Key result
Among urban market traders, 59% had undiagnosed hypertension and 6.7% had undiagnosed diabetes, demonstrating a lack of agreement between self-reported and actual clinical status.
Why the study?
Many individuals with hypertension and diabetes in Africa remain undiagnosed, and urban market traders face constraints regarding clinic visits that contribute to high rates of undiagnosed cardiovascular conditions.
Cross-Sectional (n=105)
No
There is a high rate of undiagnosed hypertension (59%) among urban market traders in Calabar, Nigeria, highlighting the need for targeted screening in this population.
Answers are grounded in this paper and cite their sources.
High undiagnosed rates support screening in traders; hypothesis-generating and leaves generalizability open.
Background: Hypertension and diabetes rank high among cardiovascular risk factors, and in Africa, many affected persons are undiagnosed. Urban market traders are constrained from regular clinic visits by the fear of revenue loss occasioned by their absence from the stores, contributing to the reportedly high rates of undiagnosed and poorly treated cardiovascular conditions. This study determined the rate of undiagnosed hypertension and diabetes among traders in an urban market in Calabar, Nigeria. Methods: In this cross-sectional study, we used an interviewer-administered questionnaire to collect data from 105 traders at Marian market Calabar, including information on demographic characteristics and self-reported statuses regarding hypertension and diabetes. Subsequently, blood pressure and random blood sugar values were measured. Results: Forty-three (41.0%) of the respondents correctly reported their statuses regarding hypertension and 93.3% of the respondents correctly reported their statuses regarding diabetes. 62 (59%) and 7 (6.7%) of them had hitherto undiagnosed hypertension and diabetes, respectively. Only two (9.5%) out of those with a self-reported history of hypertension had normal blood pressure values. There was no agreement between the self-reported and actual profiles of hypertension among the respondents (kappa = 0.000, P = 0.008), and a weak level of agreement between the self-reported and actual profiles of diabetes among the respondents (kappa = 0.559, P < 0.001). Educational level was the identified predictor of correct self-report of status regarding hypertension ( P = 0.031); Conclusion: There was a high rate of undiagnosed hypertension and, to a lesser extent, diabetes among this set of urban market traders.
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Oparah et al. (2021) conducted a cross-sectional in Hypertension and diabetes (n=105). Self-reported hypertension and diabetes status vs. Actual measured blood pressure and random blood sugar was evaluated on Rate of undiagnosed hypertension and diabetes. Among urban market traders, 59% had undiagnosed hypertension and 6.7% had undiagnosed diabetes, demonstrating a lack of agreement between self-reported and actual clinical status.
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