Abstract
IntroductionPrevalence of cardiovascular disease risk factors (CVDRFs) is increasing, especially in low-income countries. In Sierra Leone, there is limited empirical data on the prevalence of CVDRFs, and there are no...
Highlights
Prevalence of cardiovascular disease risk factors (CVDRFs) is increasing, especially in low-income countries
In order to provide evidence to assist health policy planning, this study aimed to describe the prevalence of CVDRFs in people over 40 years old in Sierra Leone, access to care for those risk factors and sociodemographic characteristics associated with CVDRFs and access to care
The prevalence of hypertension was 49.6%, while the prevalence of diabetes and dyslipidaemia were 3.5% and 6.7%, respectively
Summary
Prevalence of cardiovascular disease risk factors (CVDRFs) is increasing, especially in low-income countries. In Sierra Leone, there is limited empirical data on the prevalence of CVDRFs, and there are no previous studies on the access to care for these conditions. Multivariable regression was used to test associations between prevalence of CVDRFs and progress through the cascade for hypertension with demographic and socioeconomic variables In those with recognised disease who did not seek care, reasons for not accessing care were recorded. Results Of 2071 people, 49.6% (95% CI 49.3% to 50.0%) of the population had hypertension, 3.5% (3.4% to 3.6%) had diabetes, 6.7% (6.5% to 7.0%) had dyslipidaemia, 25.6% (25.4% to 25.9%) smoked and 26.5% (26.3% to 26.8%) were overweight/obese; a total of 77.1% (76.6% to 77.5%) had at least one CVDRF. It has a human development index of 0.419 (184 of 189 countries) and a maternal mortality ratio (1360 per 100 000 live births) and under-5 mortality rate (110.5 per 1000 live births) among the Odland ML, et al BMJ Open 2020;10:e038520. doi:10.1136/bmjopen-2020-038520
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