Document Detail

Understanding and managing hypertension in an African sub-district: a multidisciplinary approach.
MedLine Citation:
PMID:  17676503     Owner:  NLM     Status:  MEDLINE    
AIMS: To use a multidisciplinary approach to describe the prevalence, lay beliefs, health impact, and treatment of hypertension in the Agincourt sub-district.
METHODS: A multidisciplinary team used a range of methods including a cross-sectional random sample survey of vascular risk factors in adults aged 35 years and older, and rapid ethnographic assessment. People who had suffered a stroke were identified by a screening questionnaire followed by a detailed history and examination by a clinician to confirm the likely diagnosis of stroke. Workshops were held for nurses working in the local clinics and an audit of blood pressure measuring devices was carried out.
RESULTS: Some 43% of the population 35 and over had hypertension. There was no relationship with gender but a strong positive relationship with age. Illnesses were classified by the population as being either African, with personal or social causes, or White/Western, with physical causes. The causes of hypertension were stated to be both physical and social. Main sources of treatment were the clinics and hospitals but people also sought help from churches and traditional healers. Some 84% of stroke survivors had evidence of hypertension. Few people received treatment for hypertension, although good levels of control were achieved in some. Barriers to providing effective treatment included unreliable drug supply and unreliable equipment to measure blood pressure.
CONCLUSIONS: Hypertension is a major problem among older people in Agincourt. There is potential for effective secondary prevention. The potential for primary prevention is less clear. Further information on diet is required.
Margaret Thorogood; Myles D Connor; Gillian Lewando Hundt; Stephen M Tollman
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Scandinavian journal of public health. Supplement     Volume:  69     ISSN:  1403-4956     ISO Abbreviation:  Scand J Public Health Suppl     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-08-06     Completed Date:  2007-09-19     Revised Date:  2013-03-27    
Medline Journal Info:
Nlm Unique ID:  100883504     Medline TA:  Scand J Public Health Suppl     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  52-9     Citation Subset:  IM    
Warwick Medical School, University of Warwick, UK.
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MeSH Terms
Blood Pressure Determination
Cross-Sectional Studies
Health Services Accessibility
Hypertension* / complications,  diagnosis,  epidemiology,  ethnology
Life Style
Middle Aged
Risk Factors
Rural Population / statistics & numerical data
South Africa / epidemiology,  ethnology
Stroke / epidemiology,  ethnology,  etiology
Grant Support
0647/Z/01/Z//Wellcome Trust; 069683//Wellcome Trust
Comment In:
Scand J Public Health Suppl. 2007 Aug;69:66-7   [PMID:  17676505 ]

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