Prevalence and associated factors of hypertension among South African adults: findings from the Demographic and Health Survey 2016.
Aim: The data of South Africa Demographic and Health Survey 2016 were analyzed to find out the prevalence and associated factors of hypertension according to the 2017 American College of Cardiology / American Heart Association (ACC/AHA 2017) and the Joint National Committee 7 (JNC7) guidelines. Subj...
| Publicado en: | Journal of Public Health: From Theory to Practice (2198-1833) Vol. 31; no. 6; pp. 967 - 978 |
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| Autores principales: | , , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
Jun2023
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=163725100&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 163725100 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 21981833 NENI jtl: Journal of Public Health: From Theory to Practice (2198-1833) issn: 21981833 maglogo: N pubinfo: dt: Jun2023 vid: 31 iid: 6 pid: 237 pub: Springer Nature artinfo: ui: 163725100 10.1007/s10389-021-01607-w ppf: 967 ppct: 11 formats: tig: atl: Prevalence and associated factors of hypertension among South African adults: findings from the Demographic and Health Survey 2016. aug: au: Gupta, Rajat Das Talukder, Animesh Hossain, Md. Belal Akonde, Maxwell Al Kibria, Gulam Muhammed affil: Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA BRAC James P Grant School of Public Health, BRAC University, Mohakhali, Dhaka, Bangladesh School of Population and Public Health, University of British Columbia, Vancouver, Canada Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD, USA su: South Africa American Heart Association Hypertension Sex distribution Hypertension & psychology Hypertension epidemiology Confidence intervals Medical protocols Disease prevalence Descriptive statistics sug: subj: Hypertension Sex distribution South Africa American Heart Association Hypertension & psychology Hypertension epidemiology Confidence intervals Medical protocols Disease prevalence Descriptive statistics keyword: American College of Cardiology/American Heart Association 2017 Determinants Joint National Committee 7 American College of Cardiology/American Heart Association 2017 Determinants Joint National Committee 7 ab: Aim: The data of South Africa Demographic and Health Survey 2016 were analyzed to find out the prevalence and associated factors of hypertension according to the 2017 American College of Cardiology / American Heart Association (ACC/AHA 2017) and the Joint National Committee 7 (JNC7) guidelines. Subject and methods: A weighted sample of 4799 adults aged ≥ 18 years were included in the final analyses. After conducting bivariate analyses to identify the differences in prevalence according to both the guidelines, multilevel multivariable logistic regression was applied to obtain adjusted odds ratio (AOR) along with 95% confidence interval (CI). Results: According to the JNC7 and the ACC/AHA 2017 guidelines, the prevalence of hypertension was 50.4% (95% CI: 48.3%, 52.5%) and 75.0% (95% CI: 73.1%, 76.7%) respectively. The significant factors positively associated with hypertension according to the ACC/AHA 2017 guideline were: age-groups of ≥ 70 years, 50–69 years (AOR: 6.6, 95% CI: 5.2, 8.3) and 30–49 years (AOR: 2.3, 95% CI: 1.9, 2.7), being overweight (AOR: 1.2; 95% CI: 1.0, 1.5) and obese (AOR: 2.1; 95% CI: 1.7, 2.6), residing in urban area (AOR: 1.4, 95% CI: 1.1, 1.7), and belonging to the Free State province (AOR: 1.6, 95% CI: 1.0, 2.5) and the KwaZulu–Natal province (AOR: 1.8, 95% CI: 1.2, 2.7). No statistically significant association was found between hypertension and sex and wealth index as per the new guideline. Conclusion: The health promotion programs of South Africa should focus on the abovementioned factors in order to prevent and control hypertension irrespective of sex and wealth index. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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