Key result
Hypertension affects ~27% of screened adults in Ghana, linked to older age and higher BMI.
Why the study?
The prevalence of hypertension is rising in low- and lower-middle-income countries such as Ghana, necessitating awareness and screening initiatives.
Cross-Sectional (n=3,080)
Yes
Odds Ratio: 1.05 (95% CI 1.04–1.06)
p-value: p=<.001
A community-based screening campaign in Ghana revealed a high prevalence of hypertension (27.3%) with low awareness and suboptimal control, highlighting the need for population-based health programs in lower-middle-income countries.
Screening shows high undiagnosed hypertension in Ashanti communities; leaves open whether targeted campaigns improve control in LMICs.
Introduction: Hypertension is an important public health menace globally and in sub-Saharan Africa. The prevalence of hypertension is on the rise in low- and lower-middle-income countries (LMIC) such as Ghana. This rise led to the adoption of the May Measurement Month (MMM) initiative, a global blood pressure screening campaign. We aimed to create awareness and present the findings of the 2019 MMM screening campaign in the Ashanti region of Ghana. Methods: Ghana was 1 of 92 countries that participated in this global community-based cross-sectional study in May 2019. Participants (⩾18 years) were recruited by opportunistic sampling. The blood pressures of participants were measured 3 times and the mean of the last 2 was used for the analysis. Summary statistics were used to describe the data. Simple and multiple logistic regression models were used to determine the predictors of hypertension. Results: We screened 3080 participants with a mean age of 39.8 ± 16.8 years. The prevalence of hypertension was 27.3% among participants. Two-thirds of the hypertensives were unaware of their condition and only 49.5% of participants with a history of hypertension on medication were controlled. Predictors of hypertension in a multiple logistic regression were increasing age (OR = 1.05 (CI 1.04-1.06), P < .001) and high body mass index (OR = 1.06 (1.02-1.10), P = .005). Conclusion: The MMM initiative is highly commendable and of huge public health importance in LMICs like Ghana. Population-based health programs such as the MMM initiative is encouraged to shape appropriate public health policies to reduce the prevalence of hypertension.
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Tannor et al. (2022) conducted a cross-sectional in Hypertension (n=3,080). Increasing age was evaluated on Hypertension (OR 1.05, 95% CI 1.04-1.06, p=<.001). In a screening of 3,080 adults in Ghana, hypertension prevalence was 27.3%, with increasing age (OR 1.05; 95% CI 1.04-1.06) and high BMI (OR 1.06; 95% CI 1.02-1.10) as significant predictors.
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