A high prevalence of hypertension (55.5%) was found in semi-urban communities in south-western Nigeria, underscoring the need for improved community health screening and care.
High hypertension burden in semi-urban Nigeria supports screening initiatives; leaves open need for longitudinal studies on control and outcomes.
OBJECTIVE: To determine the prevalence and subtypes of hypertension among semi-urban residents in south-western Nigeria. METHODS: All adults aged 18 years or older in 10 semi-urban communities were recruited for the study. The blood pressure (BP) reading taken with a validated electronic BP monitor after at least 10 minutes of rest was used in the analysis. Hypertension was defined as BP ≥ 140/90 mmHg. RESULTS: Seven hundred and fifty subjects with a mean age of 61.7 ± 18.2 years participated in the study. The prevalence of hypertension was 55.5%. Stage 2 hypertension was the most common, present among 225 (54.1%) of the participants with hypertension, and 191 (45.9%) had stage 1 hypertension. Of those with hypertension, systolic-diastolic hypertension (SDH) was present among 198/416 (47.6%), while isolated systolic hypertension (ISH) and isolated diastolic hypertension (IDH) were present among 181/416 (43.6%) and 37/416 (8.9%), respectively. The prevalence of hypertension increased significantly with age. CONCLUSION: The prevalence of hypertension was high in these semi-urban communities. Hence, increased awareness and integrating hypertension care into primary healthcare and other community health services in these areas may prove beneficial in ameliorating its adverse effects.
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Olamoyegun et al. (2016) studied this question.
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