ArticleInternational journal of epidemiology2014
Hypertension among older adults in low- and middle-income countries: prevalence, awareness and control.
Article in International journal of epidemiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07076134 (A Pilot Trial of a Community-and Primary Care-based Intervention Linked With mObile Technology for Hypertension Control in Nepal), which is not on this map. Cited by 250 papers, 11 of them syntheses that pooled it.
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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.
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.
A Pilot Trial of a Community-and Primary Care-based Intervention Linked With mObile Technology for Hypertension Control in Nepal (CoPILOT Trial)
Who cites it
250 citing papers in PubMed, 11 syntheses or guidelines pooled it.
- Availability of secondary healthcare data for conducting pharmacoepidemiology studies in Mexico: a systematic review.Journal of comparative effectiveness research · 2026Pooled it
- Prevalence of Undiagnosed Hypertension in Bangladesh: A Systematic Review and Meta-Analysis.Journal of clinical hypertension (Greenwich, Conn.) · 2025Pooled it
- Predictors of Control Status of Hypertension in India: A Systematic Review and Meta-analysis.Journal of prevention (2022) · 2024Pooled it
- Non-pharmacological interventions to achieve blood pressure control in African patients: a systematic review.BMJ open · 2022Pooled it
- Prevalence of hypertension in Ghanaian society: a systematic review, meta-analysis, and GRADE assessment.Systematic reviews · 2021Pooled it
- Prevalence, awareness and control of hypertension in Ghana: A systematic review and meta-analysis.PloS one · 2021Pooled it
- Determinants of systemic hypertension in older adults in Africa: a systematic review.BMC cardiovascular disorders · 2019Pooled it
- Physical activity participation and the risk of chronic diseases among South Asian adults: a systematic review and meta-analysis.Scientific reports · 2019Pooled it
- Dietary Sources of Salt in Low- and Middle-Income Countries: A Systematic Literature Review.International journal of environmental research and public health · 2019Pooled it
- Pooled it
- The highly neglected burden of resistant hypertension in Africa: a systematic review and meta-analysis.BMJ open · 2016Pooled it
- Integrating hypertension screening at the time of voluntary HIV testing among adults in South Africa.PloS one · 2019Trial
- Physical activity and hypertension amongst HIV-positive and HIV-negative populations in rural South Africa.Hypertension research : official journal of the Japanese Society of Hypertension · 2026Observational
- Prevalence and predictors of self-reported multimorbidity and locomotor disability among the geriatric population in coastal South Karnataka, India.BMC geriatrics · 2026Article
- Determinants of hypertension among Bhutanese adults: evidence from a national WHO STEPS survey.Scientific reports · 2026Article
- Hypertension and Its Determinants Among White-Collar Workers: A Cross-Sectional Study Focusing on Lifestyle Risk Factors and Health Literacy.BioMed research international · 2026Article
- Neighborhood deprivation and cardiometabolic risk factors in people living with HIV in urban South Africa.Health & place · 2026Article
- Implementation of non-pharmacological recommendations and its associated factors among hypertensive patients on follow-up in hospitals of South Omo and Gofa zones, Southern Ethiopia: A facility based cross sectional study.PLOS global public health · 2026Article
- Article
- A qualitative study of the social and structural vulnerabilities of HIV and chronic disease syndemics in low-resource urban health facilities in South Africa.Discover public health · 2026Article
190 more citing papers are in PubMed but not listed here.
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5 authors.
Funding
Abstract
backgroundThis study uses data from the World Health Organization's Study on Global Ageing and Adult Health (SAGE) to examine patterns of hypertension prevalence, awareness, treatment and control for people aged 50 years and over in China, Ghana, India, Mexico, the Russian Federation and South Africa.
methodsThe SAGE sample comprises of 35 125 people aged 50 years and older, selected randomly. Hypertension was defined as ≥140 mmHg (systolic blood pressure) or ≥90 mmHg (diastolic blood pressure) or by currently taking antihypertensives. Control of hypertension was defined as blood pressure below 140/90 mmHg on treatment. A person was defined as aware if he/she was hypertensive and self-reported the condition.
resultsPrevalence rates in all countries are broadly comparable to those of developed countries (52.9%; range 32.3% in India to 77.9% in South Africa). Hypertension was associated with overweight/obesity and was more common in women, those in the lowest wealth quintile and in heavy alcohol consumers. Awareness was found to be low for all countries, albeit with substantial national variations (48.3%; range 23.3% in Ghana to 72.1% in the Russian Federation). This was also the case for control (10.2%; range 4.1% in Ghana to 14.1% India) and treatment efficacy (26.3%; range 17.4% in the Russian Federation to 55.2% in India). Awareness was associated with increasing age, being female and being overweight or obese. Effective control of hypertension was more likely in older people, women and in the richest quintile. Obesity was associated with poorer control.
conclusionsThe high rates of hypertension in low- and middle-income countries are striking. Levels of treatment and control are inadequate despite half those sampled being aware of their condition. Since cardiovascular disease is by far the largest cause of years of life lost in these settings, these findings emphasize the need for new approaches towards control of this major risk factor.
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