ArticleCardiovascular journal of Africa
Prevalence of hypertension in the Gambia and Sierra Leone, western Africa: a cross-sectional study.
Article in Cardiovascular journal of Africa. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Prevalence of Cardiovascular Disease Risk Factors in the Gambia: A Systematic Review.Global heart · 2020Pooled it
- Stroke in Sierra Leone: Insights From a Retrospective Review to Support the Development of a Neurosurgical Department in the Country.Neurosurgery practice · 2026Article
- Endogenous and exogenous determinants of sex differences in blood pressure.NPJ cardiovascular health · 2026Review
- Prevalence of hypertension among Patients Seeking Care in selected health facilities in the Southern Province of Sierra Leone.PLOS global public health · 2025Article
- Factors associated with knowledge of hypertension risk factors and symptoms among Gambian women: A cross-sectional study based on the Gambia Demographic and Health Survey.Preventive medicine reports · 2024Article
- Prevalence of hypertension, diabetes mellitus, and their risk factors in an informal settlement in Freetown, Sierra Leone: a cross-sectional study.BMC public health · 2024Article
- Lived experience of diet-related health education in type 2 diabetes and hypertension comorbidity in The Gambia.Health promotion international · 2023Article
- Incidence of stroke and its predictors among hypertensive patients in Felege Hiwot comprehensive specialized hospital, Bahir Dar, Ethiopia, a retrospective follow-up study.European journal of medical research · 2023Article
- Evaluation of a Hypertension Surveillance System, Kenema Government Hospital, Sierra Leone, 2021.Preventing chronic disease · 2023Observational
- All-cause mortality of hospitalised patients with suspected COVID-19 in Sierra Leone: a prospective cohort study.BMJ open · 2023Article
- Zero malaria: a mirage or reality for populations of sub-Saharan Africa in health transition.Malaria journal · 2022Review
- Cardiovascular disease risk profile and management among people 40 years of age and above in Bo, Sierra Leone: A cross-sectional study.PloS one · 2022Article
- Evaluating the cascade of care for hypertension in Sierra Leone.Tropical medicine & international health : TM & IH · 2021Article
- High Prevalence of Chronic Kidney Disease Among People Living with Hypertension in Rural Sierra Leone: A Cross-Sectional Study.International journal of nephrology and renovascular disease · 2021Article
- Risk factors, clinical outcomes and predictors of stroke mortality in Sierra Leoneans: A retrospective hospital cohort study.Annals of medicine and surgery (2012) · 2020Article
- Prevalence and access to care for cardiovascular risk factors in older people in Sierra Leone: a cross-sectional survey.BMJ open · 2020Article
- Pre- and undiagnosed-hypertension in urban Chinese adults: a population-based cross-sectional study.Journal of human hypertension · 2017Article
- Article
- Predictors of Hypertension in a Population of Undergraduate Students in Sierra Leone.International journal of hypertension · 2017Article
- Hypertension in a Brazilian urban slum population.Journal of urban health : bulletin of the New York Academy of Medicine · 2015Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHypertension (HTN) is one of the causes of cardiovascular disease (CVD) in Africa, and may be associated with lower socio-economic status (SES). The prevalence of HTN is not well established in the Gambia or in Sierra Leone.
methodsA cross-sectional, population-based study of adults was conducted in the Gambia in 2000 and in Sierra Leone from 2001 to 2003 and in 2009. The study was conducted as part of the annual visit to countries in western Africa sponsored by a medical delegation from California. People from the Gambia and Sierra Leone were examined by the medical delegation and blood pressures were measured.
resultsA total of 2 615 adults were examined: 1 400 females and 1 215 males. The mean systolic blood pressure (SBP) of the females was 134.3 ± 29.7 mmHg, mean diastolic blood pressure (DBP) was 84.5 ± 17.5 mmHg, and 46.2% were hypertensive. The mean SBP of the males was 132.8 ± 28.5 mmHg, mean DBP was 82.8 ± 16.2 mmHg, and 43.2% were hypertensive. Overall prevalence of HTN in the subjects was 44.8%. Mean SBP, mean DBP and HTN prevalence increased with age decade, both in males and females. In addition, after age adjustment (known age), females had higher mean SBP (p = 0.042), mean DBP (p = 0.001) and rate of occurrence of HTN (p = 0.016) when compared with males.
conclusionsPrevalence rates of HTN in the Gambia and Sierra Leone were higher than 40% in males and females, and may be a major contributor to CVD in both countries. Due to the association of HTN with low SES, improvements in educational, public health, economic, non-governmental and governmental efforts in the Gambia and Sierra Leone may lead to a lower prevalence of HTN. The cause of the higher prevalence in women may be due to post-menopausal hormonal changes.
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