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Hypertension determinants among Ghanaians differ according to location of residence: RODAM study.
J Hypertens. 2022 05 01; 40(5):1010-1018.JH

Abstract

OBJECTIVE

Hypertension prevalence is high among African migrants, but the determinants of hypertension in migrants in Europe in relation to the population in the country of origin still needs to be elucidated. Therefore, the aim of this study was to assess the determinants of hypertension in Ghanaians residing in Ghana and Europe.

METHODS

The current study used baseline data of 5659 participants, aged 25-70 years, of the Research on Obesity and Diabetes among African Migrants study. Multivariate logistic regression analysis was used to assess sociodemographic, lifestyle, psychosocial, anthropometric and health factors independently associated with hypertension in Ghanaians living in rural and urban Ghana, and Ghanaian migrants living in Europe.

RESULTS

Across all sites, older age (both sexes; odds ratio 1.07, 95% confidence interval 1.06-1.08) and diabetes (females only; 2.02, 1.54-1.67) were independently associated with hypertension. The other determinants of hypertension differed between geographical locations. Higher waist circumference (1.12, 1.05-1.20) was independently associated with hypertension in rural-Ghanaian males, as was higher body mass index (1.15, 1.03- 1.28) in urban-Ghanaian males, higher waist circumference (1.04, 1.01-1.07) and diabetes (1.75, 1.17-2.63) in European-Ghanaian males. In European-Ghanaian females, high alcohol intake (1.88, 1.01 -3.53) and waist circumference (1.04, 1.02- 1.06) were associated with hypertension, whereas in rural-Ghanaian females, a higher educational level (0.28, 0.08-0.98) was inversely associated with hypertension.

CONCLUSION

The current study identified several modifiable determinants of hypertension in Ghanaians, with differences between populations residing in various geographical locations. This highlights the importance of development and implementation of context-specific interventions targeting these determinants to reduce the burden of hypertension among Ghanaian migrants and nonmigrants.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

van der Linden EL
Department of Public and Occupational Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute. Department of Vascular Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam Cardiovascular Sciences, Amsterdam, The Netherlands.
Meeks KAC
Department of Public and Occupational Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute. Center for Research on Genomics and Global Health, National Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland, USA.
Klipstein-Grobusch K
Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Bahendeka S
MKPGMS-Uganda Martyrs University, Kampala, Uganda.
Beune EJAJ
Department of Public and Occupational Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute.
van den Born BH
Department of Public and Occupational Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute. Department of Vascular Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam Cardiovascular Sciences, Amsterdam, The Netherlands.
Agyemang C
Department of Public and Occupational Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute.

MeSH

Black PeopleBody Mass IndexFemaleGhanaHumansHypertensionMaleWaist Circumference

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, N.I.H., Intramural

Language

eng

PubMed ID

35153282

Citation

van der Linden, Eva L., et al. "Hypertension Determinants Among Ghanaians Differ According to Location of Residence: RODAM Study." Journal of Hypertension, vol. 40, no. 5, 2022, pp. 1010-1018.
van der Linden EL, Meeks KAC, Klipstein-Grobusch K, et al. Hypertension determinants among Ghanaians differ according to location of residence: RODAM study. J Hypertens. 2022;40(5):1010-1018.
van der Linden, E. L., Meeks, K. A. C., Klipstein-Grobusch, K., Bahendeka, S., Beune, E. J. A. J., van den Born, B. H., & Agyemang, C. (2022). Hypertension determinants among Ghanaians differ according to location of residence: RODAM study. Journal of Hypertension, 40(5), 1010-1018. https://doi.org/10.1097/HJH.0000000000003108
van der Linden EL, et al. Hypertension Determinants Among Ghanaians Differ According to Location of Residence: RODAM Study. J Hypertens. 2022 05 1;40(5):1010-1018. PubMed PMID: 35153282.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Hypertension determinants among Ghanaians differ according to location of residence: RODAM study. AU - van der Linden,Eva L, AU - Meeks,Karlijn A C, AU - Klipstein-Grobusch,Kerstin, AU - Bahendeka,Silver, AU - Beune,Erik J A J, AU - van den Born,Bert-Jan H, AU - Agyemang,Charles, Y1 - 2022/02/11/ PY - 2022/2/15/pubmed PY - 2022/5/6/medline PY - 2022/2/14/entrez SP - 1010 EP - 1018 JF - Journal of hypertension JO - J Hypertens VL - 40 IS - 5 N2 - OBJECTIVE: Hypertension prevalence is high among African migrants, but the determinants of hypertension in migrants in Europe in relation to the population in the country of origin still needs to be elucidated. Therefore, the aim of this study was to assess the determinants of hypertension in Ghanaians residing in Ghana and Europe. METHODS: The current study used baseline data of 5659 participants, aged 25-70 years, of the Research on Obesity and Diabetes among African Migrants study. Multivariate logistic regression analysis was used to assess sociodemographic, lifestyle, psychosocial, anthropometric and health factors independently associated with hypertension in Ghanaians living in rural and urban Ghana, and Ghanaian migrants living in Europe. RESULTS: Across all sites, older age (both sexes; odds ratio 1.07, 95% confidence interval 1.06-1.08) and diabetes (females only; 2.02, 1.54-1.67) were independently associated with hypertension. The other determinants of hypertension differed between geographical locations. Higher waist circumference (1.12, 1.05-1.20) was independently associated with hypertension in rural-Ghanaian males, as was higher body mass index (1.15, 1.03- 1.28) in urban-Ghanaian males, higher waist circumference (1.04, 1.01-1.07) and diabetes (1.75, 1.17-2.63) in European-Ghanaian males. In European-Ghanaian females, high alcohol intake (1.88, 1.01 -3.53) and waist circumference (1.04, 1.02- 1.06) were associated with hypertension, whereas in rural-Ghanaian females, a higher educational level (0.28, 0.08-0.98) was inversely associated with hypertension. CONCLUSION: The current study identified several modifiable determinants of hypertension in Ghanaians, with differences between populations residing in various geographical locations. This highlights the importance of development and implementation of context-specific interventions targeting these determinants to reduce the burden of hypertension among Ghanaian migrants and nonmigrants. SN - 1473-5598 UR - https://www.unboundmedicine.com/medline/citation/35153282/Hypertension_determinants_among_Ghanaians_differ_according_to_location_of_residence:_RODAM_study_ DB - PRIME DP - Unbound Medicine ER -