Abstract
SummaryBackgroundNon-communicable diseases are now a global priority. We report on the prevalence of hypertension and its risk factors, including ethnicity, in a nationally representative sample of Nigerian adults recruited to a survey of visual impairment.MethodsA multi-stage, stratified, cluster random sample with probability proportional to size procedures was used to obtain a nationally representative sample of 13 591 subjects aged ≥ 40 years. Of these, 13 504 (99.4%) had a blood pressure measurement.ResultsThe prevalence of hypertension was 44.9% [95% confidence interval (CI): 43.5–46.3%]. Increasing age, gender, urban residence and body mass index were independent risk factors (p < 0.001). The Kanuri ethnic group had the highest prevalence of hypertension (77.5%, 95% CI: 71.0–84.0%).ConclusionsThe high prevalence of hypertension in Nigeria is a cause for concern and suggests that it is inevitable that the impact of hypertension-related ill health is imminent, with the accompanying financial and societal costs to families and the state of Nigeria.
Highlights
A number of recent large surveys in sub-Saharan Africa reported the prevalence of hypertension to range from 19 to 50.1%,6,12,27-34 and a recent systematic review of surveys from the region confirms the wide variation in prevalence estimates.[5]
Our results show that the prevalence of hypertension in Nigeria is similar to that in high-income countries and is a public health challenge
The increase in non-communicable diseases (NCDs) in sub-Saharan Africa will mean that additional resources will be required for the detection and control of NCDs, which would compete with the resources being allocated for the control of communicable diseases, such as the neglected tropical diseases, malaria and HIV
Summary
Non-communicable diseases are a global priority. We report on the prevalence of hypertension and its risk factors, including ethnicity, in a nationally representative sample of Nigerian adults recruited to a survey of visual impairment.International Centre for Eye Health, Department of Clinical Research, London School of Hygiene and Tropical Medicine, Keppel Street, London, UK SAMANTHA FOX, MD, MPH SELVARAJ SIVASUBRAMANIAM, MSc CLARE E GILBERT, MD, MSc, FRCOphthAbubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria ABDULL M MAHDI, FMCOphth, MScMinistry of Health, Minna, Niger State, Nigeria ABDULLAHI U IMAM, DO, MScVision Health Services, Ikeja, Lagos State, Nigeria GABRIEL ENTEKUME, ODNigeria National Blindness and Visual Impairment study group: International Agency for Prevention of Blindness, Africa region, Ibadan, Nigeria ABIOSE ADENIKEOphthalmology Department, Lions Eye Centre, Isolo General Hospital, Lagos Sate, Nigeria OLUFUNMILAYO O BANKOLEMinistry of Health Awka, Anambra State, Nigeria C EZELUMNational Eye Centre, Kaduna, Nigeria FATIMA KYARI MANSUR M RABIUSight Savers West Africa Regional Office, Accra, Ghana HANNAH FAALInstitute of Ophthalmology, University College London, London, UK PAK SANG LEE. We report on the prevalence of hypertension and its risk factors, including ethnicity, in a nationally representative sample of Nigerian adults recruited to a survey of visual impairment. International Centre for Eye Health, Department of Clinical Research, London School of Hygiene and Tropical Medicine, Keppel Street, London, UK SAMANTHA FOX, MD, MPH SELVARAJ SIVASUBRAMANIAM, MSc CLARE E GILBERT, MD, MSc, FRCOphth. Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria ABDULL M MAHDI, FMCOphth, MSc. Ministry of Health, Minna, Niger State, Nigeria ABDULLAHI U IMAM, DO, MSc. Vision Health Services, Ikeja, Lagos State, Nigeria GABRIEL ENTEKUME, OD. Nigeria National Blindness and Visual Impairment study group: International Agency for Prevention of Blindness, Africa region, Ibadan, Nigeria ABIOSE ADENIKE. National Eye Centre, Kaduna, Nigeria FATIMA KYARI MANSUR M RABIU.
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