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).) |
| References: | Mortality and causes of death in South Africa. Findings from death notification/statistics South Africa. Pretoria: Statistics South Africa; 2014. p. 2015. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, et al. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension. 2003;42:1206–52. on behalf of Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. National Heart, Lung, and Blood Institute; National High Blood Pressure Education Program Coordinating Committee. (PMID: 10.1161/01.HYP.0000107251.49515.c214656957) Yoruk A, Boulos PK, Bisognano JD. The state of hypertension in Sub-Saharan Africa: review and commentary. Am J Hypertens. 2018;31:387–8. (PMID: 10.1093/ajh/hpx19629136102) Yuyun MF, Sliwa K, Kengne AP, Mocumbi AO, Bukhman G. Cardiovascular diseases in Sub-Saharan Africa compared to high-income countries: an epidemiological perspective. Glob Heart. 2020;15:15. (PMID: 10.5334/gh.403324897887218780) Bibbins-Domingo K, Pletcher MJ, Lin F, Vittinghoff E, Gardin JM, Arynchyn A, et al. Racial differences in incident heart failure among young adults. N Engl J Med. 2009;360:1179–90. (PMID: 10.1056/NEJMoa0807265192975712829671) Reddy SP, Mbewu AD, Williams DR, Harriman NW, Sewpaul R, Morgan JW, et al. Race, geographical location and other risk factors for hypertension: South African National Health and Nutrition Examination Survey 2011/12. SSM - Popul Health. 2021;16:100986. (PMID: 10.1016/j.ssmph.2021.100986349507638671114) Kandala N-B, Nnanatu CC, Dukhi N, Sewpaul R, Davids A, Reddy SP. Mapping the burden of hypertension in South Africa: a comparative analysis of the national 2012 SANHANES and the 2016 Demographic and Health Survey. Int J Environ Res Public Health. 2021;18:5445. (PMID: 10.3390/ijerph18105445340696688160950) Berry KM, Parker W, Mchiza ZJ, Sewpaul R, Labadarios D, Rosen S, et al. Quantifying unmet need for hypertension care in South Africa through a care cascade: evidence from the SANHANES, 2011–2012. BMJ Glob Health. 2017;2:e000348. (PMID: 10.1136/bmjgh-2017-000348290820135656122) Woodiwiss AJ, Kruger R, Norton GR, Schutte AE, Vally M, Da Silva Fernandes D. et al. May Measurement Month 2017: an analysis of blood pressure screening results in South Africa—Sub-Saharan Africa. Eur Heart J Supp. 2019;21:D104–6. Beaney T, Schutte AE, Tomaszewski M, Ariti C, Burrell LM, Castillo RR, et al. May Measurement Month 2017: an analysis of blood pressure screening results worldwide. Lancet Glob Health. 2018;6:736–43. on behalf of the MMM Investigators. (PMID: 10.1016/S2214-109X(18)30259-6) Beaney T, Schutte AE, Stergiou GS, Borghi C, Burger D, Charchar F, et al. May Measurement Month 2019. The global blood pressure screening campaign of the International Society of Hypertension. Hypertension. 2020;76:333–41. on behalf of MMM Investigators. (PMID: 10.1161/HYPERTENSIONAHA.120.1487432419505) Everett B, Zajacova A. Gender differences in hypertension and hypertension awareness among young adults. Biodemogr Soc Biol. 2015;61:1–17. (PMID: 10.1080/19485565.2014.929488) Egan BM, Zhao Y, Axon RN. US trends in prevalence, awareness, treatment and control of hypertension, 1988-2008. JAMA. 2010;303:2043–50. (PMID: 10.1001/jama.2010.65020501926) Yoon SS, Gu Q, Nwankwo T, Wright JD, Hong Y, Burt V. Trends in blood pressure among adults with hypertension: United States, 2003 to 2012. Hypertension. 2015;65:54–61. (PMID: 10.1161/HYPERTENSIONAHA.114.0401225399687) Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M, et al. Heart disease and stroke statistics-2016 update: a report from the American Heart Association. Circulation. 2016;133:e38–e360. on behalf of the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. (PMID: 26673558) Samad Z, Wang TY, Frazier CG, Shah SH, Dolor RJ, Newby LK. Closing the gap. Treating hypertension in women. Cardiol Rev. 2008;16:305–13. (PMID: 10.1097/CRD.0b013e31817f935018923234) Gillis EE, Sullivan JC. Sex differences in hypertension recent advances. Hypertension. 2016;68:1322–7. (PMID: 10.1161/HYPERTENSIONAHA.116.0660227777357) Lombardi M, Severi P, Mazza A, Bendini MG, Caldarine E, Armeni M, et al. Sex differences in hypertension: a question worth asking? Ann Clin Hypertens. 2017;1:1–5. Hajjar I, Kotchen TA. Trends in prevalence, awareness, treatment, and control of hypertension in the United States, 1988-2000. JAMA. 2003;290:199–206. (PMID: 10.1001/jama.290.2.19912851274) Guo F, He D, Zhang W, Walton G. Trends in prevalence, awareness, management, and control of hypertension among United States adults, 1999 to 2010. J Am Coll Cardiol. 2012;60:599–606. (PMID: 10.1016/j.jacc.2012.04.02622796254) Zhang Y, Moran AE. Trends in the prevalence, awareness, treatment, and control of hypertension among adults in the United States, 1999–2014. Hypertension. 2017;70:736–42. (PMID: 10.1161/HYPERTENSIONAHA.117.0980128847890) South African National Department of Health: National Strategic Plan 2020/21 - 2024/25. https://health.gov.za/wp-content/uploads/2020/11/depthealthstrategicplanfinal2020-21to2024-25-1 . Chow CK, Teo KK, Rangarajan S, Islam S, Gupta R, Avezum A, et al. Prevalence, awareness, treatment, and control of hypertension in rural and urban communities in high-, middle-, and low-income countries. JAMA. 2013;310:959–68. on behalf of PURE (Prospective Urban Rural Epidemiology) Study investigators. (PMID: 10.1001/jama.2013.18418224002282) Mills KT, Bundy JD, Kelly TN, Reed JE, Kearney PM, Reynolds K, et al. Global disparities of hypertension prevalence and control: a systematic analysis of population-based studies from 90 countries. Circulation. 2016;134:441–50. (PMID: 10.1161/CIRCULATIONAHA.115.018912275029084979614) Lu J, Lu Y, Wang X, Li X, Linderman GC, Wu C, et al. Prevalence, awareness, treatment, and control of hypertension in China: data from 1.7 million adults in a population-based screening study (China PEACE Million Persons Project). Lancet. 2017;390:2549–58. (PMID: 10.1016/S0140-6736(17)32478-929102084) |
| تواريخ الأحداث: | Date Created: 20231025 Latest Revision: 20231025 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1038/s41371-023-00873-3 |
| PMID: | 37880326 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1476-5527 |
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| DOI: | 10.1038/s41371-023-00873-3 |