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Hypertension awareness, treatment and control in Africa: a systematic review.

Kayima J, Wanyenze RK, Katamba A, Leontsini E, Nuwaha F - BMC Cardiovasc Disord (2013)

Bottom Line: North African countries had the highest levels of treatment in the continent.On the whole, the women had a better control status than the men.Tailored research is required to uncover specific reasons behind these low levels of awareness and treatment, and especially control, in order to inform policy formulation for the improvement of outcomes of hypertensive patients in Africa.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Medicine, School of Medicine, College of Health Sciences, Makerere University, PO Box 7072, Kampala, Uganda. jkkayima@gmail.com

ABSTRACT

Background: Inadequate diagnosis and suboptimal control of hypertension is a major driver of cardiovascular morbidity and mortality in Africa. Understanding the levels of awareness, treatment and control of hypertension and the associated factors has important implications for hypertension control efforts.

Methods: The PubMed database was searched for original articles related to awareness, treatment and control of hypertension in Africa published between 1993 and 2013. The key search terms were: Africa, awareness, treatment, control, and hypertension. Exploration of bibliographies cited in the identified articles was done to provide further studies. Full texts of the articles were obtained from various internet sources and individual authors. A data extraction sheet was used to collect this information.

Results: Thirty-eight studies drawn from 23 African countries from all regions of the continent met the inclusion criteria. The levels of awareness, treatment and control varied widely from country to country. Rural populations had lower levels of awareness than urban areas. North African countries had the highest levels of treatment in the continent. There was generally poor control of hypertension across the region even among subjects that were aware of their status and those that were treated. On the whole, the women had a better control status than the men.

Conclusion: There are low levels of awareness and treatment of hypertension and even lower levels of control. Tailored research is required to uncover specific reasons behind these low levels of awareness and treatment, and especially control, in order to inform policy formulation for the improvement of outcomes of hypertensive patients in Africa.

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Related in: MedlinePlus

Map of Africa distribution of studies reviewed.
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Figure 2: Map of Africa distribution of studies reviewed.

Mentions: FigureĀ 2 shows the countries on the African continent represented in the review. Overall, 26 of the 53 African countries were represented from all the regions of the continent. East Africa was represented by fourteen studies from seven countries [14-27]. Central Africa [28-33] and North Africa [34-39] were each represented by six studies. West Africa was represented by eleven studies [21,40-49]. An additional four studies from South Africa and Namibia were included in the survey [21,50-52].


Hypertension awareness, treatment and control in Africa: a systematic review.

Kayima J, Wanyenze RK, Katamba A, Leontsini E, Nuwaha F - BMC Cardiovasc Disord (2013)

Map of Africa distribution of studies reviewed.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3750220&req=5

Figure 2: Map of Africa distribution of studies reviewed.
Mentions: FigureĀ 2 shows the countries on the African continent represented in the review. Overall, 26 of the 53 African countries were represented from all the regions of the continent. East Africa was represented by fourteen studies from seven countries [14-27]. Central Africa [28-33] and North Africa [34-39] were each represented by six studies. West Africa was represented by eleven studies [21,40-49]. An additional four studies from South Africa and Namibia were included in the survey [21,50-52].

Bottom Line: North African countries had the highest levels of treatment in the continent.On the whole, the women had a better control status than the men.Tailored research is required to uncover specific reasons behind these low levels of awareness and treatment, and especially control, in order to inform policy formulation for the improvement of outcomes of hypertensive patients in Africa.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Medicine, School of Medicine, College of Health Sciences, Makerere University, PO Box 7072, Kampala, Uganda. jkkayima@gmail.com

ABSTRACT

Background: Inadequate diagnosis and suboptimal control of hypertension is a major driver of cardiovascular morbidity and mortality in Africa. Understanding the levels of awareness, treatment and control of hypertension and the associated factors has important implications for hypertension control efforts.

Methods: The PubMed database was searched for original articles related to awareness, treatment and control of hypertension in Africa published between 1993 and 2013. The key search terms were: Africa, awareness, treatment, control, and hypertension. Exploration of bibliographies cited in the identified articles was done to provide further studies. Full texts of the articles were obtained from various internet sources and individual authors. A data extraction sheet was used to collect this information.

Results: Thirty-eight studies drawn from 23 African countries from all regions of the continent met the inclusion criteria. The levels of awareness, treatment and control varied widely from country to country. Rural populations had lower levels of awareness than urban areas. North African countries had the highest levels of treatment in the continent. There was generally poor control of hypertension across the region even among subjects that were aware of their status and those that were treated. On the whole, the women had a better control status than the men.

Conclusion: There are low levels of awareness and treatment of hypertension and even lower levels of control. Tailored research is required to uncover specific reasons behind these low levels of awareness and treatment, and especially control, in order to inform policy formulation for the improvement of outcomes of hypertensive patients in Africa.

Show MeSH
Related in: MedlinePlus