دورية أكاديمية
High prevalence but lack of awareness of hypertension in South Africa, particularly among men and young adults.
العنوان: | High prevalence but lack of awareness of hypertension in South Africa, particularly among men and young adults. |
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المؤلفون: | Woodiwiss AJ; Cardiovascular Pathophysiology and Genomics Research Unit, School of Physiology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa. angela.woodiwiss@wits.ac.za., Orchard A; Clinical Pharmacy Division, Department of Pharmacy and Pharmacology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa., Mels CMC; Hypertension in Africa Research Team (HART), Faculty of Health Sciences, North-West University, Potchefstroom, South Africa.; SAMRC Research Unit for Hypertension and Cardiovascular Disease, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa., Uys AS; Hypertension in Africa Research Team (HART), Faculty of Health Sciences, North-West University, Potchefstroom, South Africa.; SAMRC Research Unit for Hypertension and Cardiovascular Disease, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa., Nkeh-Chungag BN; Department of Biological and Environmental Sciences, Faculty of Natural Science, Walter Sisulu University, Mthatha, South Africa., Kolkenbeck-Ruh A; Cardiovascular Pathophysiology and Genomics Research Unit, School of Physiology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.; SAMRC-Wits Developmental Pathways to Health Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa., Ware LJ; SAMRC-Wits Developmental Pathways to Health Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa., Yates S; Department of Life and Consumer Sciences, University of South Africa (UNISA), Science Campus, Roodepoort, South Africa., Jones ESW; Division of Nephrology and Hypertension, University of Cape Town, Cape Town, South Africa., Peterson VR; Cardiovascular Pathophysiology and Genomics Research Unit, School of Physiology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa., Poulter NR; Imperial Clinical Trials Unit, Imperial College London, Stadium House, 68 Wood Lane, London, W12 7RH, UK. |
المصدر: | Journal of human hypertension [J Hum Hypertens] 2023 Oct 25. Date of Electronic Publication: 2023 Oct 25. |
Publication Model: | Ahead of Print |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Nature Publishing Group Country of Publication: England NLM ID: 8811625 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1476-5527 (Electronic) Linking ISSN: 09509240 NLM ISO Abbreviation: J Hum Hypertens Subsets: MEDLINE |
أسماء مطبوعة: | Publication: <2003->: London : Nature Publishing Group Original Publication: Houndmills, Basingstoke, Hampshire, UK : Scientific & Medical, Macmillan Press, c1987- |
مستخلص: | Cardiovascular disease (CVD) is a leading cause of death in South Africa (SA) and high blood pressure (BP) is the primary risk factor. However, hypertension prevalence is high, BP control is poor and CV events occur at a younger age than in Europe or America. Increasing screening, raising awareness and improving management of hypertension are critical to prevent CVD in SA. May Measurement Month (MMM) is a global initiative of the International Society of Hypertension aimed at raising awareness of high BP. As part of the MMM campaign, in SA (2017, 2018, 2019 and 2021), BP measurements and a cross-sectional survey of volunteers aged ≥ 18years were performed. Of 11,320 individuals (age 36.6 ± 16.8years) screened, 29.7% had hypertension (systolic BP/diastolic BP ≥ 140/90 mmHg or antihypertensive medication use) and the prevalence was higher (p < 0.0001) in men (35.6%) than in women (26.3%). Of those with hypertension, only 54.3% were aware and 46.8% were receiving antihypertensive medication, and 53.7% of these had controlled BP. In men with hypertension, awareness (45.2%, treatment (38.2%) and controlled BP on antihypertensive medication (45.2%) were lower (p < 0.0001) than in women (awareness: 60.8%; treatment: 53.5%; controlled BP: 58.3%). In young participants (age < 40years), 15.6% had hypertension, 18.6% of these were on treatment but 76.0% were not aware, and only 57.7% had controlled BP. The high prevalence of hypertension, but low levels of awareness, treatment, and BP control in SA, especially in young adults and men, highlight the need for systematic BP screening programmes and improvements in education and management of hypertension. (© 2023. The Author(s).) |
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تواريخ الأحداث: | Date Created: 20231025 Latest Revision: 20231025 |
رمز التحديث: | 20231215 |
DOI: | 10.1038/s41371-023-00873-3 |
PMID: | 37880326 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1476-5527 |
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DOI: | 10.1038/s41371-023-00873-3 |