Awareness, Treatment and Control of Hypertension among Traders in Lagos
DOI:
https://doi.org/10.47672/ajhmn.910Keywords:
Hypertension, Awareness, Treatment, Control.Abstract
Introduction: Hypertension is defined as a sustained elevation in the blood pressure of an individual above levels considered normal for the individual's age, sex, race, and body size. Awareness of hypertensive status among traders in Enugu was 29.4% as of 2017. This study focused on the level of awareness, treatment and control of hypertension among traders in Lagos because of the increasing morbidity and mortality from hypertension in Lagos.
Materials and Methods: This was a descriptive cross-sectional study conducted among a total of 391 traders selected from the Tejuosho market, Iponri market and Orile Iganmu market. Data were collected using an interviewer-administered questionnaire and blood pressure was read using a digital sphygmomanometer as well as anthropometric measurements. Data obtained was analyzed using Epi-info 7.2 software. Analysis was done at a 95% confidence interval with a P-value of < 0.05 considered statistically significant. Associations between categorical variables were assessed using the chi-square test.
Results: It was found that only 46.6% of the traders were aware of their hypertensive status with 62.5% currently on treatment and less than half (43.3%) being controlled for hypertension.
Conclusions: This study showed that awareness of hypertensive status among the traders was low and the majority of the hypertensive traders were poorly controlled despite treatment greater than 6months.
Recommendations: Traders to be educated about their health regularly, undergo frequent blood pressure screening and for Lagos state ministry of health to stipulate and enforce guidelines for hypertensive patients to get specialist care by regulating the activities of private hospitals in the management of hypertension.
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References
Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, He J. Global burden of hypertension: analysis of worldwide data. Lancet [Internet]. 2005 Jan [cited 2017 Nov 12];365(9455):217-23. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15652604.
Mensah GA, Bakris G (2011). The United Nations high-level meeting addresses Non-communicable diseases, But Where Is Hypertension? J. Clin. Hypertens. 13(11):787-790.
World Health Organization. Global status report on non-communicable diseases 2010. World Health [Internet]. 2010;176. Available from:
http://whqlibdoc.who.int/publications/2011/9789240686458_eng.pdf
Belue R, Okoror TA, Iwelunmor J, Taylor KD, Degboe AN, Agyemang C, et al. Globalization and Health: An overview of cardiovascular risk factor burden in sub-Saharan African countries: a socio-cultural perspective. 2009; 12:1-12.
Houtman I, Jettinghoff K, Cedillo L. Raising awareness of stress at work in developing countries. Prot Work Heal Ser [Internet]. 2007;(6):1-51. Available from: http://scholar.google.com/scholar?hl=en&btnG=Search&q=intitle:Raising+Awareness+of+Stress+at+Work+in+Developing+Countries#1.
Rodgers A, Ezzati M, Vander Hoorn S, Lopez AD, Lin RB, Murray CJ. Distribution of major health risks: findings from the Global Burden of Disease study. PLoS Med 2004; 1:e27.
Ogah OS, Okpechi I, Chukwuonye II, Akinyemi JO, Onwubere BJ, Falase AO, et al. Blood pressure, the prevalence of hypertension and hypertension-related complications in Nigerian Africans: A review. World J Cardiol [Internet]. 2012 Dec 26 [cited 2017 Nov 12];4(12):327-40. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23272273.
Wolf-Maier K, Cooper RS, Banegas JR, Giampaoli S, Hense H-W, Joffres M, et al. Hypertension Prevalence and Blood Pressure Levels in 6 European Countries, Canada, and the United States. JAMA [Internet]. American Medical Association; 2003 May 14 [cited 2017 Nov 13];289(18):2363. Available from: http://jama.jamanetwork.com/article.aspx?doi=10.1001/jama.289.18.2363.
Ong, K. L., and Cheung, B. (2007), "Prevalence, awareness, treatment, and control of hypertension among United States adults 1999-2004", Hypertension, 49, pp 69-75.
Zhang, X, Zhu, M, Dib, H. H, Hu, Z,Tang,S, Zhang, T. and Ming, X. (2009),"Knowledge, Awareness, Behaviour (KAB) and control of hypertension among urban elderly in Western China", International Journal of Cardiology, 137(1), pp 9-15.
Kayima J, Wanyenze RK, Katamba A, Leontsini E, Nuwaha F. Hypertension awareness, treatment and control in Africa: a systematic review. BMC Cardiovasc Discord [Internet]. 2013;13(1):54. Available from: http://bmccardiovascdisord.biomedcentral.com/articles/10.1186/1471-2261-13-54.
Tesfaye, B. (2009), "Population-based prevalence of high blood pressure among adults in Addis Ababa: uncovering a silent epidemic", BMC Cardiovascular Disorders, 9(39), pp 1-9.
