Prevalence, awareness, treatment, and control of hypertension among rural and urban dwellers of the Far North Region of Cameroon.

Details

Serval ID
serval:BIB_4703E3643E37
Type
Article: article from journal or magazin.
Collection
Publications
Title
Prevalence, awareness, treatment, and control of hypertension among rural and urban dwellers of the Far North Region of Cameroon.
Journal
Journal of hypertension
Author(s)
Lemogoum D., Van de Borne P., Lele CEB, Damasceno A., Ngatchou W., Amta P., Leeman M., Preumont N., Degaute J.P., Kamdem F., Hermans M.P., Donnen P., Bovet P.
ISSN
1473-5598 (Electronic)
ISSN-L
0263-6352
Publication state
Published
Issued date
01/2018
Peer-reviewed
Oui
Volume
36
Number
1
Pages
159-168
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
To assess the prevalence and determinants of high blood pressure (BP) and awareness, treatment, and control rates in the Far North Region of Cameroon, where these variables have not been explored so far.
In total, 889 individuals (41.5% women) aged at least 18 years participated in a cross-sectional survey conducted in Maroua (urban area) and Tokombere (rural area) from November 2014 to May 2015, using a multistage cluster sampling frame. Anthropometric variables, BP, and fasting capillary glucose were assessed in all participants. Hypertension was defined as BP at least 140/90 mmHg or antihypertensive therapy and BP control as BP less than 140/90 mmHg. Prevalence estimates were age standardized to the Cameroon population.
The prevalence of hypertension was 37.8% (rural: 34%; urban: 41.2%; men: 38.8%; women: 37.9%). Hypertension was associated with urban environment (odds ratio: 1.42; 95%; confidence interval 1.06-1.89), age at least 70 years (4.06; 2.02-6.14), male sex (4.06; 2.02-6.14), abdominal obesity (2.36; 1.54-3.61), and high blood sugar (2.01; 1.31-3.08). Among individuals with hypertension, 18.6% (rural: 17.9%; urban: 19.5%) were aware of having high BP. Among those aware, 29.3% (rural: 17.3%; urban: 36.3%) reported receiving treatment, of whom 16.3% (rural: 22.6%; urban: 4.2%) had BP controlled. Awareness, treatment, and BP control levels were higher in women than men.
Hypertension is highly prevalent in Far North Cameroon and awareness, treatment, and control rates are low. Efforts to improve detection, treatment, and control of hypertension in Cameroon are needed.
Keywords
Adult, Awareness, Blood Pressure, Cameroon/epidemiology, Cross-Sectional Studies, Female, Health Knowledge, Attitudes, Practice, Humans, Hypertension/epidemiology, Hypertension/psychology, Hypertension/therapy, Male, Middle Aged, Prevalence, Rural Population/statistics & numerical data, Urban Population/statistics & numerical data, Young Adult
Pubmed
Web of science
Create date
07/12/2017 18:47
Last modification date
25/06/2018 17:27
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