ArticleBMC public health2015
Determinants of hypertension in a young adult Ugandan population in epidemiological transition-the MEPI-CVD survey.
Article in BMC public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.
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Who cites it
36 citing papers in PubMed, 75 citations in OpenAlex.
- Trial
- Quantifying Hypertension and Cardiovascular Conditions in South Africa.Journal of prevention (2022) · 2025Article
- Assessment of Prevalence and Determinants Associated with Hypertension Among the Adult Population in Hawtat Bani Tamim Province.International journal of environmental research and public health · 2025Article
- Effectiveness of a nurse-led management intervention on systolic blood pressure among type 2 diabetes patients in Uganda: a cluster randomized trial.Clinical diabetes and endocrinology · 2024Article
- Prevalence of Risk Factors for Hypertension Among Faculty at an Urban University in Uganda.Integrated blood pressure control · 2024Article
- High blood pressure and associated factors among HIV-infected young persons aged 13 to 25 years at selected health facilities in Rwenzori region, western Uganda, September-October 2021.Clinical hypertension · 2023Article
- Thirty-day mortality rates among young adult stroke patients and their characteristics at Kiruddu and Mulago hospitals in Uganda: A prospective observational cohort study.PLOS global public health · 2023Article
- Undiagnosed Hypertension Among Market Salespersons in Kitgum Central Market, Northern Uganda.Integrated blood pressure control · 2023Article
- Article
- Article
- Stroke in young adults, stroke types and risk factors: a case control study.BMC neurology · 2022Article
- Association between HIV and Prevalent Hypertension and Diabetes Mellitus in South Africa: Analysis of a Nationally Representative Cross-Sectional Survey.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022Article
- Case identification, retention and blood pressure control in Kenya.Public health action · 2022Article
- Acceptability of patient-centered hypertension education delivered by community health workers among people living with HIV/AIDS in rural Uganda.BMC public health · 2021Article
- Article
- Association between Blood Pressure and HIV Status in Rural Uganda: Results of Cross-Sectional Analysis.Global heart · 2021Article
- Availability, functionality and access of blood pressure machines at the points of care in public primary care facilities in Tororo district, Uganda.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2021Article
- Prevalence and Risk Factors of Hypertension Among Young Adults in Albania.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2021Article
- Characteristics and outcomes of admitted patients infected with SARS-CoV-2 in Uganda.BMJ open respiratory research · 2020Article
- The management of prehypertension in young adults.Saudi medical journal · 2020Review
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Authors and funding
10 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundHigh blood pressure is the principal risk factor for stroke, heart failure and kidney failure in the young population in Africa. Control of hypertension is associated with a larger reduction in morbidity and mortality in younger populations compared with the elderly; however, blood pressure control efforts in the young are hampered by scarcity of data on prevalence and factors influencing awareness, treatment and control of hypertension. We aimed to describe the prevalence of prehypertension and hypertension among young adults in a peri-urban district of Uganda and the factors associated with occurrence of hypertension in this population.
methodsThis cross-sectional study was conducted between August, 2012 and May 2013 in Wakiso district, a suburban district that that encircles Kampala, Uganda's capital city. We collected data on socio-demographic characteristics and hypertension status using a modified STEPs questionnaire from 3685 subjects aged 18-40 years selected by multistage cluster sampling. Blood pressure and anthropometric measurements were performed using standardized protocols. Fasting blood sugar and HIV status were determined using a venous blood sample. Association between hypertension status and various biosocial factors was assessed using logistic regression.
resultsThe overall prevalence of hypertension was 15% (95% CI 14.2 - 19.6) and 40% were pre-hypertensive. Among the 553 hypertensive participants, 76 (13.7%) were aware of their diagnosis and all these participants had initiated therapy with target blood pressure control attained in 20% of treated subjects. Hypertension was significantly associated with the older age-group, male sex and obesity. There was a significantly lower prevalence of hypertension among participants with HIV OR 0.6 (95% CI 0.4-0.8, P = 0.007).
conclusionThere is a high prevalence of high blood pressure in this young periurban population of Uganda with sub-optimal diagnosis and control. There is previously undocumented high rate of treatment, a unique finding that may be exploited to drive efforts to control hypertension. Specific programs for early diagnosis and treatment of hypertension among the young should be developed to improve control of hypertension. The relationship between HIV infection and blood pressure requires further clarification by longitudinal studies.
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