Prevalence of high blood pressure and associated factors among adolescents and young people in Tanzania and Uganda

We conducted a cross‐sectional study among school/college students in Tanzania and Uganda to determine the prevalence of high blood pressure (BP) and associated factors. Participants were classified to have high BP if they had pre‐hypertension or hypertension. Interviews were done using the WHO STEP...

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Published inThe journal of clinical hypertension (Greenwich, Conn.) Vol. 21; no. 4; pp. 470 - 478
Main Authors Nsanya, Mussa K., Kavishe, Bazil B., Katende, David, Mosha, Neema, Hansen, Christian, Nsubuga, Rebecca N., Munderi, Paula, Grosskurth, Heiner, Kapiga, Saidi
Format Journal Article
LanguageEnglish
Published United States John Wiley and Sons Inc 01.04.2019
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Abstract We conducted a cross‐sectional study among school/college students in Tanzania and Uganda to determine the prevalence of high blood pressure (BP) and associated factors. Participants were classified to have high BP if they had pre‐hypertension or hypertension. Interviews were done using the WHO STEPS instrument. Using data from both countries (n = 1596), the overall prevalence of high BP was 40% (95% CI: 37‐42). The prevalence of pre‐hypertension was 29% (95% CI: 26‐31) and that of hypertension was 11% (95% CI: 10‐13). High BP was independently associated with obesity (aOR = 6.7, 95% CI: 2.2‐20.0), male sex (aOR = 3.2, 95% CI: 2.4‐4.4), and among males aged above 20 years (aOR = 5.5, 95% CI: 2.9−10.5). Consumption of fruits/vegetables was associated with decreased odds for high BP (aOR = 0.7, 95% CI: 0.50‐0.98). The increasing burden of pre‐hypertension across age groups could explain the early onset of hypertension and cardiovascular diseases (CVDs) among young African adults. There is a need for longitudinal studies to explore the drivers of pre‐hypertension in East African adolescents.
AbstractList We conducted a cross‐sectional study among school/college students in Tanzania and Uganda to determine the prevalence of high blood pressure (BP) and associated factors. Participants were classified to have high BP if they had pre‐hypertension or hypertension. Interviews were done using the WHO STEPS instrument. Using data from both countries (n = 1596), the overall prevalence of high BP was 40% (95% CI: 37‐42). The prevalence of pre‐hypertension was 29% (95% CI: 26‐31) and that of hypertension was 11% (95% CI: 10‐13). High BP was independently associated with obesity (aOR = 6.7, 95% CI: 2.2‐20.0), male sex (aOR = 3.2, 95% CI: 2.4‐4.4), and among males aged above 20 years (aOR = 5.5, 95% CI: 2.9−10.5). Consumption of fruits/vegetables was associated with decreased odds for high BP (aOR = 0.7, 95% CI: 0.50‐0.98). The increasing burden of pre‐hypertension across age groups could explain the early onset of hypertension and cardiovascular diseases (CVDs) among young African adults. There is a need for longitudinal studies to explore the drivers of pre‐hypertension in East African adolescents.
We conducted a cross-sectional study among school/college students in Tanzania and Uganda to determine the prevalence of high blood pressure (BP) and associated factors. Participants were classified to have high BP if they had pre-hypertension or hypertension. Interviews were done using the WHO STEPS instrument. Using data from both countries (n = 1596), the overall prevalence of high BP was 40% (95% CI: 37-42). The prevalence of pre-hypertension was 29% (95% CI: 26-31) and that of hypertension was 11% (95% CI: 10-13). High BP was independently associated with obesity (aOR = 6.7, 95% CI: 2.2-20.0), male sex (aOR = 3.2, 95% CI: 2.4-4.4), and among males aged above 20 years (aOR = 5.5, 95% CI: 2.9-10.5). Consumption of fruits/vegetables was associated with decreased odds for high BP (aOR = 0.7, 95% CI: 0.50-0.98). The increasing burden of pre-hypertension across age groups could explain the early onset of hypertension and cardiovascular diseases (CVDs) among young African adults. There is a need for longitudinal studies to explore the drivers of pre-hypertension in East African adolescents.
We conducted a cross-sectional study among school/college students in Tanzania and Uganda to determine the prevalence of high blood pressure (BP) and associated factors. Participants were classified to have high BP if they had pre-hypertension or hypertension. Interviews were done using the WHO STEPS instrument. Using data from both countries (n = 1596), the overall prevalence of high BP was 40% (95% CI: 37-42). The prevalence of pre-hypertension was 29% (95% CI: 26-31) and that of hypertension was 11% (95% CI: 10-13). High BP was independently associated with obesity (aOR = 6.7, 95% CI: 2.2-20.0), male sex (aOR = 3.2, 95% CI: 2.4-4.4), and among males aged above 20 years (aOR = 5.5, 95% CI: 2.9-10.5). Consumption of fruits/vegetables was associated with decreased odds for high BP (aOR = 0.7, 95% CI: 0.50-0.98). The increasing burden of pre-hypertension across age groups could explain the early onset of hypertension and cardiovascular diseases (CVDs) among young African adults. There is a need for longitudinal studies to explore the drivers of pre-hypertension in East African adolescents.
Author Munderi, Paula
Kapiga, Saidi
Hansen, Christian
Nsubuga, Rebecca N.
Mosha, Neema
Katende, David
Kavishe, Bazil B.
Nsanya, Mussa K.
Grosskurth, Heiner
AuthorAffiliation 3 London School of Hygiene and Tropical Medicine London UK
2 Uganda Virus Research Unit/Medical Research Unit Entebbe Uganda
1 Mwanza Intervention Trials Unit/National Institute for Medical Research Mwanza Tanzania
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Snippet We conducted a cross‐sectional study among school/college students in Tanzania and Uganda to determine the prevalence of high blood pressure (BP) and...
We conducted a cross-sectional study among school/college students in Tanzania and Uganda to determine the prevalence of high blood pressure (BP) and...
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SubjectTerms Adolescent
adolescents
Cardiovascular Diseases - epidemiology
Case-Control Studies
Child
Cost of Illness
Cross-Sectional Studies
Feeding Behavior - physiology
Female
Humans
hypertension
Hypertension - diagnosis
Hypertension - epidemiology
Hypertension in Africa
Male
Obesity - complications
Obesity - epidemiology
Original Paper
Prehypertension - diagnosis
Prehypertension - epidemiology
Prevalence
pre‐hypertension
schools
Schools - statistics & numerical data
Sex Factors
Tanzania - epidemiology
Uganda - epidemiology
Young Adult
young adults
Title Prevalence of high blood pressure and associated factors among adolescents and young people in Tanzania and Uganda
URI https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fjch.13502
https://www.ncbi.nlm.nih.gov/pubmed/30811099
https://search.proquest.com/docview/2186623961
https://pubmed.ncbi.nlm.nih.gov/PMC8030556
Volume 21
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