Muhihi, A., Njelekela, M., Mpemberi, R.Masesa, Z, Kitamori, K, Mori, M, Kato, N, Mtabaji, J and Yamori, Y(2012), "Physical activity and cardiovascular risk factors among young and middle-aged in urban Mwanza, Tanzania", Pan African Medical Journal, Vol. 11 No.11, doi:10.11604/pamj.2012.11.11.557.
Azubuike, S. O., and Kurmi, R. (2014), "Awareness, practices, and prevalence of hypertension among rural Nigerian women". Archives of Medicine and Health Sciences, 2(1), pp 23-28.
Abdullahi, A. A. and Amzat, J. (2011), "Knowledge of hypertension among the staff of University of Ibadan", Nigeria Journal of Public Health and Epidemiology, 3(5), pp204-209.
Olusegun-Joseph AD, Akande O, Otrofanowei E, Nwoye EO, Olopade OB, Ajuluchukwu JN. Medical mortality in an emergency department in Nigeria: the transition is obvious! Afr Health Sci. 2021 Mar;21(1):172-179. DOI: 10.4314/ahs.v21i1.23. PMID: 34394295; PMCID: PMC8356607.
Daniel O, Adejumo O, Adejumo E, Owolabi R, Braimoh R, Salako A. Prevalence, Awareness and Factors Associated with Hypertension among Adult Residents in Lagos: A Population-Based Study. Br J Med Med Res [Internet]. 2015;8(10):874-82. Available from: http://www.sciencedomain.org/abstract.php?iid=1122&id=12&aid=9505.
Okwuonu C, Ojimadu N, Chimezie O, Madudonu U, Ogbulafor N, Ogah O. Awareness of blood pressure status, undiagnosed hypertension and proteinuria among adults in Umuahia, South-East Nigeria. Sahel Med J [Internet]. 2016;19(2):82. Available from: http://www.smjonline.org/text.asp?2016/19/2/82/186035.
Yetunde Abosede Zaid, (2017) "High Blood Pressure Awareness among Residents in Lagos State, Nigeria: The Role of Librarians in the Dissemination of Health Information", Library Review, Vol. 66 Issue: 4/5, DOI: 10.1108/LR-06-2016-0056. http://dx.doi.org/10.1108/LR-06-2016-0056.
Ulasi, I. I, Ijoma, C. K, Onwubere, B. J, Arodiwe, E, Onodugo, O and Okafo, C (2011), "High prevalence and low awareness of hypertension in a market population in Enugu, Nigeria", International Journal of Hypertension, pp 11, 1-5.
Odugbemi TO, Onajole AT, Osibogun AO. Prevalence of cardiovascular risk factors amongst traders in an urban market in Lagos, Nigeria. Niger Postgrad Med J [Internet]. 2012;19(1):1-6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22430594.
Amira CO, Akinkugbe O, Fasanmade O, Ozoh O, Bandele E. Prevalence and awareness of hypertension in a rural community in South-West Nigeria. Nig Qt J Hosp Med. 2014;24(2):96-101.
Oladapo, O. O., Salako, L, Sodiq, O., Shoyinka, K., Adedapo, K., and Falase, A. O. (2010), "A prevalence of cardiometabolic risk factors among a rural Yoruba south-western Nigerian population: a population-based survey", Cardiovascular Journal of Africa, 21, pp 26-31.
Omuemu, O. H., Okojie, and C. E. Omuemu, (2007), "Awareness of high blood pressure status, treatment and control in a rural community in Edo State", Nigerian Journal of clinical practice, 10(3), pp 208-212.
Wu Y, Huxley R, Li L, Anna V, Xie G, Yao C, Woodward M, Li X, Chalmers J, Gao R, Kong L, Yang X; China NNHS Steering Committee; China NNHS Working Group. Prevalence, awareness, treatment, and control of hypertension in China: data from the China National Nutrition and Health Survey 2002. Circulation. 2008 Dec 16;118(25):2679-86. DOI: 10.1161/CIRCULATIONAHA.108.788166. PMID: 19106390.
Awuah RB, Anarfi JK, Agyemang C, Ogedegbe G, Aikins A de-G. Prevalence, awareness, treatment and control of hypertension in urban poor communities in Accra, Ghana. J Hypertens [Internet]. 2014;32(6):1203-10. Available from: http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage&an=00004872-201406000-00010.
Thorogood M, Connor M, Tollman S, Lewando Hundt G, Fowkes G, Marsh J. A cross-sectional study of vascular risk factors in a rural South African population: data from the Southern African Stroke Prevention Initiative (SASPI). BMC Public Health 2007;7:326.
