Self-Reported Hypertension and Associated Factors Among Adults in Butambala District, Central Uganda: A Community-Based Prevalence Study.

IF 1.5 Q3 PERIPHERAL VASCULAR DISEASE Integrated Blood Pressure Control Pub Date : 2023-11-09 eCollection Date: 2023-01-01 DOI:10.2147/IBPC.S434230
Alex Male Kato, Winnie Kibone, Jerom Okot, Joseph Baruch Baluku, Felix Bongomin
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Abstract

Background: The prevalence of hypertension (HTN) differs among regions and income groups, showing a substantial increase in low- and middle-income countries. The development of hypertension is modulated by modifiable lifestyle factors, and uncontrolled hypertension poses a risk for the onset of cardiovascular diseases.

Objective: To determine the community-level point-prevalence and factors associated with self-reported HTN among adults in Butambala district, central Uganda.

Methods: A community-based cross-sectional study was conducted among adults aged ≥18 years in Budde subcounty, central Uganda. Data on sociodemographic characteristics and behavior were collected using a semistructured questionnaire. Self-reported HTN was assessed using a single question: "Do you have high blood pressure?" Bivariate and multivariate logistic regression analyses were performed to identify predictors of self-reported HTN.

Results: A total of 565 participants (53.5% female) with a median age of 38 years (IQR: 26-52) were included in the study. The prevalence of self-reported hypertension was 18.9%. Factors independently associated with HTN were age 60 years or older (aOR: 2.9, 95% CI: 1.64-5.23, p<0.001), female sex (aOR: 3.3, 95% CI: 2.3-6.3, p<0.001), being widowed (aOR: 10.4, 95% CI: 1.25-87.14, p=0.03), secondary (aOR: 0.4, 95% CI: 0.20-0.85, p=0.016) and tertiary (aOR: 0.2, 95% CI: 0.09-0.64, p=0.005) education, unemployment (aOR: 3.0, 95% CI: 1.11-7.96, p=0.03), tobacco use (aOR: 2.9, 95% CI: 1.83-4.53, p<0.001), having had at least one blood pressure measurement during antenatal visit (aOR: 4.7, 95% CI: 1.97-11.33, p<0.001) or medical checkup (aOR: 10.7, 95% CI: 6.06-18.

Conclusion: We observed a high prevalence of self-reported HTN affecting approximately one in five participants. More efforts are required to enhance routine screening, health education, and accessibility to HTN services in rural areas, with a particular emphasis on implementing HTN prevention and control strategies to effectively reduce the prevalence of HTN.

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乌干达中部布坦巴拉地区成人自我报告的高血压及其相关因素:一项基于社区的流行病学研究
背景:不同地区和收入群体的高血压患病率不同,低收入和中等收入国家的高血压患病率大幅上升。高血压的发展受到可改变的生活方式因素的调节,不受控制的高血压会增加心血管疾病的发病风险。目的:确定乌干达中部布坦巴拉地区成人HTN的社区水平点患病率和自我报告的相关因素。方法:对乌干达中部布德县年龄≥18岁的成年人进行了一项以社区为基础的横断面研究。使用半结构化问卷收集社会人口特征和行为数据。自我报告的HTN通过一个简单的问题进行评估:“你有高血压吗?”进行双变量和多变量逻辑回归分析,以确定自我报告的HTN的预测因子。结果:共纳入565名参与者(53.5%为女性),中位年龄为38岁(IQR: 26-52)。自我报告的高血压患病率为18.9%。与HTN独立相关的因素是年龄在60岁或以上(aOR: 2.9, 95% CI: 1.64-5.23)。结论:我们观察到自我报告HTN的患病率很高,影响了大约五分之一的参与者。需要作出更多努力,加强农村地区的常规筛查、健康教育和HTN服务的可及性,特别强调实施HTN预防和控制战略,以有效减少HTN的流行。
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来源期刊
Integrated Blood Pressure Control
Integrated Blood Pressure Control PERIPHERAL VASCULAR DISEASE-
CiteScore
4.60
自引率
0.00%
发文量
13
审稿时长
16 weeks
期刊最新文献
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