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Determinants and treatment of hypertension in South Africans: the first Demographic and Health Survey.
S Afr Med J. 2008 May; 98(5):376-80.SA

Abstract

OBJECTIVES

To identify the groups of patients with high prevalence and poor control of hypertension in South Africa.

METHODS

In the first national Demographic and Health Survey, 12 952 randomly selected South Africans aged 15 years and older were surveyed. Trained interviewers completed questionnaires on socio-demographic characteristics, lifestyle and the management of hypertension. This cross-sectional survey included blood pressure, height and weight measurements. Logistic regression analyses identified the determinants of hypertension and the treatment status.

RESULTS

A high risk of hypertension was associated with less than tertiary education, older age groups, overweight and obese people, excess alcohol use, and a family history of stroke and hypertension. Hypertension risk was lowest in rural blacks and significantly higher in obese black women than in women with a normal body mass index. Improved hypertension control was found in the wealthy, women, older persons, Asians, and persons with medical insurance.

CONCLUSIONS

Rural black people had lower hypertension prevalence rates than the other groups. Poorer, younger men without health insurance had the worst level of hypertension control.

Authors+Show Affiliations

Steyn K
Chronic Diseases of Lifestyle Unit and Department of Medicine, University of Cape Town. krisela.steyn@mrc.ac.za
Bradshaw D
No affiliation info available
Norman R
No affiliation info available
Laubscher R
No affiliation info available

MeSH

AdolescentAdultAfrican Continental Ancestry GroupAge DistributionAgedFemaleHealth SurveysHumansHypertensionLogistic ModelsMaleMiddle AgedPrevalenceRisk FactorsSex DistributionSocioeconomic FactorsSouth Africa

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18637309

Citation

Steyn, Krisela, et al. "Determinants and Treatment of Hypertension in South Africans: the First Demographic and Health Survey." South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde, vol. 98, no. 5, 2008, pp. 376-80.
Steyn K, Bradshaw D, Norman R, et al. Determinants and treatment of hypertension in South Africans: the first Demographic and Health Survey. S Afr Med J. 2008;98(5):376-80.
Steyn, K., Bradshaw, D., Norman, R., & Laubscher, R. (2008). Determinants and treatment of hypertension in South Africans: the first Demographic and Health Survey. South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde, 98(5), 376-80.
Steyn K, et al. Determinants and Treatment of Hypertension in South Africans: the First Demographic and Health Survey. S Afr Med J. 2008;98(5):376-80. PubMed PMID: 18637309.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Determinants and treatment of hypertension in South Africans: the first Demographic and Health Survey. AU - Steyn,Krisela, AU - Bradshaw,Debbie, AU - Norman,Rosana, AU - Laubscher,Ria, PY - 2008/7/22/pubmed PY - 2008/8/22/medline PY - 2008/7/22/entrez SP - 376 EP - 80 JF - South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde JO - S Afr Med J VL - 98 IS - 5 N2 - OBJECTIVES: To identify the groups of patients with high prevalence and poor control of hypertension in South Africa. METHODS: In the first national Demographic and Health Survey, 12 952 randomly selected South Africans aged 15 years and older were surveyed. Trained interviewers completed questionnaires on socio-demographic characteristics, lifestyle and the management of hypertension. This cross-sectional survey included blood pressure, height and weight measurements. Logistic regression analyses identified the determinants of hypertension and the treatment status. RESULTS: A high risk of hypertension was associated with less than tertiary education, older age groups, overweight and obese people, excess alcohol use, and a family history of stroke and hypertension. Hypertension risk was lowest in rural blacks and significantly higher in obese black women than in women with a normal body mass index. Improved hypertension control was found in the wealthy, women, older persons, Asians, and persons with medical insurance. CONCLUSIONS: Rural black people had lower hypertension prevalence rates than the other groups. Poorer, younger men without health insurance had the worst level of hypertension control. SN - 0256-9574 UR - https://www.unboundmedicine.com/medline/citation/18637309/Determinants_and_treatment_of_hypertension_in_South_Africans:_the_first_Demographic_and_Health_Survey_ L2 - https://medlineplus.gov/highbloodpressure.html DB - PRIME DP - Unbound Medicine ER -