Document Detail

Poststroke hypertension in Africa.
MedLine Citation:
PMID:  23010675     Owner:  NLM     Status:  MEDLINE    
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.
Martin Kaddumukasa; Edward Ddumba; Pamela Duncan; Larry B Goldstein
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Publication Detail:
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:
Title:  Stroke; a journal of cerebral circulation     Volume:  43     ISSN:  1524-4628     ISO Abbreviation:  Stroke     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-11-27     Completed Date:  2013-02-05     Revised Date:  2013-12-04    
Medline Journal Info:
Nlm Unique ID:  0235266     Medline TA:  Stroke     Country:  United States    
Other Details:
Languages:  eng     Pagination:  3402-4     Citation Subset:  IM    
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MeSH Terms
Blood Pressure
Health Knowledge, Attitudes, Practice / ethnology*
Hospitals / statistics & numerical data
Hypertension / ethnology*,  psychology*
Logistic Models
Middle Aged
Stroke / ethnology*,  psychology*
Tertiary Care Centers / statistics & numerical data
Uganda / epidemiology
Grant Support
5D43 TW008310-02/TW/FIC NIH HHS; D43 TW008310/TW/FIC NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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