Dataset Information

Hypertension, a Neglected Disease in Rural and Urban Areas in Moramanga, Madagascar.

ABSTRACT:

Background

Hypertension is one of the main risk factors of cardiovascular diseases. In Madagascar, studies on hypertension in urban and rural communities are scarce.

Objectives

The aim of this study was to determine the prevalence of hypertension and identify associated risk factors in adults living in a health and demographic system in Moramanga, Madagascar.

Methods

The study included people aged 15 years old and above living in a health and demographic system in Moramanga. A household census was performed in 2012 to enumerate the population in 3 communities in Moramanga. In addition to the questionnaire used in the initial census, a standardized questionnaire and blood pressure were taken twice after 5 and 10 minutes of rest. In urban areas, heights and weights were also measured to calculate the body mass index.

Results

There were 3621 and 4010 participants respectively in rural and urban areas. Prevalence of hypertension in rural population was 27.0% (IC95% [25.6-28.5]) and 29.7% (IC95% [28.3-31.1]) in urban population. Among hypertensive subjects, 1.7% (17/979) and 5.3% (64/1191) were on antihypertensive treatment for at least 1 month before the survey in rural and urban population, respectively. In rural areas, increasing age (65 years and older vs 18-25 years OR = 11.81, IC95% [7.79-18.07]), giving more than 3 positive responses to the usual risks factors of hypertension (OR = 1.67, IC95% [1.14-2.42]) and singles in comparison with married people (OR = 1.61, IC95% [1.20-2.17]) were associated to hypertension in a logistic regression model. In urban areas, increasing age (65 years and older vs 18-25 years OR = 37.54, IC95% [24.81-57.92]), more than 3 positive responses to the usual risks of hypertension (OR = 3.47, IC95% [2.58-4.67]) and obesity (OR = 2.45, IC95% [1.56-3.87]) were found as risk factors.

Conclusion

Hypertension is highly prevalent in rural areas although it is significantly less treated. As a result, a major epidemic of cardiovascular diseases is at risk in Madagascar's progressively aging society.

SUBMITTER: Ratovoson R

PROVIDER: S-EPMC4565657 | biostudies-literature | 2015

REPOSITORIES: biostudies-literature

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Publications

Hypertension, a Neglected Disease in Rural and Urban Areas in Moramanga, Madagascar.

Ratovoson Rila R Rasetarinera Ony Rabarisoa OR Andrianantenaina Ionimalala I Rogier Christophe C Piola Patrice P Pacaud Pierre P

PloS one 20150910 9

<h4>Background</h4>Hypertension is one of the main risk factors of cardiovascular diseases. In Madagascar, studies on hypertension in urban and rural communities are scarce.<h4>Objectives</h4>The aim of this study was to determine the prevalence of hypertension and identify associated risk factors in adults living in a health and demographic system in Moramanga, Madagascar.<h4>Methods</h4>The study included people aged 15 years old and above living in a health and demographic system in Moramanga ...[more]

PMID: 26355997

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Dataset Information

Hypertension, a Neglected Disease in Rural and Urban Areas in Moramanga, Madagascar.

Background

Objectives

Methods

Results

Conclusion

Publications

Hypertension, a Neglected Disease in Rural and Urban Areas in Moramanga, Madagascar.

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