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ABSTRACT: Introduction
Sub-Saharan Africa is experiencing a surge in the burden of hypertension, and rural communities are increasingly affected by the epidemic.Objectives
We aimed to determine the prevalence of and factors associated with hypertension in rural communities of the Baham Health District (BHD), Cameroon. In addition, we sought to assess awareness, treatment and control rates of hypertension among community members.Design
A community-based cross-sectional study.Setting
Participants from five health areas in the BHD were recruited from August to October 2018.Participants
Consenting participants aged 18 years and above were included.Results
We included 526 participants in this study. The median age of the participants was 53.0 (IQR=35-65) years and 67.1% were female. The crude prevalence of hypertension was 40.9% (95% CI=36.7-45.1) with no gender disparity. The age-standardised prevalence of hypertension was 23.9% (95% CI=20.3-27.5). Five-year increase in age (adjusted OR (AOR)=1.34; 95% CI=1.23-1.44), family history of hypertension (AOR=2.22; 95% CI=1.37-3.60) and obesity (AOR=2.57; 95% CI=1.40-4.69) were associated with higher odds of hypertension after controlling for confounding. The rates of awareness, treatment and control of hypertension were 37.2% (95% CI=31.0-43.9), 20.9% (95% CI=16.0-26.9) and 22.2% (95% CI=12.2- 37.0), respectively.Conclusion
The high prevalence of hypertension in these rural communities is associated with contrastingly low awareness, treatment and control rates. Age, family history of hypertension and obesity are the major drivers of hypertension in this community. Veracious policies are needed to improve awareness, prevention, diagnosis, treatment and control of hypertension in these rural communities.
SUBMITTER: Simo LP
PROVIDER: S-EPMC7482484 | biostudies-literature | 2020 Sep
REPOSITORIES: biostudies-literature
Simo Larissa Pone LP Agbor Valirie Ndip VN Noubiap Jean Jacques N JJN Nana Orlin Pagnol OP Nkosu Pride Swiri-Muya PS Anouboweh Arnold Forlemu Asaah AFA Ndi Jude Nfor JN Mbock Jacques Nguend JN Bakari Noel Fils NF Tambou Harold Giovani Guifo HGG Mbanya Dora D
BMJ open 20200909 9
<h4>Introduction</h4>Sub-Saharan Africa is experiencing a surge in the burden of hypertension, and rural communities are increasingly affected by the epidemic.<h4>Objectives</h4>We aimed to determine the prevalence of and factors associated with hypertension in rural communities of the Baham Health District (BHD), Cameroon. In addition, we sought to assess awareness, treatment and control rates of hypertension among community members.<h4>Design</h4>A community-based cross-sectional study.<h4>Set ...[more]