64
|
Dzudie A, Kengne AP, Muna WFT, Ba H, Menanga A, Kouam Kouam C, Abah J, Monkam Y, Biholong C, Mintom P, Kamdem F, Djomou A, Ndjebet J, Wambo C, Luma H, Ngu KB, Kingue S. Prevalence, awareness, treatment and control of hypertension in a self-selected sub-Saharan African urban population: a cross-sectional study. BMJ Open 2012; 2:bmjopen-2012-001217. [PMID: 22923629 PMCID: PMC3433777 DOI: 10.1136/bmjopen-2012-001217] [Citation(s) in RCA: 128] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVES Hypertension has been established as a major public health problem in Africa, but its specific contributions to disease burden are still incompletely understood. We report the prevalence and determinants of hypertension, detection, treatment and control rates among adults in major cities in Cameroon. DESIGN Cross-sectional study. SETTINGS Community-based multicentre study in major cities in Cameroon. PARTICIPANTS Participants were self-selected urban dwellers from the Center, Littoral, North-West and West Regions, who attended on 17 May 2011 a screening campaign advertised through mass media. PRIMARY AND SECONDARY OUTCOMES MEASURES: Hypertension defined as systolic (and/or diastolic) blood pressure (BP)≥ 140 (90) mm Hg, or ongoing BP-lowering medications. RESULTS In all, 2120 participants (1003 women) were included. Among them, 1007 (prevalence rate 47.5%) had hypertension, including 319 (awareness rate 31.7%) who were aware of their status. The prevalence of hypertension increased with age overall and by sex and region. Among aware hypertensive participants, 191 (treatment rate 59.9%) were on regular BP-lowering medication, and among those treated, 47 (controlled rate 24.6%) were at target BP levels (ie, systolic (and diastolic) BP<140 (90) mm Hg). In multivariable logistic regression analysis, male gender, advanced age, parental history of hypertension, diabetes mellitus, elevated waist and elevated body mass index (BMI) were the significant predictors of hypertension. Likewise, male gender, high BMI and physical inactivity were associated with poor control. CONCLUSIONS High prevalence of hypertension with low awareness, treatment and control were found in this urban population; these findings are significant and alarming with consideration to the various improvements in the access to healthcare and the continuing efforts to educate communities over the last few decades.
Collapse
Affiliation(s)
- Anastase Dzudie
- Department of Internal Medicine, Douala General Hospital, Douala, Cameroon
- Department of Internal Medicine, Faculty of Health Sciences, University of Buea, Buea, Cameroon
| | - André Pascal Kengne
- NCRP or Cardiovascular and Metabolic Disease, South African Medical Research Council & University of Cape Town, Cape Town, South Africa
| | - Walinjom F T Muna
- Department of Internal Medicine, Faculty of Medicine and Biomedical Sciences, Yaounde, Cameroon
- Department of Internal Medicine, Yaounde General Hospital,Douala, Cameroon
| | - Hamadou Ba
- Department of Internal Medicine, Yaounde General Hospital,Douala, Cameroon
| | - Alain Menanga
- Department of Internal Medicine, Faculty of Medicine and Biomedical Sciences, Yaounde, Cameroon
- Department of Internal Medicine, Yaounde General Hospital,Douala, Cameroon
| | - Charles Kouam Kouam
- Department of Internal Medicine, Bafoussam Regional Hospital, Douala, Cameroon
| | - Joseph Abah
- Department of Internal Medicine, Bamenda Military Hospital, North West Region, Cameroon
| | - Yves Monkam
- Department of Internal Medicine, Douala General Hospital, Douala, Cameroon
| | - Christian Biholong
- Department of Internal Medicine, Douala General Hospital, Douala, Cameroon
| | - Pierre Mintom
- Department of Internal Medicine, Yaounde General Hospital,Douala, Cameroon
| | - Félicité Kamdem
- Department of Internal Medicine, Douala General Hospital, Douala, Cameroon
| | - Armel Djomou
- Department of Internal Medicine, Douala General Hospital, Douala, Cameroon
| | - Jules Ndjebet
- Department of Internal Medicine, Douala General Hospital, Douala, Cameroon
| | - Cyrille Wambo
- Department of Internal Medicine, Douala General Hospital, Douala, Cameroon
| | - Henry Luma
- Department of Internal Medicine, Douala General Hospital, Douala, Cameroon
| | - Kathleen Blackett Ngu
- Department of Internal Medicine, Yaounde University Teaching Hospital, Yaounde, Cameroon
