Nigeria Field Epidemiology and Laboratory Training Program, Abuja, Nigeria.
Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria.
J Hum Hypertens. 2024 Apr;38(4):365-370. doi: 10.1038/s41371-022-00673-1. Epub 2022 Mar 24.
With the rising prevalence of hypertension, especially in Africa, understanding the dynamics of socio-demographic and lifestyle factors is key in managing hypertension. To address existing gaps in evidence of these factors, this study was carried out. A cross-sectional survey using a modified WHO STEPS questionnaire was conducted among 3782 adult Nigerians selected from an urban and a rural community in one state in each of the six Nigerian regions. Among participants, 56.3% were women, 65.8% were married, 52.5% resided in rural areas, and 33.9% had tertiary education. Mean ages (SD) were 53.1 ± 13.6 years and 39.2 ± 15.0 years among hypertensive persons and their normotensive counterparts respectively. On lifestyle, 30.7% had low physical activity, 4.1% consumed tobacco currently, and 35.4% consumed alcohol currently. In comparison to unmarried status, being married (OR = 1.88, 95% CI: 1.41-2.50) or widowed (OR = 1.57, 95% CI: 1.05-2.36) was significantly associated with hypertension, compared with never married. Compared with no formal education, primary (OR = 1.44, 95% CI: 1.12-1.85), secondary (OR = 1.37, 95% CI: 1.04-1.81), and tertiary education (OR = 2.02, 95% CI: 1.57-2.60) were associated with hypertension. Low physical activity (OR = 1.23, 95% CI: 1.05-1.42), alcohol consumption, (OR = 1.18, 95% CI: 1.02-1.37), and unemployment status (OR = 1.42; 95% CI: 1.07-1.88) were also associated with hypertension. Our study indicates an association of socio-demographic and lifestyle factors with hypertension, hence, there is a need for counselling, health education and policy formulation and implementation targeting these factors to prevent and control hypertension.
随着高血压患病率的上升,特别是在非洲,了解社会人口学和生活方式因素的动态对于高血压的管理至关重要。为了解决这些因素证据方面存在的差距,进行了这项研究。这项研究在尼日利亚六个地区的每个州的一个城市和一个农村社区中,使用经过修改的世界卫生组织 STEPS 问卷,对 3782 名成年尼日利亚人进行了横断面调查。参与者中,56.3%为女性,65.8%已婚,52.5%居住在农村地区,33.9%接受过高等教育。高血压患者和血压正常者的平均年龄(标准差)分别为 53.1±13.6 岁和 39.2±15.0 岁。在生活方式方面,30.7%的人身体活动量低,4.1%的人目前吸烟,35.4%的人目前饮酒。与未婚状态相比,已婚(OR=1.88,95%CI:1.41-2.50)或丧偶(OR=1.57,95%CI:1.05-2.36)与高血压显著相关,而与从未结婚相比。与没有接受过正规教育相比,小学(OR=1.44,95%CI:1.12-1.85)、中学(OR=1.37,95%CI:1.04-1.81)和高等教育(OR=2.02,95%CI:1.57-2.60)与高血压相关。身体活动量低(OR=1.23,95%CI:1.05-1.42)、饮酒(OR=1.18,95%CI:1.02-1.37)和失业状态(OR=1.42;95%CI:1.07-1.88)也与高血压相关。我们的研究表明,社会人口学和生活方式因素与高血压有关,因此,需要针对这些因素进行咨询、健康教育以及制定和实施政策,以预防和控制高血压。