Open AccessUncontrolled Hypertension in Uganda: A Comparative Cross‐Sectional Study
Author(s) -
Musinguzi Geofrey,
Van Geertruyden JeanPierre,
Bastiaens Hilde,
Nuwaha Fred
Publication year - 2015
Publication title -
the journal of clinical hypertension
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 67
eISSN - 1751-7176
pISSN - 1524-6175
DOI - 10.1111/jch.12371
Subject(s) - medicine , logistic regression , blood pressure , multivariate analysis , alcohol consumption , cross sectional study , bivariate analysis , diastole , middle age , demography , population , isolated systolic hypertension , multivariate statistics , pediatrics , environmental health , pathology , alcohol , biochemistry , chemistry , statistics , mathematics , sociology
In a community survey, 4432 persons aged 15 years and older in two districts in Uganda were studied. Blood pressure was measured and predictors for subtypes of uncontrolled hypertension ( HTN ) were assessed using bivariate and multivariate logistic regression modeling. Prevalence of uncontrolled HTN was 20.2% and the subgroups of isolated systolic HTN ( ISH ), isolated diastolic HTN ( IDH ), and systolic‐diastolic HTN ( SDH ) were 7.2%, 4.2%, and 8.8%, respectively. No difference was observed between the sexes. For all HTN subtypes, middle (35–49 years) and older age (50+) groups had a higher prevalence compared with younger subjects (15–34 years) (all P <.001). IDH prevalence in older age was not higher compared with younger age ( P =.417). After multivariate analysis, middle age predicted all subtypes of HTN and old age predicted ISH and SDH . Alcohol consumption predicted IDH and SDH . Uncontrolled HTN in this population increases in the order IDH , ISH, and SDH, with more than 1 in 5 having uncontrolled HTN .