| | - Samuel Kingue
- Department of Internal Medicine, Faculty of Medicine and Biomedical Sciences, Yaounde, Cameroon
- Department of Internal Medicine, Yaounde General Hospital,Douala, Cameroon
| | | |
Collapse
|
69
|
Debette S, Metso T, Pezzini A, Abboud S, Metso A, Leys D, Bersano A, Louillet F, Caso V, Lamy C, Medeiros E, Samson Y, Grond-Ginsbach C, Engelter ST, Thijs V, Beretta S, Béjot Y, Sessa M, Lorenza Muiesan M, Amouyel P, Castellano M, Arveiler D, Tatlisumak T, Dallongeville J. Association of Vascular Risk Factors With Cervical Artery Dissection and Ischemic Stroke in Young Adults. Circulation 2011; 123:1537-44. [DOI: 10.1161/circulationaha.110.000125] [Citation(s) in RCA: 107] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Stéphanie Debette
- From the Department of Epidemiology and Public Health, Inserm U744, Pasteur Institute, Lille, France (S.D., P.A., J.D.); Department of Neurology, EA1046, Lille University Hospital, Lille, France (S.D., D.L.); Department of Epidemiology, Paris Ile-de-France Ouest School of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Versailles, France (S.D.); Department of Neurology, Helsinki University Central Hospital, Helsinki, Finland (T.M., A.M., T.T.); Department of Medical and Surgical
| | - Tiina Metso
- From the Department of Epidemiology and Public Health, Inserm U744, Pasteur Institute, Lille, France (S.D., P.A., J.D.); Department of Neurology, EA1046, Lille University Hospital, Lille, France (S.D., D.L.); Department of Epidemiology, Paris Ile-de-France Ouest School of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Versailles, France (S.D.); Department of Neurology, Helsinki University Central Hospital, Helsinki, Finland (T.M., A.M., T.T.); Department of Medical and Surgical
| | - Alessandro Pezzini
- From the Department of Epidemiology and Public Health, Inserm U744, Pasteur Institute, Lille, France (S.D., P.A., J.D.); Department of Neurology, EA1046, Lille University Hospital, Lille, France (S.D., D.L.); Department of Epidemiology, Paris Ile-de-France Ouest School of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Versailles, France (S.D.); Department of Neurology, Helsinki University Central Hospital, Helsinki, Finland (T.M., A.M., T.T.); Department of Medical and Surgical
| | - Shérine Abboud
- From the Department of Epidemiology and Public Health, Inserm U744, Pasteur Institute, Lille, France (S.D., P.A., J.D.); Department of Neurology, EA1046, Lille University Hospital, Lille, France (S.D., D.L.); Department of Epidemiology, Paris Ile-de-France Ouest School of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Versailles, France (S.D.); Department of Neurology, Helsinki University Central Hospital, Helsinki, Finland (T.M., A.M., T.T.); Department of Medical and Surgical
| | - Antti Metso
- From the Department of Epidemiology and Public Health, Inserm U744, Pasteur Institute, Lille, France (S.D., P.A., J.D.); Department of Neurology, EA1046, Lille University Hospital, Lille, France (S.D., D.L.); Department of Epidemiology, Paris Ile-de-France Ouest School of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Versailles, France (S.D.); Department of Neurology, Helsinki University Central Hospital, Helsinki, Finland (T.M., A.M., T.T.); Department of Medical and Surgical
| | - Didier Leys
- From the Department of Epidemiology and Public Health, Inserm U744, Pasteur Institute, Lille, France (S.D., P.A., J.D.); Department of Neurology, EA1046, Lille University Hospital, Lille, France (S.D., D.L.); Department of Epidemiology, Paris Ile-de-France Ouest School of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Versailles, France (S.D.); Department of Neurology, Helsinki University Central Hospital, Helsinki, Finland (T.M., A.M., T.T.); Department of Medical and Surgical
| | - Anna Bersano
- From the Department of Epidemiology and Public Health, Inserm U744, Pasteur Institute, Lille, France (S.D., P.A., J.D.); Department of Neurology, EA1046, Lille University Hospital, Lille, France (S.D., D.L.); Department of Epidemiology, Paris Ile-de-France Ouest School of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Versailles, France (S.D.); Department of Neurology, Helsinki University Central Hospital, Helsinki, Finland (T.M., A.M., T.T.); Department of Medical and Surgical