Hypertension Study Group. Prevalence, awareness, treatment and control of hypertension among the elderly in Bangladesh and India: a multicentre study. Bull World Health Organ 2001;79:490-500.
Mohamed hussein MS, Nagri ZI, Manji KP. Prevalence, Risk Factors, Awareness, and Treatment and Control of Hypertension in Mafia Island, Tanzania. 2016;2016.
Kalani Z, Abdi H, Shahbazi L, Salimi T, Amini PM. Hypertension in the Yazd adult population. Payesh. 2011;10(1):101-7.
Bosu WK. The prevalence, awareness, and control of hypertension among workers in West Africa: A systematic review. Glob Health Action. 2015;8(1).
Tesfaye B, Haile D, Lake B, Belachew T, Tesfaye T, Abera H. Uncontrolled hypertension and associated factors among adult hypertensive patients on follow-up at Jimma University teaching and specialized hospital: a cross-sectional study. Res Rep Clin Cardiol 2017;8:21-29. http://doi.org/https://doi.org/10.2147/RRCC.S132126.
Gómez-Oliv FX, Ali SA, Made F, Kyobutungi C, Nonterah E, Micklesfield L, et al. Stark Regional and Sex Differences in the Prevalence and Awareness of Hypertension: An H3Africa AWI-Gen Study Across 6 Sites in Sub-Saharan Africa. Global Heart. 2017;12(2):81-90.
Ifunanya G. Uzoma, Geraldine ifunanya pg/mph/ 05/45106. 2010;(August).
Pereira M, Lunet N, Azevedo A, Barros H: Differences in prevalence, awareness, treatment and control of hypertension between developing and developed countries. Journal of hypertension 2009, 27(5):963-975.
Ataklte F, Erqou S, Kaptoge S, Taye B, Echouffo-Tcheugui JB, Kengne AP. The burden of undiagnosed hypertension in sub-Saharan Africa. A systematic review and meta-analysis. Hypertension. 2014;65:291-8.
Van de Vijver SJ, Oti SO, Agyemang C, Gomez GB, Kyobutungi C. Prevalence, awareness, treatment and control of hypertension among slum dwellers in Nairobi, Kenya. J Hypertens 2013;31(5):1018-1024.
Guwatudde D, Mutungi G, Wesonga R, Kajjura R, Kasule H, Muwonge J, et al. The epidemiology of hypertension in Uganda: findings from the national non-communicable diseases risk factor survey. PLoS One. 2015;10(9):e0138991.
Mosha NR, Mahande M, Juma A, Mboya I, Peck R, Urassa M, et al. Prevalence, awareness and factors associated with hypertension in North West Tanzania. Glob Health Action. 2017;10(1):1321279.
Lloyd-Sherlock P, Beard J, Minicuci N, Ebrahim S, Chatterji S. Hypertension among older adults in low- and middle-income countries: prevalence, awareness and control. Int J Epidemiol [Internet]. 2014 Feb 1 [cited 2017 Nov 14];43(1):116-28. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24505082.
Damasceno A, Azevedo A, Silva-Matos C, Prista A, Diogo D, Lunet N: Hypertension prevalence, awareness, treatment, and control in mozambique: urban/rural gap during epidemiological transition. Hypertension 2009, 54(1):77-83.
Okwuonu CG, Ngoka SC, Chimezie OJ, Eze TH, Uwanurochi K, Mbanaso AU. Towards prevention of hypertension in Nigeria: A study of prehypertension and its associations among apparently healthy adults in Umuahia, South-East Nigeria. Int J Prev Med. 2015;2015(JULY).
Olayinka A, Owolabi MO, David A, Amole IO. Internet Journal of Medical Update Nigeria. 2015;10(2):10-9.
World Health Organization. A global brief on hypertension; silent killer, global public health crisis: World Health Day 2013. Geneva: Hypertens. 2013;9.
Cappuccino FP, Micah FB, Emmett L, Kerry SM, Antwi S, Martin-peprah R, et al. Hypertension in Ashanti, West Africa. 2004;1017-23.
Karmacharya BM, Koju RP, Logerfo JP, Chuen K, Chan G, Mokdad AH, et al. Awareness, treatment and control of hypertension in Nepal: findings from the Dhulikhel Heart Study. 2017;1-8.
Zhang Y, Moran AE. Trends in the Prevalence, Awareness, Treatment, and Control of Hypertension Among Young Adults in the United States, 1999 to 2014. Hypertension. 2017 Oct;70(4):736-742. DOI: 10.1161/HYPERTENSIONAHA.117.09801. Epub 2017 Aug 28. PMID: 28847890; PMCID: PMC5657525.
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