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A systematic review of the burden of hypertension, access to services and patient views of hypertension in humanitarian crisis settings
INTRODUCTION: Globally, a record number of people are affected by humanitarian crises caused by conflict and natural disasters. Many such populations live in settings where epidemiological transition is underway. Following the United Nations high level meeting on non-communicable diseases, the globa...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7654140/ https://www.ncbi.nlm.nih.gov/pubmed/33168520 http://dx.doi.org/10.1136/bmjgh-2020-002440 |
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author | Keasley, James Oyebode, Oyinlola Shantikumar, Saran Proto, William McGranahan, Majel Sabouni, Amar Kidy, Farah |
author_facet | Keasley, James Oyebode, Oyinlola Shantikumar, Saran Proto, William McGranahan, Majel Sabouni, Amar Kidy, Farah |
author_sort | Keasley, James |
collection | PubMed |
description | INTRODUCTION: Globally, a record number of people are affected by humanitarian crises caused by conflict and natural disasters. Many such populations live in settings where epidemiological transition is underway. Following the United Nations high level meeting on non-communicable diseases, the global commitment to Universal Health Coverage and needs expressed by humanitarian agencies, there is increasing effort to develop guidelines for the management of hypertension in humanitarian settings. The objective was to investigate the prevalence and incidence of hypertension in populations directly affected by humanitarian crises; the cascade of care in these populations and patient knowledge of and attitude to hypertension. METHODS: A literature search was carried out in five databases. Grey literature was searched. The population of interest was adult, non-pregnant, civilians living in any country who were directly exposed to a crisis since 1999. Eligibility assessment, data extraction and quality appraisal were carried out in duplicate. RESULTS: Sixty-one studies were included in the narrative synthesis. They reported on a range of crises including the wars in Syria and Iraq, the Great East Japan Earthquake, Hurricane Katrina and Palestinian refugees. There were few studies from Africa or Asia (excluding Japan). The studies predominantly assessed prevalence of hypertension. This varied with geography and age of the population. Access to care, patient understanding and patient views on hypertension were poorly examined. Most of the studies had a high risk of bias due to methods used in the diagnosis of hypertension and in the selection of study populations. CONCLUSION: Hypertension is seen in a range of humanitarian settings and the burden can be considerable. Further studies are needed to accurately estimate prevalence of hypertension in crisis-affected populations throughout the world. An appreciation of patient knowledge and understanding of hypertension as well as the cascade of care would be invaluable in informing service provision. |
format | Online Article Text |
id | pubmed-7654140 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-76541402020-11-17 A systematic review of the burden of hypertension, access to services and patient views of hypertension in humanitarian crisis settings Keasley, James Oyebode, Oyinlola Shantikumar, Saran Proto, William McGranahan, Majel Sabouni, Amar Kidy, Farah BMJ Glob Health Original Research INTRODUCTION: Globally, a record number of people are affected by humanitarian crises caused by conflict and natural disasters. Many such populations live in settings where epidemiological transition is underway. Following the United Nations high level meeting on non-communicable diseases, the global commitment to Universal Health Coverage and needs expressed by humanitarian agencies, there is increasing effort to develop guidelines for the management of hypertension in humanitarian settings. The objective was to investigate the prevalence and incidence of hypertension in populations directly affected by humanitarian crises; the cascade of care in these populations and patient knowledge of and attitude to hypertension. METHODS: A literature search was carried out in five databases. Grey literature was searched. The population of interest was adult, non-pregnant, civilians living in any country who were directly exposed to a crisis since 1999. Eligibility assessment, data extraction and quality appraisal were carried out in duplicate. RESULTS: Sixty-one studies were included in the narrative synthesis. They reported on a range of crises including the wars in Syria and Iraq, the Great East Japan Earthquake, Hurricane Katrina and Palestinian refugees. There were few studies from Africa or Asia (excluding Japan). The studies predominantly assessed prevalence of hypertension. This varied with geography and age of the population. Access to care, patient understanding and patient views on hypertension were poorly examined. Most of the studies had a high risk of bias due to methods used in the diagnosis of hypertension and in the selection of study populations. CONCLUSION: Hypertension is seen in a range of humanitarian settings and the burden can be considerable. Further studies are needed to accurately estimate prevalence of hypertension in crisis-affected populations throughout the world. An appreciation of patient knowledge and understanding of hypertension as well as the cascade of care would be invaluable in informing service provision. BMJ Publishing Group 2020-11-09 /pmc/articles/PMC7654140/ /pubmed/33168520 http://dx.doi.org/10.1136/bmjgh-2020-002440 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/ https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Original Research Keasley, James Oyebode, Oyinlola Shantikumar, Saran Proto, William McGranahan, Majel Sabouni, Amar Kidy, Farah A systematic review of the burden of hypertension, access to services and patient views of hypertension in humanitarian crisis settings |
title | A systematic review of the burden of hypertension, access to services and patient views of hypertension in humanitarian crisis settings |
title_full | A systematic review of the burden of hypertension, access to services and patient views of hypertension in humanitarian crisis settings |
title_fullStr | A systematic review of the burden of hypertension, access to services and patient views of hypertension in humanitarian crisis settings |
title_full_unstemmed | A systematic review of the burden of hypertension, access to services and patient views of hypertension in humanitarian crisis settings |
title_short | A systematic review of the burden of hypertension, access to services and patient views of hypertension in humanitarian crisis settings |
title_sort | systematic review of the burden of hypertension, access to services and patient views of hypertension in humanitarian crisis settings |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7654140/ https://www.ncbi.nlm.nih.gov/pubmed/33168520 http://dx.doi.org/10.1136/bmjgh-2020-002440 |
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