Prevalence and factors associated with hypertension among rural community dwellers in a local government area, South West Nigeria

Afr Health Sci. 2021 Mar;21(1):75-81. doi: 10.4314/ahs.v21i1.12.

Abstract

Background: Many African countries including Nigeria are said to be at various stages of an epidemiological transition from communicable to non-communicable diseases (NCD).

Objective: This study determined the current pattern and correlates of hypertension among adults in some rural communities in South West Nigeria.

Methods: It was a descriptive cross-sectional study of 1012 individuals across 16 rural communities. The respondents' blood pressure, weight, height and waist circumference were measured. Bivariate and multivariate analyses were done.

Results: Among the participants, 461 (45.6%) had hypertension out of whom 217 (47.1%) and 244 (52.9%) had stage 1 and stage 2 hypertension respectively. The systolic, diastolic and mean arterial blood pressures increased with age. The significant predictors of hypertension were; increasing age (p<0.001), higher waist circumference (p = 0.01) and overweight / obesity (p = 0.03). While systolic blood pressure (SBP) had the strongest correlation with age, waist circumference (WC) was the strongest correlate of diastolic blood pressure (DBP).

Conclusion: Despite being a rural population, there was a high prevalence of hypertension in the study area.

Keywords: Nigeria; Prevalence; community; hypertension; rural.

MeSH terms

  • Adult
  • Black People / statistics & numerical data*
  • Blood Pressure / physiology
  • Cardiovascular Diseases / epidemiology
  • Cross-Sectional Studies
  • Humans
  • Hypertension / diagnosis
  • Hypertension / epidemiology*
  • Local Government
  • Male
  • Middle Aged
  • Nigeria / epidemiology
  • Obesity / complications*
  • Overweight / complications*
  • Prevalence
  • Risk Factors
  • Rural Population / statistics & numerical data