| | - Fabien Louillet
- From the Department of Epidemiology and Public Health, Inserm U744, Pasteur Institute, Lille, France (S.D., P.A., J.D.); Department of Neurology, EA1046, Lille University Hospital, Lille, France (S.D., D.L.); Department of Epidemiology, Paris Ile-de-France Ouest School of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Versailles, France (S.D.); Department of Neurology, Helsinki University Central Hospital, Helsinki, Finland (T.M., A.M., T.T.); Department of Medical and Surgical
| | - Valeria Caso
- From the Department of Epidemiology and Public Health, Inserm U744, Pasteur Institute, Lille, France (S.D., P.A., J.D.); Department of Neurology, EA1046, Lille University Hospital, Lille, France (S.D., D.L.); Department of Epidemiology, Paris Ile-de-France Ouest School of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Versailles, France (S.D.); Department of Neurology, Helsinki University Central Hospital, Helsinki, Finland (T.M., A.M., T.T.); Department of Medical and Surgical
| | - Chantal Lamy
- From the Department of Epidemiology and Public Health, Inserm U744, Pasteur Institute, Lille, France (S.D., P.A., J.D.); Department of Neurology, EA1046, Lille University Hospital, Lille, France (S.D., D.L.); Department of Epidemiology, Paris Ile-de-France Ouest School of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Versailles, France (S.D.); Department of Neurology, Helsinki University Central Hospital, Helsinki, Finland (T.M., A.M., T.T.); Department of Medical and Surgical
| | - Elisabeth Medeiros
- From the Department of Epidemiology and Public Health, Inserm U744, Pasteur Institute, Lille, France (S.D., P.A., J.D.); Department of Neurology, EA1046, Lille University Hospital, Lille, France (S.D., D.L.); Department of Epidemiology, Paris Ile-de-France Ouest School of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Versailles, France (S.D.); Department of Neurology, Helsinki University Central Hospital, Helsinki, Finland (T.M., A.M., T.T.); Department of Medical and Surgical
| | - Yves Samson
- From the Department of Epidemiology and Public Health, Inserm U744, Pasteur Institute, Lille, France (S.D., P.A., J.D.); Department of Neurology, EA1046, Lille University Hospital, Lille, France (S.D., D.L.); Department of Epidemiology, Paris Ile-de-France Ouest School of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Versailles, France (S.D.); Department of Neurology, Helsinki University Central Hospital, Helsinki, Finland (T.M., A.M., T.T.); Department of Medical and Surgical
| | - Caspar Grond-Ginsbach
- From the Department of Epidemiology and Public Health, Inserm U744, Pasteur Institute, Lille, France (S.D., P.A., J.D.); Department of Neurology, EA1046, Lille University Hospital, Lille, France (S.D., D.L.); Department of Epidemiology, Paris Ile-de-France Ouest School of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Versailles, France (S.D.); Department of Neurology, Helsinki University Central Hospital, Helsinki, Finland (T.M., A.M., T.T.); Department of Medical and Surgical
| | - Stefan T. Engelter
- From the Department of Epidemiology and Public Health, Inserm U744, Pasteur Institute, Lille, France (S.D., P.A., J.D.); Department of Neurology, EA1046, Lille University Hospital, Lille, France (S.D., D.L.); Department of Epidemiology, Paris Ile-de-France Ouest School of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Versailles, France (S.D.); Department of Neurology, Helsinki University Central Hospital, Helsinki, Finland (T.M., A.M., T.T.); Department of Medical and Surgical
| | - Vincent Thijs
- From the Department of Epidemiology and Public Health, Inserm U744, Pasteur Institute, Lille, France (S.D., P.A., J.D.); Department of Neurology, EA1046, Lille University Hospital, Lille, France (S.D., D.L.); Department of Epidemiology, Paris Ile-de-France Ouest School of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Versailles, France (S.D.); Department of Neurology, Helsinki University Central Hospital, Helsinki, Finland (T.M., A.M., T.T.); Department of Medical and Surgical
| | - Simone Beretta
- From the Department of Epidemiology and Public Health, Inserm U744, Pasteur Institute, Lille, France (S.D., P.A., J.D.); Department of Neurology, EA1046, Lille University Hospital, Lille, France (S.D., D.L.); Department of Epidemiology, Paris Ile-de-France Ouest School of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Versailles, France (S.D.); Department of Neurology, Helsinki University Central Hospital, Helsinki, Finland (T.M., A.M., T.T.); Department of Medical and Surgical
