Non-Communicable Diseases Research Unit, South African Medical Research Council, Durban and Cape Town, South Africa; Department of Medicine, Faculty of Health Sciences, University of Cape Town, South Africa.
S Afr Med J. 2019 Dec 5;109(11b):3-7. doi: 10.7196/SAMJ.2019.v109i11b.14183.
Hypertension prevalence in sub-Saharan Africa (SSA) is high, is rising and has emerged as the most prevalent cardiovascular disease risk factor. Research is required to provide evidence-based findings to prioritise hypertension prevention and control. This systematic review aims to describe the distribution of and trends in scientific outputs on hypertension prevalence in population-based studies in SSA over the last three decades. Relevant English-language articles documenting hypertension prevalence in population-based studies in SSA, published between 1 January 1990 and 25 April 2019, were identified through a comprehensive electronic search of MEDLINE. Of the 3 795 citations retrieved, 414 fulfilled the inclusion criteria. Scientific outputs increased incrementally per 10-year period: 1990 - 1999: n=32; 2000 - 2009: n=65; and 2010 - 2019: n=317. The greatest number of scientific outputs over the 30-year period originated from South Africa (n=81) and Nigeria (n=74). Increasing scientific outputs on hypertension prevalence in SSA have not translated into optimal hypertension management, which remains inadequate.
撒哈拉以南非洲（SSA）的高血压患病率很高，呈上升趋势，已成为最普遍的心血管疾病危险因素。需要开展研究，提供基于证据的发现，以确定高血压预防和控制的优先事项。本系统评价旨在描述过去三十年中基于人群的 SSA 高血压患病率研究的科学产出的分布和趋势。通过对 MEDLINE 进行全面的电子检索，确定了 1990 年 1 月 1 日至 2019 年 4 月 25 日期间发表的关于 SSA 基于人群的研究中记录高血压患病率的英语文章。在检索到的 3795 条引用中，有 414 条符合纳入标准。科学产出每 10 年递增：1990-1999 年：n=32；2000-2009 年：n=65；2010-2019 年：n=317。在 30 年期间，最多的科学产出来自南非（n=81）和尼日利亚（n=74）。撒哈拉以南非洲高血压患病率的科学产出不断增加，但并未转化为最佳的高血压管理，这方面仍不充分。
