Blood pressure and the hypertension care cascade in The Gambia: Findings from a nationwide survey
| Title: | Blood pressure and the hypertension care cascade in The Gambia: Findings from a nationwide survey |
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| Authors: | Modou Jobe, Islay Mactaggart, Abba Hydara, Min J. Kim, Suzannah Bell, Gaetan Brezesky Kotanmi, Omar Badjie, Andrew M. Prentice, Matthew J. Burton |
| Source: | The Journal of Clinical Hypertension, Vol 26, Iss 5, Pp 563-572 (2024) |
| Publisher Information: | Wiley, 2024. |
| Publication Year: | 2024 |
| Collection: | LCC:Diseases of the circulatory (Cardiovascular) system |
| Subject Terms: | blood pressure, hypertension, hypertension care cascade, pulse pressure, sub‐Saharan Africa, Diseases of the circulatory (Cardiovascular) system, RC666-701 |
| More Details: | Abstract Community treatment of hypertension in sub‐Saharan Africa is hampered by gaps at several stages of the care cascade. We compared blood pressure (BP) levels (systolic, diastolic and pulse pressures) in four groups of participants by hypertension and treatment status. We conducted a nationally representative survey of adults 35 years and older using a multistage sampling strategy based on the 2013 Gambia Population and Housing Census. The BP measurements were taken in triplicate 5 min apart, and the average of the last two measurements was used for analysis. Systolic and diastolic BP levels and pulse pressure were compared by hypertension status using mean and 95% confidence intervals (CI). 53.1% of the sample were normotensive with mean systolic BP (SBP) of 119.2 mmHg (95% CI, 118.7–119.6) and diastolic BP (DBP) of 78.1 mmHg (77.8–78.3). Among individuals with hypertension, mean SBP was 148.7 mmHg (147.7–149.7) among those unaware of their hypertension, 152.2 mmHg (151.0–153.5) among treated individuals and was highest in untreated individuals at 159.3 mmHg (157.3–161.2). The findings were similar for DBP levels, being 93.9 mmHg (93.4–94.4) among the unaware, 95.1 mmHg (94.4–95.8) among the treated and highest at 99.1 mmHg (98.1–100.2) in untreated participants. SBP and DBP were higher in men, and SBP was as expected higher in those aged ≥55 years. BP level was similar in urban and rural areas. Our data shows high BP levels among participants with hypertension including those receiving treatment. Efforts to reduce the health burden of hypertension will require inputs at all levels of the care cascade. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 1751-7176 1524-6175 |
| Relation: | https://doaj.org/toc/1524-6175; https://doaj.org/toc/1751-7176 |
| DOI: | 10.1111/jch.14806 |
| Access URL: | https://doaj.org/article/c6e317028ffb44eea2818e4b30882d73 |
| Accession Number: | edsdoj.6e317028ffb44eea2818e4b30882d73 |
| Database: | Directory of Open Access Journals |
| ISSN: | 17517176 15246175 |
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| DOI: | 10.1111/jch.14806 |
| Published in: | The Journal of Clinical Hypertension |
| Language: | English |