Evidence map›Paper›PMID 17676503›Full record

ArticleScandinavian journal of public health. Supplement2007

Understanding and managing hypertension in an African sub-district: a multidisciplinary approach.

Margaret Thorogood, Myles D Connor, Gillian Lewando Hundt, Stephen M Tollman

Abstract read
In one paragraph

Article in Scandinavian journal of public health. Supplement, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed.

  1. Trial
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  3. Hypertension and the Well-Being of African Migrants in South Africa.International journal of environmental research and public health · 2025
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  14. One-Year Rates and Determinants of Poststroke Systolic Blood Pressure Control among Ghanaians.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2017
    Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Margaret ThorogoodWarwick Medical School, University of Warwick, UK. m.thorogood@warwick.ac.uk
Myles D Connor
Gillian Lewando Hundt
Stephen M Tollman

Funding

Wellcome Trust 0647/Z/01/ZWellcome Trust 069683
6 · The paper itself

Abstract

aimsTo use a multidisciplinary approach to describe the prevalence, lay beliefs, health impact, and treatment of hypertension in the Agincourt sub-district.

methodsA multidisciplinary team used a range of methods including a cross-sectional random sample survey of vascular risk factors in adults aged 35 years and older, and rapid ethnographic assessment. People who had suffered a stroke were identified by a screening questionnaire followed by a detailed history and examination by a clinician to confirm the likely diagnosis of stroke. Workshops were held for nurses working in the local clinics and an audit of blood pressure measuring devices was carried out.

resultsSome 43% of the population 35 and over had hypertension. There was no relationship with gender but a strong positive relationship with age. Illnesses were classified by the population as being either African, with personal or social causes, or White/Western, with physical causes. The causes of hypertension were stated to be both physical and social. Main sources of treatment were the clinics and hospitals but people also sought help from churches and traditional healers. Some 84% of stroke survivors had evidence of hypertension. Few people received treatment for hypertension, although good levels of control were achieved in some. Barriers to providing effective treatment included unreliable drug supply and unreliable equipment to measure blood pressure.

conclusionsHypertension is a major problem among older people in Agincourt. There is potential for effective secondary prevention. The potential for primary prevention is less clear. Further information on diet is required.

Indexed as

HypertensionAdultAgedBlood Pressure DeterminationCross-Sectional StudiesFemaleHealth Services AccessibilityHumansLife StyleMaleMiddle AgedPrevalenceRisk FactorsRural PopulationSouth AfricaStroke

Identifiers

PMID17676503
PMCPMC2830110

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.