Document Detail

Relationship of hypertension to socioeconomic status in a west African population.
MedLine Citation:
PMID:  9395546     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To determine whether hypertension rates were positively related to socioeconomic status (SES) in males in urban northern Nigerian civil servants in order to confirm this relationship previously observed in a southern Nigerian civil servant population which differed in tribal origin, religious practices and diet. METHODS: Civil servants were recruited from the Sokoto State ministries, Sokoto, Nigeria. Professionals and administrators were designated as higher SES, and clerks and laborers as lower SES. In addition to blood pressure, the height and weight of individuals, as well as their urinary sodium- and potassium-creatinine, were also measured. RESULTS: The age-adjusted occurrence of hypertension (systolic pressure > or = 140 mmHg or diastolic pressure > or = 90 mmHg or current use of hypertension medication) was similar in male higher (n = 155) and lower (n = 255) SES groups aged 25-54, 19.3% and 19.8%, respectively. However, the age-adjusted rate of definite hypertension (systolic pressure > or = 160 mmHg or diastolic pressure > or = 95 mmHg or current use of hypertension medication) was considerably higher in the higher SES than in the lower SES men, 11.2% versus 3.6%. Age-adjusted body mass index (BMI, kg/m2) was higher among the higher than in the lower SES group, 21.4 versus 20.4. Over-night sodium excretion did not differ. Among female civil servants (n = 73) aged 20-44, there were few of higher SES (n = 19) precluding SES-specific analyses. Total and definite hypertension rates among women were 17.2% and 5.5%, respectively. Mean BMI was 22.2. In logistic regression, definite hypertensive status was related to age group, BMI tertile, sodium excretion and SES in men and to sodium excretion in women. CONCLUSION: Even in this very lean population, the higher risk for hypertension in males of higher SES was confirmed. This was explained, in part, by higher BMI.
C H Bunker; F I Okoro; N Markovic; N Thai; B Pippin; M Ackrell; L H Kuller
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Ethnicity & health     Volume:  1     ISSN:  1355-7858     ISO Abbreviation:  Ethn Health     Publication Date:  1996 Mar 
Date Detail:
Created Date:  1997-12-31     Completed Date:  1997-12-31     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  9608374     Medline TA:  Ethn Health     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  33-45     Citation Subset:  IM    
Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, USA.
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MeSH Terms
Age Factors
Body Mass Index
Electrolytes / urine
Hypertension / epidemiology,  ethnology*,  etiology
Middle Aged
Nigeria / epidemiology
Sex Factors
Socioeconomic Factors
Urban Population / statistics & numerical data
Grant Support
2 SO7 RR05451-29/RR/NCRR NIH HHS
Reg. No./Substance:

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