| Poststroke hypertension in Africa. | |
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MedLine Citation:
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PMID: 23010675 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND AND PURPOSE: Little is known about the frequency of hypertension and related knowledge in Africans who have had a stroke. The objective of this study was to determine the frequency of hypertension, its control, and associated knowledge among patients with and without a history of stroke at Uganda's main referral hospital. METHODS: Subjects with a history of stroke (n=157) were compared with stroke-free control subjects (n=149). Demographics and clinical characteristics were recorded and hypertension-related knowledge assessed by questionnaire. Multiple logistic regression including cases and control subjects was used to determine factors independently associated with blood pressure control and hypertension-related knowledge. RESULTS: A total of 69.4% of cases versus 54.7% of control subjects were hypertensive at the time of the research visit (P=0.001). Univariable analyses showed the odds of having good blood pressure control (OR, 0.53; 95% CI, 0.33-0.84; P=0.006) and good hypertension knowledge (OR, 0.35; 95% CI, 0.22-0.56; P<0.0001) were lower in cases. Age <40 years (P=0.002), good hypertension-related knowledge (P=0.002), and poorer medication adherence (P<0.0001) were independently associated with poorer blood pressure control. Those with a history of hypertension had better hypertension-related knowledge (P=0.001), but knowledge was poorer among cases (P<0.0001). CONCLUSIONS: Hypertension is common in Ugandans with and without a history of stroke. Barriers to effective blood pressure control in Uganda other than patient knowledge need to be identified. |
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Authors:
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Martin Kaddumukasa; Edward Ddumba; Pamela Duncan; Larry B Goldstein |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S. Date: 2012-09-25 |
Journal Detail:
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Title: Stroke; a journal of cerebral circulation Volume: 43 ISSN: 1524-4628 ISO Abbreviation: Stroke Publication Date: 2012 Dec |
Date Detail:
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Created Date: 2012-11-27 Completed Date: 2013-02-05 Revised Date: 2013-04-16 |
Medline Journal Info:
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Nlm Unique ID: 0235266 Medline TA: Stroke Country: United States |
Other Details:
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Languages: eng Pagination: 3402-4 Citation Subset: IM |
Affiliation:
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Makerere University, College of Health Sciences, Kampala, Uganda. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Blood Pressure Female Health Knowledge, Attitudes, Practice / ethnology* Hospitals / statistics & numerical data Humans Hypertension / ethnology*, psychology* Logistic Models Male Middle Aged Questionnaires Stroke / ethnology*, psychology* Tertiary Care Centers / statistics & numerical data Uganda / epidemiology |
| Grant Support | |
ID/Acronym/Agency:
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5D43 TW008310-02/TW/FIC NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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