Prevalence and Determinants of Hypertension Awareness, Treatment, and Control in Botswana: A Nationally Representative Population-Based Survey

المؤلفون المشاركون

Tapela, Neo M.
Clifton, Lei
Tshisimogo, Gontse
Gaborone, Moagi
Madidimalo, Tebogo
Letsatsi, Virginia
Masupe, Tiny
Mosepele, Mosepele
Makhema, Joseph
Lockman, Shahin
Hunter, David J.

المصدر

International Journal of Hypertension

العدد

المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-12، 12ص.

الناشر

Hindawi Publishing Corporation

تاريخ النشر

2020-05-31

دولة النشر

مصر

عدد الصفحات

12

التخصصات الرئيسية

الأمراض
الطب البشري

الملخص EN

Introduction.

Hypertension is a leading risk factor for cardiovascular mortality and an emerging public health concern in sub-Saharan Africa.

Few studies have examined performance on the management of hypertension in this region, where the context may be distinct from other developing regions.

Objectives.

We aimed to determine the prevalence and correlates of hypertension, awareness, treatment, and control among adults in Botswana, a middle-income African country undergoing rapid demographic transition and with high HIV burden.

Methods.

In this 2014 cross-sectional survey of adults aged 15–69 years, information on sociodemographic characteristics, lifestyle behavior, and medical history was collected through in-person interviews and physical measurements (body mass index and triplicate blood pressure (BP)).

Hypertension was defined as self-report of use of antihypertensives in the previous two weeks and/or having elevated BP (≥140/90 mmHg).

Multivariable logistic regression was employed to explore factors associated with hypertension, awareness (report of previous diagnosis), treatment (antihypertensives), and control (BP < 140/90).

Results.

Our analysis (N = 4,007) yielded an age-standardized hypertension prevalence of 30% (95% CI: 28%–32%, N = 1,393).

Among hypertensives, 54% (50–58%) were unaware of their condition, 45% (40–50%) of those aware were untreated, and 63% (55–70%) of those on medications were suboptimally treated (BP ≥ 140/90 mmHg).

A fifth of hypertensives who were diagnosed but not on medications had BP ≥ 180/110 mmHg.

Diabetes was the strongest correlate of hypertension and awareness (aOR 4.00, 1.86–8.59; aOR 3.30, 1.44–7.55, respectively).

Males were less likely to be aware (aOR 0.62, 0.41–0.94) or controlled (aOR 0.36, 0.16–0.83).

Obese individuals were more likely to be treated (aOR 2.17, 1.12–4.22), yet less likely to be controlled (aOR 0.32, 0.15–0.66).

Conclusions.

We report the first nationally representative estimates of the hypertension care cascade performance in Botswana, which will support planning and future policy evaluations.

Findings contribute to the relatively sparse evidence on this subject and may inform development of innovations that improve quality of hypertension management and adherence support in similar settings.

نمط استشهاد جمعية علماء النفس الأمريكية (APA)

Tapela, Neo M.& Clifton, Lei& Tshisimogo, Gontse& Gaborone, Moagi& Madidimalo, Tebogo& Letsatsi, Virginia…[et al.]. 2020. Prevalence and Determinants of Hypertension Awareness, Treatment, and Control in Botswana: A Nationally Representative Population-Based Survey. International Journal of Hypertension،Vol. 2020, no. 2020, pp.1-12.
https://search.emarefa.net/detail/BIM-1171789

نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)

Tapela, Neo M.…[et al.]. Prevalence and Determinants of Hypertension Awareness, Treatment, and Control in Botswana: A Nationally Representative Population-Based Survey. International Journal of Hypertension No. 2020 (2020), pp.1-12.
https://search.emarefa.net/detail/BIM-1171789

نمط استشهاد الجمعية الطبية الأمريكية (AMA)

Tapela, Neo M.& Clifton, Lei& Tshisimogo, Gontse& Gaborone, Moagi& Madidimalo, Tebogo& Letsatsi, Virginia…[et al.]. Prevalence and Determinants of Hypertension Awareness, Treatment, and Control in Botswana: A Nationally Representative Population-Based Survey. International Journal of Hypertension. 2020. Vol. 2020, no. 2020, pp.1-12.
https://search.emarefa.net/detail/BIM-1171789

نوع البيانات

مقالات

لغة النص

الإنجليزية

الملاحظات

Includes bibliographical references

رقم السجل

BIM-1171789