Department of Community Health, University of Ghana Medical School, College of Health Sciences, University of Ghana, Accra, Ghana.
Pan Afr Med J. 2020 Nov 24;37:264. doi: 10.11604/pamj.2020.37.264.24526. eCollection 2020.
the aim of this study was to report the prevalence of hypertension, its awareness and treatment effectiveness among older adults (aged 50 years and above) in Ghana.
the Ghana World Health Organization´s (WHO) Study on Global Aging and Adult Health (SAGE) wave 2 dataset was used in this study. The study adopted a cross-sectional study design. Information on self-reported hypertension as well as measured hypertension was analyzed. The level of awareness regarding hypertension and the effectiveness of treatment was determined using descriptive statistics. Factors associated with an individual´s awareness of their hypertensive status were determined using Rao-Scott Chi square test statistic and the predictors of unawareness of hypertension were determined using adjusted logistic regression analysis. A p-value of ≤0.05 was deemed significant.
information on 3,575 adults in Ghana aged 50 years or older was included in this analysis. The mean age of study participants was 65.1 ± 10.7 years with 59% being female. The prevalence of measured hypertension was 50.7% [95%CI=48.3-53.2]. The overall prevalence of hypertension among older adults in Ghana who were hypertensive but were not aware of it was 35.0% [95%CI=31.6-38.5]. Of the 332 individuals who self-reported being hypertensive, only 74 (22.2%) were on any form of treatment, with only 17 (5.1%) having their blood pressures well controlled.
approximately half of all older adults in Ghana have elevated blood pressures. Most of these are not aware of their elevated blood pressure and for those who are aware, very few are on treatment and even fewer have their blood pressure well controlled. Structured national population level screening and health promotion for elevated blood pressure by Ministry of Health/ Ghana Health Service is worthy of consideration.
本研究旨在报告加纳 50 岁及以上老年人高血压的患病率、知晓率和治疗效果。
本研究使用了加纳世界卫生组织（WHO）全球老龄化和成人健康研究（SAGE）第 2 波数据集。该研究采用了横断面研究设计。分析了自我报告的高血压和测量的高血压信息。使用描述性统计方法确定了高血压的知晓率和治疗效果。使用 Rao-Scott 卡方检验统计量确定了与个体知晓其高血压状态相关的因素，使用调整后的逻辑回归分析确定了高血压未被知晓的预测因素。p 值≤0.05 被认为具有统计学意义。
本分析纳入了加纳 3575 名 50 岁及以上成年人的信息。研究参与者的平均年龄为 65.1±10.7 岁，其中 59%为女性。测量的高血压患病率为 50.7%[95%CI=48.3-53.2]。加纳高血压但未意识到自己患有高血压的老年高血压患者的总体患病率为 35.0%[95%CI=31.6-38.5]。在 332 名自我报告患有高血压的患者中，仅有 74 人（22.2%）接受了任何形式的治疗，仅有 17 人（5.1%）血压得到了很好的控制。
加纳约有一半的老年高血压患者血压升高。这些人中的大多数不知道自己的血压升高，而对于那些知道的人，很少有人接受治疗，更少有人血压得到很好的控制。考虑由卫生部/加纳卫生局在全国范围内对高血压进行有组织的人群筛查和健康促进是值得的。
