Epidemiology and awareness of hypertension in a rural Ugandan community: a cross-sectional study
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Kotwani, Prashant, et al. Epidemiology and Awareness of Hypertension In a Rural Ugandan Community: a Cross-sectional Study. BioMed Central Ltd, 2013. https://doi.org/10.17615/3j01-kg86APA
Kotwani, P., Kwarisiima, D., Clark, T., Kabami, J., Geng, E., Jain, V., Chamie, G., Petersen, M., Thirumurthy, H., Kamya, M., Charlebois, E., & Havlir, D. (2013). Epidemiology and awareness of hypertension in a rural Ugandan community: a cross-sectional study. BioMed Central Ltd. https://doi.org/10.17615/3j01-kg86Chicago
Kotwani, Prashant, Dalsone Kwarisiima, Tamara D Clark, Jane Kabami, Elvin H Geng, Vivek Jain, Gabriel Chamie et al. 2013. Epidemiology and Awareness of Hypertension In a Rural Ugandan Community: a Cross-Sectional Study. BioMed Central Ltd. https://doi.org/10.17615/3j01-kg86- Creator
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Kotwani, Prashant
- Other Affiliation: HIV/AIDS Division, Department of Medicine, San Francisco General Hospital, University of California San Francisco, 995 Potrero Avenue, UCSF Box 0874, San Francisco, California 94110, USA; >Makerere University-University of California San Francisco (MU-UCSF) Research Collaboration, Mbarara, Uganda
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Kwarisiima, Dalsone
- Other Affiliation: Mulago Joint AIDS Program, Kampala and Mbarara, Mbarara, Uganda
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Clark, Tamara D
- Other Affiliation: HIV/AIDS Division, Department of Medicine, San Francisco General Hospital, University of California San Francisco, 995 Potrero Avenue, UCSF Box 0874, San Francisco, California 94110, USA; Makerere University-University of California San Francisco (MU-UCSF) Research Collaboration, Mbarara, Uganda
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Kabami, Jane
- Other Affiliation: Makerere University-University of California San Francisco (MU-UCSF) Research Collaboration, Mbarara, Uganda
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Geng, Elvin H
- Other Affiliation: HIV/AIDS Division, Department of Medicine, San Francisco General Hospital, University of California San Francisco, 995 Potrero Avenue, UCSF Box 0874, San Francisco, California 94110, USA; Makerere University-University of California San Francisco (MU-UCSF) Research Collaboration, Mbarara, Uganda
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Jain, Vivek
- Other Affiliation: HIV/AIDS Division, Department of Medicine, San Francisco General Hospital, University of California San Francisco, 995 Potrero Avenue, UCSF Box 0874, San Francisco, California 94110, USA; Makerere University-University of California San Francisco (MU-UCSF) Research Collaboration, Mbarara, Uganda
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Chamie, Gabriel
- Other Affiliation: HIV/AIDS Division, Department of Medicine, San Francisco General Hospital, University of California San Francisco, 995 Potrero Avenue, UCSF Box 0874, San Francisco, California 94110, USA; Makerere University-University of California San Francisco (MU-UCSF) Research Collaboration, Mbarara, Uganda
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Petersen, Maya L
- Other Affiliation: School of Public Health, University of California, Berkeley, California, USA
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Thirumurthy, Harsha
- Affiliation: Gillings School of Global Public Health
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Kamya, Moses R
- Other Affiliation: Makerere University-University of California San Francisco (MU-UCSF) Research Collaboration, Mbarara, Uganda; Department of Medicine, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda
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Charlebois, Edwin D
- Other Affiliation: Makerere University-University of California San Francisco (MU-UCSF) Research Collaboration, Mbarara, Uganda; Center for AIDS Prevention Studies, Department of Medicine, University of California San Francisco, San Francisco, California, USA
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Havlir, Diane V
- Other Affiliation: HIV/AIDS Division, Department of Medicine, San Francisco General Hospital, University of California San Francisco, 995 Potrero Avenue, UCSF Box 0874, San Francisco, California 94110, USA; Makerere University-University of California San Francisco (MU-UCSF) Research Collaboration, Mbarara, Uganda
- Abstract
- Abstract Background Hypertension is one of the largest causes of preventable morbidity and mortality worldwide. There are few population-based studies on hypertension epidemiology to guide public health strategies in sub-Saharan Africa. Using a community-based strategy that integrated screening for HIV and non-communicable diseases, we determined the prevalence, awareness, treatment rates, and sociodemographic factors associated with hypertension in rural Uganda. Methods A household census was performed to enumerate the population in Kakyerere parish in Mbarara district, Uganda. A multi-disease community-based screening campaign for hypertension, diabetes, and HIV was then conducted. During the campaign, all adults received a blood pressure (BP) measurement and completed a survey examining sociodemographic factors. Hypertension was defined as elevated BP (≥140/≥90 mmHg) on the lowest of three BP measurements or current use of antihypertensives. Prevalence was calculated and standardized to age distribution. Sociodemographic factors associated with hypertension were evaluated using a log-link Poisson regression model with robust standard errors. Results Community participation in the screening campaign was 65%, including 1245 women and 1007 men. The prevalence of hypertension was 14.6%; awareness of diagnosis (38.1%) and current receipt of treatment (20.6%) were both low. Age-standardized to the WHO world standard population, hypertension prevalence was 19.8%, which is comparable to 21.6% in the US and 18.4% in the UK. Sociodemographic factors associated with hypertension included increasing age, male gender, overweight, obesity, diabetes, alcohol consumption, and family history. Prevalence of modifiable factors was high: 28.3% women were overweight/obese and 24.1% men consumed ≥10 alcoholic drinks per month. Conclusions We found a substantial burden of hypertension in rural Uganda. Awareness and treatment of hypertension is low in this region. Enhanced community-based education and prevention efforts tailored to addressing modifiable factors are needed.
- Date of publication
- December 9, 2013
- DOI
- Identifier
- Resource type
- Article
- Rights statement
- In Copyright
- Rights holder
- Prashant Kotwani et al.; licensee BioMed Central Ltd.
- License
- Journal title
- BMC Public Health
- Journal volume
- 13
- Journal issue
- 1
- Page start
- 1151
- Language
- English
- Is the article or chapter peer-reviewed?
- Yes
- ISSN
- 1471-2458
- Bibliographic citation
- BMC Public Health. 2013 Dec 09;13(1):1151
- Publisher
- BioMed Central Ltd
- Access right
- Open Access
- Date uploaded
- January 13, 2014
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