Abstract
Background Hypertension is the leading cause of cardiovascular disease, particularly in low- and middle-income countries. Improved awareness of hypertension status can significantly increase early treatment, thereby reducing cardiovascular complications and premature death. This study aimed to report the prevalence of the awareness, treatment, and control of hypertension among the adult population in Burkina Faso. Method We performed a secondary analysis of the first national population-based survey on common risk factors of noncommunicable diseases in Burkina Faso. It was a national representative cross-sectional survey among adults aged 25–64 years. Awareness of hypertension was defined by blood pressure ≥140/90 mmHg or a prior diagnosis by a health worker or the use of any antihypertensive drugs. A modified Poisson regression model using a generalized estimating equation was used to identify factors associated with awareness of hypertension. Result A total of 4628 people with valid blood pressure measurements were considered. Of them, 828 had hypertension. Among people with hypertension, the prevalence of awareness was 17.5% (95% CI: 14.4%–21.1%), and 47.3% (95% CI: 37.6%–57.3%) of them had taken antihypertensive medications for their hypertension. One-third (35.5% (95% CI: 23.3%–49.9%)) of those who took medications had controlled hypertension. The prevalence of awareness was significantly higher among women (21.1% (95% CI: 16.4%–26.7%)) compared with men (13.8% (95% CI: 10.4%–17.9%)) (p = 0.019). The prevalence of awareness increased with increasing age and education level. Nearly one-third (29.3% (95% CI: 25.3%–33.6%)) of people with hypertension needed antihypertensive drug treatment. Conclusion There was a poor level of awareness, treatment, and control of hypertension among adults in Burkina Faso. Effective control strategies to increase the screening of hypertension in primary care and at the community level are necessary in Burkina Faso.
Highlights
Hypertension is the leading cause of cardiovascular diseases (CVDs) worldwide, with at least 22.3% of CVDs being attributable to hypertension [1]
Accurate nationwide evidence on hypertension is needed to guide appropriate countrylevel policy response. e STEPwise survey, conducted in 2013 in Burkina Faso, offered an opportunity to assess the nationwide prevalence and factors that might influence the awareness of hypertension among the adult population in the country. erefore, our study aimed to examine the prevalence of awareness of hypertension and its associated factors among adults in Burkina Faso. e results might help policymakers to improve hypertension control strategies to achieve national and global goals
LE00.IN?locations=BF). e proportion of the population living in urban areas increased from 12.7% in 1985 to 22.7% in 2006 [15]. e country comprises multiethnic groups with different cultural practices in terms of demography, education, and alimentation [16, 17]. e ethnic groups are organized depending on the region, which creates natural clusters of sociocultural practices and behaviors related to CVD risk. e epidemiological profile is dominated by infectious diseases, with an increasing burden of noncommunicable diseases (NCDs), including CVDs, resulting in the country facing a double burden of disease and a progressive change of the pattern of diseases
Summary
Hypertension is the leading cause of cardiovascular diseases (CVDs) worldwide, with at least 22.3% of CVDs being attributable to hypertension [1]. Hypertension is the leading cause of cardiovascular disease, in low- and middle-income countries. Improved awareness of hypertension status can significantly increase early treatment, thereby reducing cardiovascular complications and premature death. Is study aimed to report the prevalence of the awareness, treatment, and control of hypertension among the adult population in Burkina Faso. We performed a secondary analysis of the first national population-based survey on common risk factors of noncommunicable diseases in Burkina Faso. It was a national representative cross-sectional survey among adults aged 25–64 years. Ere was a poor level of awareness, treatment, and control of hypertension among adults in Burkina Faso.
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