studies were done in Oromia region, 17,35 and the remaining two studies were done in Amhara region. 14,16 Seven studies used the ≥140/90 mmHg blood pressure threshold for hypertension [15][16][17]20,23,33,35 ; whereas the remaining four studies used the ≥130/80 mmHg blood pressure threshold for diagnosing hypertension.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…[13][14][15][16][17]20,22,23,[33][34][35] Five studies were done in southern nations nationalities and peoples region (SNNPR), 13,15,22,33,34 two studies were done in Addis Ababa (AA), 20,23 two studies were done in Oromia region, 17,35 and the remaining two studies were done in Amhara region. 14,16 Seven studies used the ≥140/90 mmHg blood pressure threshold for hypertension [15][16][17]20,23,33,35 ; whereas the remaining four studies used the ≥130/80 mmHg blood pressure threshold for diagnosing hypertension. 13,14,22,34 On the other hand, eight studies were done on the general population (community), 13,[15][16][17]23,[33][34][35] but the remaining three studies were done on specific populations (Bank workers 14 and HIV-positive patients 20,22 ).…”

Section: Study Characteristicsmentioning

confidence: 99%

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Undiagnosed hypertension and its associated factors in Ethiopia: A systematic review and meta‐analysis

Solbana,

Chaka,

Tola

2023

Health Science Reports

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Background and AimsEarly identification and treatment of hypertension could lower the risk of cardiovascular diseases; which share the largest proportion of death. The findings of previous studies done in Ethiopia on undiagnosed hypertension were inconsistent. Therefore, this systematic review and meta‐analysis aimed to assess the prevalence and associated factors of undiagnosed hypertension among adults in Ethiopia.MethodsA protocol with registration number CRD42023395445 was registered to Prospective Register of Systematic Reviews (PROSPERO). A comprehensive search of observational studies done on undiagnosed hypertension was identified in PubMed, Google Scholar, Cochrane Library, Hinari databases, and other sources available until January 10, 2023. The quality of the identified studies using the set criteria and necessary data was extracted and exported to R version 4.2.3 and STATA version 15.0 for analysis. The pooled prevalence of undiagnosed hypertension and its associated factors were identified. The risk of bias was evaluated using a funnel plot and Egger's test. The findings were presented using tables, figures, and statements. This study was not funded by any organization.ResultsEleven studies having 6132 participants were included in the analysis. The pooled prevalence of undiagnosed hypertension was 21% (95% confidence interval [CI]: 16–27). In subanalysis, according to the American Heart Association ( ≥ 130/80 mmHg), the pooled prevalence was 29% (95% CI: 18–40). However, according to the International Society of Hypertension ( ≥ 140/90), the pooled prevalence was 16% (95% CI: 13–20).Sex (AOR = 2.49, 1.48–3.49), age ≥55 years (AOR = 2.68, 1.16–4.21), alcohol drinking (AOR = 2.68, 1.68–3.69), body mass index ≥25 kg/m2 (AOR = 2.62, 1.77–3.48), and high triglyceride levels (AOR = 1.87, 1.22–2.51) were significantly associated with it.ConclusionIn Ethiopia, about one in five adults ≥ 18 years has undiagnosed hypertension; therefore raising public awareness for medical checkups, early hypertension detection, and treatment is suggested. However, these findings cannot be generalized to pediatrics.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

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Undiagnosed hypertension and its associated factors in Ethiopia: A systematic review and meta‐analysis

Solbana,

Chaka,

Tola

2023

Health Science Reports

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Prevalence of Undiagnosed Hypertension Among Adult Displaced Individuals in Baidoa Camps, Somalia

