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Konlan KD, Lee H, Lee M, Kim Y, Lee H, Abdulai JA. Risk factors associated with the incidence and prevalence of hypertension in Ghana: an integrated review (2016-2021). INTERNATIONAL JOURNAL OF ENVIRONMENTAL HEALTH RESEARCH 2023; 33:1132-1147. [PMID: 35578383 DOI: 10.1080/09603123.2022.2076814] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/23/2021] [Accepted: 05/07/2022] [Indexed: 06/15/2023]
Abstract
This study synthesized the risk factors associated with hypertension among adolescents and adults in Ghana. A systematic search in four databases between 2016 and 2021 retrieved 119 Ghanaian studies, and through screening, 16 were selected. Thematic analysis was used to synthesize extracted data. Prevalence of hypertension ranged from 13.0% to 28.4% and prehypertension 22.0% to 51.4%. The non-modifiable hypertension risk factors were age, marital status, gender, and residence. The modifiable risk factors were consuming additional table salt, salted meat, alcohol, canned meats, smoking, and psychological factors, including stress and anxiety. Also, higher education and socio-economic status, employment, access to medical insurance, overweight, and higher BMI were risk factors. Targeted, sustained, systematic, and effective intervention programs should target high-risk people.
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Affiliation(s)
- Kennedy Diema Konlan
- Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, Seoul, South Korea
- Department of Public Health Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana
| | - Hyeonkyeong Lee
- Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, Seoul, South Korea
- College of Nursing, Brain Korea 21 FOUR Project, Yonsei University, Seoul, South Korea
| | - Mikyung Lee
- Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, Seoul, South Korea
- College of Nursing, Brain Korea 21 FOUR Project, Yonsei University, Seoul, South Korea
| | - Youlim Kim
- Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, Seoul, South Korea
- College of Nursing, Brain Korea 21 FOUR Project, Yonsei University, Seoul, South Korea
| | - Hyeyeon Lee
- Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, Seoul, South Korea
| | - Juliana Asibi Abdulai
- University for Development Studies, University Health Services (Nursing), Tamale, Northern Region, Ghana
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Konlan KD, Lee H, Choi EK. Hypertension literacy: Concept analysis. Nurs Open 2023; 10:6078-6090. [PMID: 37212530 PMCID: PMC10416074 DOI: 10.1002/nop2.1829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Revised: 03/17/2023] [Accepted: 05/05/2023] [Indexed: 05/23/2023] Open
Abstract
AIM Analysis of the concept of hypertension literacy to ensure clarity, reduce ambiguities and promote consistency in usage. DESIGN Walker and Avant's concept analysis method was adopted. METHODS Searched four electronic databases using keywords combined with the appropriate Boolean operators. After removing duplicates, thirty titles were identified, and ten articles met the basic criteria for inclusion. The analysis was done using a convergent synthesis design to integrate results and transform them into qualitative descriptions. RESULTS Hypertension literacy's defining attributes were hypertension information search skills, comprehension of numeracy associated with blood pressure and medication and utilization of hypertension prevention information. The identified antecedents were formal education and improved cognitive, social, economic and health-related experiences. Consequences of hypertension literacy included improved self-reported and increased health awareness. Hypertension literacy allows nurses to assess and accurately improve knowledge and facilitate people to adopt prevention behaviours.
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Affiliation(s)
- Kennedy Diema Konlan
- College of NursingYonsei UniversitySeoulKorea
- Department of Public Health Nursing, School of Nursing and MidwiferyUniversity of Health and Allied SciencesHoGhana
| | - Hyeonkyeong Lee
- College of NursingYonsei UniversitySeoulKorea
- Mo‐im Kim Nursing Research Institute, College of NursingYonsei UniversitySeoulKorea
| | - Eun Kyoung Choi
- College of NursingYonsei UniversitySeoulKorea
- Mo‐im Kim Nursing Research Institute, College of NursingYonsei UniversitySeoulKorea
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Tagoe EA, Dwamena-Akoto E, Nsaful J, Aikins AR, Clegg-Lamptey JN, Quaye O. High atherogenic index of plasma and cardiovascular risk factors among Ghanaian breast cancer patients. Exp Biol Med (Maywood) 2020; 245:1648-1655. [PMID: 32640892 DOI: 10.1177/1535370220940992] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
Comorbidities impact negatively on breast cancer prognosis, especially in developing countries where cases are usually presented to clinics at advanced stages. This study aimed to determine the atherogenic index of plasma (AIP) and cardiovascular risk factors among Ghanaian women diagnosed with breast cancer. A total of 52 breast cancer patients were age-matched with 52 healthy controls. Sociodemographics of participants were obtained using a well-structured questionnaire. Pathological data of patients were obtained from medical records, and all clinical and anthropometric measurements were done using standard instruments. Lipid profile was determined from serum using enzymatic assays, and cardiovascular risk factors were calculated from estimated lipid parameters. Blood pressure, AIP, total cholesterol (T. chol), triglyceride (TG), and low-density lipoprotein cholesterol (LDL-c) were significantly elevated (P < 0.05) in the breast cancer patients compared to the controls, but the reverse was observed for high-density lipoprotein cholesterol (HDL-c) (P < 0.01). Obesity (odds ratio [OR] = 2.51, P = 0.015), hypertension (OR = 4.04, P < 0.001), AIP (OR = 10.44, P < 0.001), and dyslipidemia (P < 0.01) were significantly associated with breast cancer. AIP correlated positively with age (r = 0.244, P < 0.05), body mass index (r = 0.225, P < 0.05), blood pressure (P < 0.01), T. chol (r =0.418, P< 0.01), and TG (r = 0.880, P < 0.01), but inversely correlated with HDL-c (r = -0.460, P < 0.01). A greater proportion (88%) of the patients presented with advanced breast cancer. AIP and cardiovascular risk factors were high in the breast cancer patients. Considering that AIP and cardiovascular disease risk factors are of interest in breast cancer patients, further studies are needed to understand the effect of AIP and cardiovascular risk factors on breast cancer outcomes.
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Affiliation(s)
- Emmanuel A Tagoe
- West African Centre for Cell Biology of Infectious Pathogens, Department of Biochemistry, Cell and Molecular Biology, 58835University of Ghana, Legon 00233, Accra, Ghana.,Department of Medical Laboratory Sciences, School of Biochemical and Allied Health Sciences, 58835University of Ghana, Korle Bu 00233, Accra, Ghana
| | - Eric Dwamena-Akoto
- Department of Medical Laboratory Sciences, School of Biochemical and Allied Health Sciences, 58835University of Ghana, Korle Bu 00233, Accra, Ghana
| | - Josephine Nsaful
- Department of Surgery, Korle Bu Teaching Hospital/58835University of Ghana Medical School, Korle Bu 00233, Accra, Ghana
| | - Anastasia R Aikins
- West African Centre for Cell Biology of Infectious Pathogens, Department of Biochemistry, Cell and Molecular Biology, 58835University of Ghana, Legon 00233, Accra, Ghana
| | - Joe-Nat Clegg-Lamptey
- Department of Surgery, Korle Bu Teaching Hospital/58835University of Ghana Medical School, Korle Bu 00233, Accra, Ghana
| | - Osbourne Quaye
- West African Centre for Cell Biology of Infectious Pathogens, Department of Biochemistry, Cell and Molecular Biology, 58835University of Ghana, Legon 00233, Accra, Ghana
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