| | - Yannick Béjot
- From the Department of Epidemiology and Public Health, Inserm U744, Pasteur Institute, Lille, France (S.D., P.A., J.D.); Department of Neurology, EA1046, Lille University Hospital, Lille, France (S.D., D.L.); Department of Epidemiology, Paris Ile-de-France Ouest School of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Versailles, France (S.D.); Department of Neurology, Helsinki University Central Hospital, Helsinki, Finland (T.M., A.M., T.T.); Department of Medical and Surgical
| | - Maria Sessa
- From the Department of Epidemiology and Public Health, Inserm U744, Pasteur Institute, Lille, France (S.D., P.A., J.D.); Department of Neurology, EA1046, Lille University Hospital, Lille, France (S.D., D.L.); Department of Epidemiology, Paris Ile-de-France Ouest School of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Versailles, France (S.D.); Department of Neurology, Helsinki University Central Hospital, Helsinki, Finland (T.M., A.M., T.T.); Department of Medical and Surgical
| | - Maria Lorenza Muiesan
- From the Department of Epidemiology and Public Health, Inserm U744, Pasteur Institute, Lille, France (S.D., P.A., J.D.); Department of Neurology, EA1046, Lille University Hospital, Lille, France (S.D., D.L.); Department of Epidemiology, Paris Ile-de-France Ouest School of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Versailles, France (S.D.); Department of Neurology, Helsinki University Central Hospital, Helsinki, Finland (T.M., A.M., T.T.); Department of Medical and Surgical
| | - Philippe Amouyel
- From the Department of Epidemiology and Public Health, Inserm U744, Pasteur Institute, Lille, France (S.D., P.A., J.D.); Department of Neurology, EA1046, Lille University Hospital, Lille, France (S.D., D.L.); Department of Epidemiology, Paris Ile-de-France Ouest School of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Versailles, France (S.D.); Department of Neurology, Helsinki University Central Hospital, Helsinki, Finland (T.M., A.M., T.T.); Department of Medical and Surgical
| | - Maurizio Castellano
- From the Department of Epidemiology and Public Health, Inserm U744, Pasteur Institute, Lille, France (S.D., P.A., J.D.); Department of Neurology, EA1046, Lille University Hospital, Lille, France (S.D., D.L.); Department of Epidemiology, Paris Ile-de-France Ouest School of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Versailles, France (S.D.); Department of Neurology, Helsinki University Central Hospital, Helsinki, Finland (T.M., A.M., T.T.); Department of Medical and Surgical
| | - Dominique Arveiler
- From the Department of Epidemiology and Public Health, Inserm U744, Pasteur Institute, Lille, France (S.D., P.A., J.D.); Department of Neurology, EA1046, Lille University Hospital, Lille, France (S.D., D.L.); Department of Epidemiology, Paris Ile-de-France Ouest School of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Versailles, France (S.D.); Department of Neurology, Helsinki University Central Hospital, Helsinki, Finland (T.M., A.M., T.T.); Department of Medical and Surgical
| | - Turgut Tatlisumak
- From the Department of Epidemiology and Public Health, Inserm U744, Pasteur Institute, Lille, France (S.D., P.A., J.D.); Department of Neurology, EA1046, Lille University Hospital, Lille, France (S.D., D.L.); Department of Epidemiology, Paris Ile-de-France Ouest School of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Versailles, France (S.D.); Department of Neurology, Helsinki University Central Hospital, Helsinki, Finland (T.M., A.M., T.T.); Department of Medical and Surgical
| | - Jean Dallongeville
- From the Department of Epidemiology and Public Health, Inserm U744, Pasteur Institute, Lille, France (S.D., P.A., J.D.); Department of Neurology, EA1046, Lille University Hospital, Lille, France (S.D., D.L.); Department of Epidemiology, Paris Ile-de-France Ouest School of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Versailles, France (S.D.); Department of Neurology, Helsinki University Central Hospital, Helsinki, Finland (T.M., A.M., T.T.); Department of Medical and Surgical
| |
Collapse
|