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Hypertension Prevalence and Determinants among Black South African Adults in Semi-Urban and Rural Areas

The burden of hypertension is reported to be on the rise in developing countries, such as South Africa, despite increased efforts to address it. Using a cross-sectional study design, we assessed and compared the prevalence of and risk factors associated with hypertension amongst adults aged ≥18 year...

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Autores principales: Mphekgwana, Peter M., Malema, Nancy, Monyeki, Kotsedi D., Mothiba, Tebogo M., Makgahlela, Mpsanyana, Kgatla, Nancy, Makgato, Irene, Sodi, Tholene
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7602258/
https://www.ncbi.nlm.nih.gov/pubmed/33066410
http://dx.doi.org/10.3390/ijerph17207463
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author Mphekgwana, Peter M.
Malema, Nancy
Monyeki, Kotsedi D.
Mothiba, Tebogo M.
Makgahlela, Mpsanyana
Kgatla, Nancy
Makgato, Irene
Sodi, Tholene
author_facet Mphekgwana, Peter M.
Malema, Nancy
Monyeki, Kotsedi D.
Mothiba, Tebogo M.
Makgahlela, Mpsanyana
Kgatla, Nancy
Makgato, Irene
Sodi, Tholene
author_sort Mphekgwana, Peter M.
collection PubMed
description The burden of hypertension is reported to be on the rise in developing countries, such as South Africa, despite increased efforts to address it. Using a cross-sectional study design, we assessed and compared the prevalence of and risk factors associated with hypertension amongst adults aged ≥18 years in semi-urban and rural communities (1187 semi-urban and 1106 rural). Trained community health workers administered the INTERHEART Risk Score tool and performed blood pressure assessments using the MEDIC Pharmacists Choice Blood Pressure Monitor. Hypertension was defined to be a systolic blood pressure (BP) ≥ 140 mmHg and diastolic BP ≥ 90 mmHg. A multivariate logistic regression model was used to identify factors and determine their relationship with hypertension. The prevalence of hypertension amongst semi-urban and rural communities was 21% with no gender difference. In the semi-urban area, physical activity, family history, fruit intake, salty food, and eating meat were significantly associated with the odds of hypertension among women, whereas only the waist-to-hip ratio (WHR), diabetic status, and salty food were the predictors for rural women. Factors such as fried food and low fruit intake were significantly associated with the odds of hypertension among men in the semi-urban area, whereas only the WHR was significant among men in the rural area. Hypertension was found to be prevalent among semi-urban and rural adults in Limpopo Province, South Africa.
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spelling pubmed-76022582020-11-01 Hypertension Prevalence and Determinants among Black South African Adults in Semi-Urban and Rural Areas Mphekgwana, Peter M. Malema, Nancy Monyeki, Kotsedi D. Mothiba, Tebogo M. Makgahlela, Mpsanyana Kgatla, Nancy Makgato, Irene Sodi, Tholene Int J Environ Res Public Health Article The burden of hypertension is reported to be on the rise in developing countries, such as South Africa, despite increased efforts to address it. Using a cross-sectional study design, we assessed and compared the prevalence of and risk factors associated with hypertension amongst adults aged ≥18 years in semi-urban and rural communities (1187 semi-urban and 1106 rural). Trained community health workers administered the INTERHEART Risk Score tool and performed blood pressure assessments using the MEDIC Pharmacists Choice Blood Pressure Monitor. Hypertension was defined to be a systolic blood pressure (BP) ≥ 140 mmHg and diastolic BP ≥ 90 mmHg. A multivariate logistic regression model was used to identify factors and determine their relationship with hypertension. The prevalence of hypertension amongst semi-urban and rural communities was 21% with no gender difference. In the semi-urban area, physical activity, family history, fruit intake, salty food, and eating meat were significantly associated with the odds of hypertension among women, whereas only the waist-to-hip ratio (WHR), diabetic status, and salty food were the predictors for rural women. Factors such as fried food and low fruit intake were significantly associated with the odds of hypertension among men in the semi-urban area, whereas only the WHR was significant among men in the rural area. Hypertension was found to be prevalent among semi-urban and rural adults in Limpopo Province, South Africa. MDPI 2020-10-14 2020-10 /pmc/articles/PMC7602258/ /pubmed/33066410 http://dx.doi.org/10.3390/ijerph17207463 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Mphekgwana, Peter M.
Malema, Nancy
Monyeki, Kotsedi D.
Mothiba, Tebogo M.
Makgahlela, Mpsanyana
Kgatla, Nancy
Makgato, Irene
Sodi, Tholene
Hypertension Prevalence and Determinants among Black South African Adults in Semi-Urban and Rural Areas
title Hypertension Prevalence and Determinants among Black South African Adults in Semi-Urban and Rural Areas
title_full Hypertension Prevalence and Determinants among Black South African Adults in Semi-Urban and Rural Areas
title_fullStr Hypertension Prevalence and Determinants among Black South African Adults in Semi-Urban and Rural Areas
title_full_unstemmed Hypertension Prevalence and Determinants among Black South African Adults in Semi-Urban and Rural Areas
title_short Hypertension Prevalence and Determinants among Black South African Adults in Semi-Urban and Rural Areas
title_sort hypertension prevalence and determinants among black south african adults in semi-urban and rural areas
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7602258/
https://www.ncbi.nlm.nih.gov/pubmed/33066410
http://dx.doi.org/10.3390/ijerph17207463
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