Jayte

2024

Preprint

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Introduction Hypertension may be prevalent among internally displaced people who typically do not engage in sedentary activities throughout the day. However, the prevalence of hypertension in this population remains poorly understood. In this study, we aimed to determine the prevalence of undiagnosed hypertension and associated factors among adults living in internally displaced people (IDP) camps around Baidoa. Methods A cross-sectional study was conducted, recruiting displaced persons in camps aged 18 years or older without a prior diagnosis of hypertension or current use of anti-hypertensive therapy. A standardized questionnaire was administered, and body mass index (BMI) was calculated. Hypertension was defined as two consistent measurements of systolic blood pressure ≥140mmHg and/or diastolic blood pressure ≥90mmHg, taken 4 hours apart. Multivariable logistic regression analysis was performed to identify factors independently associated with undiagnosed hypertension. Statistical significance was set at p<0.05. Results: A total of 240 participants were enrolled, with a mean age of 39.4 + 12.8 years. The majority were female (83.3%, n=199) and urban dwellers (88.3%, n=212). The prevalence of undiagnosed hypertension was 16.7% (n=40). Of the participants with hypertension, 40% (n=16) were younger than 40 years. Factors associated with undiagnosed hypertension included age >50 years (adjusted odds ratio (aOR): 7.0, 95% confidence interval (CI): 1.9 to 25.6, p=0.003), male gender (aOR: 4.2, 95% CI: 1.5 to 11.1, p=0.005), tobacco consumption (aOR: 2.6, 95% CI: 1.1 to 6.0, p=0.021), and being overweight (aOR: 3.6, 95% CI: 1.5 to 8.8, p=0.005). Conclusion: Approximately one in six adult IDPs living in camps around Baidoa had undiagnosed hypertension, with a disproportionately high burden among those younger than 40 years. Further larger multi-centric studies are warranted to validate these findings.

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Health-seeking behavior among non-communicable disease patients globally, systematic review and meta-analysis

Anagaw,

Melaku Mazengia,

Bogale

et al. 2023

SAGE Open Medicine

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Introduction: Non-communicable disease contributes to over 42 million deaths worldwide and it is estimated that 86% of non-communicable disease-related mortalities happen in low and middle-income countries. Understanding health-seeking behaviors like initiating care at the right time, with the right provider and maintaining regularity of care seeking is a prelude for a successful management of non-communicable diseases. Therefore, the aim of this systematic review and meta-analysis was to assess the pooled prevalence of health-seeking behavior for non-communicable disease and associated factors worldwide. Method: Preferred Reporting Items for Systematic Reviews and Meta-Analysis checklist guideline was followed for this review and meta-analysis. Electronic data base, PubMed, EMBASE, Medline, Web of science, Google scholar and Science direct were used to retrieve studies reported in English language with publication year since 2018 worldwide. Studies reporting proportion of health-seeking behavior for non-communicable disease were evaluated. The pooled prevalence, odds ratio and confidence interval were calculated using Stata version 17 software. The quality of studies included in this review was checked using modified Newcastle-Ottawa scale for observational study checklist. Result: Ten studies which involved 63,498 patients with non-communicable disease were included in this review. The pooled estimated proportion of health-seeking behavior among non-communicable diseases patients from health facilities were 56% (95% CI: 44–68). Older age > 60, urban residency, being of female gender, high educational status, getting support during treatment, knowledge on non-communicable disease, having more than one non-communicable disease, presences of health insurance and middle and upper economic class were factors positively associated with health-seeking behavior for non-communicable diseases. Conclusion: Despite the fact that more than half of patients with non-communicable diseases have health-seeking behavior in health facilities, still, there are a considerable number of individuals with non-communicable diseases having no health-seeking behavior worldwide. Therefore, organizations working for the welfare of human betterment would do well in implementing strategies that could improve health-seeking behavior that would help to reduce the burdens on health systems and prevent premature death from non-communicable diseases.

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Undiagnosed status and associated factors of hypertension among adults living in rural of central, Ethiopia, 2020: Uncovering the hidden magnitude of hypertension

Cited by 6 publications

References 21 publications

Undiagnosed hypertension and its associated factors in Ethiopia: A systematic review and meta‐analysis

Undiagnosed hypertension and its associated factors in Ethiopia: A systematic review and meta‐analysis

Prevalence of Undiagnosed Hypertension Among Adult Displaced Individuals in Baidoa Camps, Somalia

Health-seeking behavior among non-communicable disease patients globally, systematic review and meta-analysis

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