Tags

Type your tag names separated by a space and hit enter

Hypertension Prevalence and Determinants among Black South African Adults in Semi-Urban and Rural Areas.
Int J Environ Res Public Health. 2020 10 14; 17(20)IJ

Abstract

The burden of hypertension is reported to be on the rise in developing countries, such as South Africa, despite increased efforts to address it. Using a cross-sectional study design, we assessed and compared the prevalence of and risk factors associated with hypertension amongst adults aged ≥18 years in semi-urban and rural communities (1187 semi-urban and 1106 rural). Trained community health workers administered the INTERHEART Risk Score tool and performed blood pressure assessments using the MEDIC Pharmacists Choice Blood Pressure Monitor. Hypertension was defined to be a systolic blood pressure (BP) ≥ 140 mmHg and diastolic BP ≥ 90 mmHg. A multivariate logistic regression model was used to identify factors and determine their relationship with hypertension. The prevalence of hypertension amongst semi-urban and rural communities was 21% with no gender difference. In the semi-urban area, physical activity, family history, fruit intake, salty food, and eating meat were significantly associated with the odds of hypertension among women, whereas only the waist-to-hip ratio (WHR), diabetic status, and salty food were the predictors for rural women. Factors such as fried food and low fruit intake were significantly associated with the odds of hypertension among men in the semi-urban area, whereas only the WHR was significant among men in the rural area. Hypertension was found to be prevalent among semi-urban and rural adults in Limpopo Province, South Africa.

Links

PMC Free PDF

Authors+Show Affiliations

Mphekgwana PM
Research Administration and Development, University of Limpopo, Polokwane 0700, South Africa.
Malema N
Department of Psychology, University of Limpopo, Polokwane 0700, South Africa.
Monyeki KD
Department of Physiology and Environmental Health, University of Limpopo, Polokwane 0700, South Africa.
Mothiba TM
Faculty of Health Science, University of Limpopo, Polokwane 0700, South Africa.
Makgahlela M
Department of Psychology, University of Limpopo, Polokwane 0700, South Africa.
Kgatla N
Department of Nursing Science, University of Limpopo, Polokwane 0700, South Africa.
Makgato I
Department of Psychology, University of Limpopo, Polokwane 0700, South Africa.
Sodi T
Department of Psychology, University of Limpopo, Polokwane 0700, South Africa.

MeSH

AdolescentAdultBlack or African AmericanBlood PressureCross-Sectional StudiesFemaleHumansHypertensionMaleMiddle AgedPrevalenceRisk FactorsRural PopulationSouth AfricaUrban PopulationYoung Adult

Pub Type(s)

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

Language

eng

PubMed ID

33066410

Citation

Mphekgwana, Peter M., et al. "Hypertension Prevalence and Determinants Among Black South African Adults in Semi-Urban and Rural Areas." International Journal of Environmental Research and Public Health, vol. 17, no. 20, 2020.
Mphekgwana PM, Malema N, Monyeki KD, et al. Hypertension Prevalence and Determinants among Black South African Adults in Semi-Urban and Rural Areas. Int J Environ Res Public Health. 2020;17(20).
Mphekgwana, P. M., Malema, N., Monyeki, K. D., Mothiba, T. M., Makgahlela, M., Kgatla, N., Makgato, I., & Sodi, T. (2020). Hypertension Prevalence and Determinants among Black South African Adults in Semi-Urban and Rural Areas. International Journal of Environmental Research and Public Health, 17(20). https://doi.org/10.3390/ijerph17207463
Mphekgwana PM, et al. Hypertension Prevalence and Determinants Among Black South African Adults in Semi-Urban and Rural Areas. Int J Environ Res Public Health. 2020 10 14;17(20) PubMed PMID: 33066410.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Hypertension Prevalence and Determinants among Black South African Adults in Semi-Urban and Rural Areas. AU - Mphekgwana,Peter M, AU - Malema,Nancy, AU - Monyeki,Kotsedi D, AU - Mothiba,Tebogo M, AU - Makgahlela,Mpsanyana, AU - Kgatla,Nancy, AU - Makgato,Irene, AU - Sodi,Tholene, Y1 - 2020/10/14/ PY - 2020/07/31/received PY - 2020/08/22/revised PY - 2020/08/26/accepted PY - 2020/10/17/entrez PY - 2020/10/18/pubmed PY - 2021/1/12/medline KW - cardiovascular diseases KW - hypertension KW - non-communicable diseases KW - rural KW - semi-urban JF - International journal of environmental research and public health JO - Int J Environ Res Public Health VL - 17 IS - 20 N2 - The burden of hypertension is reported to be on the rise in developing countries, such as South Africa, despite increased efforts to address it. Using a cross-sectional study design, we assessed and compared the prevalence of and risk factors associated with hypertension amongst adults aged ≥18 years in semi-urban and rural communities (1187 semi-urban and 1106 rural). Trained community health workers administered the INTERHEART Risk Score tool and performed blood pressure assessments using the MEDIC Pharmacists Choice Blood Pressure Monitor. Hypertension was defined to be a systolic blood pressure (BP) ≥ 140 mmHg and diastolic BP ≥ 90 mmHg. A multivariate logistic regression model was used to identify factors and determine their relationship with hypertension. The prevalence of hypertension amongst semi-urban and rural communities was 21% with no gender difference. In the semi-urban area, physical activity, family history, fruit intake, salty food, and eating meat were significantly associated with the odds of hypertension among women, whereas only the waist-to-hip ratio (WHR), diabetic status, and salty food were the predictors for rural women. Factors such as fried food and low fruit intake were significantly associated with the odds of hypertension among men in the semi-urban area, whereas only the WHR was significant among men in the rural area. Hypertension was found to be prevalent among semi-urban and rural adults in Limpopo Province, South Africa. SN - 1660-4601 UR - https://www.unboundmedicine.com/medline/citation/33066410/Hypertension_Prevalence_and_Determinants_among_Black_South_African_Adults_in_Semi_Urban_and_Rural_Areas_ DB - PRIME DP - Unbound Medicine ER -