Key result
Not walking to work linked to ~13.1-fold higher odds of hypertension in cross-sectional study.
Why the study?
Hypertension is an emerging global public health problem, but there were limited data on the epidemiology of hypertension in Ethiopia.
What is the prevalence of hypertension and its associated socio-demographic, behavioral, and clinical risk factors among adult community dwellers in selected towns of Wollega zones, Western Ethiopia?
Cross-Sectional (n=838)
Yes
What is the prevalence of hypertension and its associated socio-demographic, behavioral, and clinical risk factors among adult community dwellers in selected towns of Wollega zones, Western Ethiopia?
Answers are grounded in this paper and cite their sources.
Nearly one in four urban adults in Western Ethiopia has hypertension, driven by modifiable lifestyle factors such as physical inactivity, alcohol use, overweight, and low fruit intake.
Introduction: Hypertension remains an emerging public health problem globally, particularly in developing countries. Age, income level, obesity, alcohol consumption, smoking, vegetables and fruit consumption, physical activity and chat chewing were some risk factors of hypertension. However, there are limited data on the epidemiology of hypertension in Ethiopia. This study aimed to assess Epidemiology of Hypertension among the community of selected towns of Wollega zones. Methods: A community-based cross-sectional study was conducted from 1 to 30 June 2019 in selected towns of Wollega zones. A multistage sampling technique was used to select 840 study participants. Data were collected using the WHO STEP wise approach. The data were coded and entered into EpiData 3, and exported to SPSS version 20.0 for analysis. Bivariate and multivariable logistic regression analyses were conducted. Statistical significance was declared at p-value < 0.05. Results: The study included a total of 838 respondents with a response rate of 99.7%. The prevalence of hypertension was found to be 189 (22.6%) (95% confidence interval = 19.9%–25.2%). Of this, 108 (12.9%) and 81 (9.7%) of female and male were hypertensive, respectively. Age groups of 30–44 years (adjusted odds ratio = 2.65 (1.43, 4.89)), 45–59 years (adjusted odds ratio = 3.55 (1.79, 7.04)), above 60 years (adjusted odds ratio = 2.97 (1.43, 6.18)), having history of alcohol consumption (adjusted odds ratio = 4.29 (2.4, 7.66)), involving in vigorous physical activity (adjusted odds ratio = 0.096 (0.028, 0.33)), not walking to and from the work (adjusted odds ratio = 13.12 (8.34, 20.67)), being overweight (adjusted odds ratio = 1.98 (1.21, 3.25)), inadequate fruits serving per day (adjusted odds ratio = 2.93 (1.75, 4.88)) were significantly associated with hypertension. Conclusion: The prevalence of hypertension was found to be high in the study area. Older age, alcohol consumption, not engaging in vigorous activity, physical inactivity, being overweight and inadequate intake of fruits were found to be risk factors for hypertension. Therefore, health care providers should provide extensive health education and promotion on recommended lifestyle modification to tackle the burden of hypertension.
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Mosisa et al. (2021) conducted a cross-sectional in Hypertension (n=838). Not walking to and from work (and other socio-demographic, behavioral, and clinical risk factors) vs. Walking to and from work (and reference risk categories) was evaluated on Prevalence of hypertension (defined as mean SBP ≥140 mm Hg and/or mean DBP ≥90 mm Hg or reported use of regular anti-hypertensive medication) (OR 13.12, 95% CI 8.34-20.67, p=<0.001). Hypertension prevalence was 22.6% (95% CI 19.9%–25.2%) in Western Ethiopia, with not walking to and from work strongly increasing hypertension odds (AOR 13.12, 95% CI 8.34–20.67, p<0.001).
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