Tannor Elliot Koranteng, Nyarko Obed Ofori, Adu-Boakye Yaw, Owusu Konadu Saabea, Opoku Gilda, Ankobea-Kokroe Frank, Opare-Addo Mercy, Appiah Lambert Tetteh, Amuzu Evans Xorse, Ansah Gilgal Justice, Appiah-Boateng Kate, Ofori Emmanuel, Ansong Daniel
Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Directorate of Internal Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana.
Clin Med Insights Cardiol. 2022 Aug 30;16:11795468221120092. doi: 10.1177/11795468221120092. eCollection 2022.
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.
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.
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), < .001) and high body mass index (OR = 1.06 (1.02-1.10), = .005).
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.
高血压在全球以及撒哈拉以南非洲地区都是一个重要的公共卫生威胁。在加纳等低收入和中低收入国家（LMIC），高血压患病率正在上升。这种上升促使了“五月测量月”（MMM）倡议的采用，这是一项全球血压筛查活动。我们旨在提高认识，并展示2019年MMM筛查活动在加纳阿散蒂地区的结果。
加纳是2019年5月参与这项全球社区横断面研究的92个国家之一。参与者（年龄≥18岁）通过机会性抽样招募。参与者的血压测量3次，以最后2次的平均值用于分析。使用汇总统计数据来描述数据。使用简单和多元逻辑回归模型来确定高血压的预测因素。
我们筛查了3080名参与者，平均年龄为39.8±16.8岁。参与者中高血压患病率为27.3%。三分之二的高血压患者不知道自己的病情，在有高血压病史且正在服药的参与者中，只有49.5%的人血压得到控制。多元逻辑回归中高血压的预测因素是年龄增长（OR = 1.05（CI 1.04 - 1.06），P <.001）和高体重指数（OR = 1.06（1.02 - 1.10），P =.005）。
MMM倡议非常值得称赞，在加纳这样的中低收入国家具有巨大的公共卫生重要性。鼓励开展像MMM倡议这样的基于人群的健康项目，以制定适当的公共卫生政策来降低高血压患病率。
