Document Detail


Prevalence, detection, management, and control of hypertension in Ghanaian civil servants.
MedLine Citation:
PMID:  19157257     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: The goal of this study was to determine the prevalence of hypertension and establish the levels of detection, treatment, and control among urban civil servants in Ghana.
METHODS: A cross-sectional study was conducted on 1015 urban civil servants aged > or = 25 years from seven randomly selected central government ministries in Accra, Ghana. Hypertension was diagnosed when the mean of a second and third blood pressure reading was > or = 140/90 mm Hg or participants reported that they used antihypertensive medication.
RESULTS: The age-adjusted (world standard population) prevalence of hypertension was 27.4% (95% CI 24.7%-30.1%). The prevalence of hypertension increased with age. The proportion of hypertensive participants with severe hypertension (blood pressure > or = 180/ 110mm Hg) was 19.2%. Among the 307 participants with hypertension, 54.1% had been previously detected, 31.3% were on treatment, and 12.7% had their blood pressure controlled (< 140/90 mm Hg). Female sex was independently associated with higher detection and treatment of hypertension and better control. Hypertension was positively associated with age and body mass index and negatively associated with physical activity.
CONCLUSIONS: The high prevalence of hypertension in this population with considerable underdiagnosis and low levels of treatment and control is of great concern. It is important to introduce health education measures that will promote prevention and early detection of hypertension and encourage better compliance to treatment. The reasons for inadequate control must be investigated to enable implementation of appropriate measures to improve control and reduce the risk of developing complications. There is a need to encourage healthier lifestyles with emphasis on preventing obesity and increasing level of activity.
Authors:
Juliet Addo; Liam Smeeth; David A Leon
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Ethnicity & disease     Volume:  18     ISSN:  1049-510X     ISO Abbreviation:  Ethn Dis     Publication Date:  2008  
Date Detail:
Created Date:  2009-01-22     Completed Date:  2009-02-13     Revised Date:  2011-03-29    
Medline Journal Info:
Nlm Unique ID:  9109034     Medline TA:  Ethn Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  505-11     Citation Subset:  IM    
Affiliation:
Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom. Juliet.addo@lshtm.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Ghana / epidemiology
Humans
Hypertension / diagnosis,  drug therapy,  epidemiology*
Life Style
Male
Occupations
Prevalence
Grant Support
ID/Acronym/Agency:
082178//Wellcome Trust; //Wellcome Trust
Comments/Corrections
Summary for patients in:
Ethn Dis. 2008 Autumn;18(4):522   [PMID:  19157262 ]

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


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