ArticleJournal of hypertension2016
Determinants of high blood pressure and barriers to diagnosis and treatment in Dar es Salaam, Tanzania.
Article in Journal of hypertension, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.
- Disparities in Prevalence and Barriers to Hypertension Control: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Prevalence and correlates of hypertension among women of reproductive age in Tanzania: a nationwide cross-sectional study.BMJ public health · 2025Article
- Chronic Conditions and Multimorbidity Among Middle-Aged and Elderly Peri-Urban Dwellers in Dar es Salaam, Tanzania.International journal of public health · 2024Article
- Article
- Facilitators and barriers to hypertension management in urban Nepal: findings from a qualitative study.Open heart · 2023Article
- Evidence for an expanded hypertension care cascade in low- and middle-income countries: a scoping review.BMC health services research · 2022Article
- Patterns of comorbidity and multimorbidity among middle-aged and elderly women in peri-urban Tanzania.Journal of multimorbidity and comorbidity · 2022Article
- Non-Communicable Disease Risk Factors Among Caregivers of Patients Attending a Tertiary Cardiovascular Hospital in Tanzania.International journal of general medicine · 2022Article
- Patterns of multimorbidity and their association with hospitalisation: a population-based study of older adults in urban Tanzania.Age and ageing · 2021Article
- Cross-country comparison of dietary patterns and overweight and obesity among adult women in urban Sub-Saharan Africa.Public health nutrition · 2021Article
- Using the Health Belief Model to Explain the Patient's Compliance to Anti-hypertensive Treatment in Three District Hospitals - Dar Es Salaam, Tanzania: A Cross Section Study.The East African health research journal · 2021Article
- Prevalence, Awareness, Treatment, and Control of Hypertension among Young and Middle-Aged Adults: Results from a Community-Based Survey in Rural Tanzania.International journal of hypertension · 2020Article
- Article
- The burden of hypertension in the emergency department and linkage to care: A prospective cohort study in Tanzania.PloS one · 2019Article
- Article
- Validity of an FFQ to measure nutrient and food intakes in Tanzania.Public health nutrition · 2018Article
- Article
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 2 countries.
Funding
Abstract
objectivesWe assessed the prevalence and determinants of high blood pressure (BP), and barriers to diagnosis and treatment, in Dar es Salaam, Tanzania.
methodsWe surveyed and screened 2174 community-dwelling adults aged at least 40 years in 2014 and conducted a follow-up after 1 year.
resultsMedian BP was 131/81 mmHg, and hypertension prevalence was 37%. Mean adjusted difference in SBP was 4.0 mmHg for overweight, 6.3 mmHg for obese class I, and 10.5 mmHg for obese class II/III compared with normal weight participants. Those who were physically inactive had 4.8 mmHg higher SBP compared with those with more than 24 h of moderate or vigorous activity per week. Drinkers of at least 10 g of alcohol per day had 4.5 mmHg higher SBP than did nondrinkers. Among hypertensive participants, 48% were previously diagnosed, 22% were treated, and 10% were controlled. Hypertensive participants without health insurance were 12% less likely to have been previously diagnosed than insured hypertensive participants. Of referred participants, 68% sought care, but only 27% were on treatment and 8% had controlled BP at follow-up. Reasons for not seeking care included lack of symptoms, cost of visit, and lack of time. Reasons for not being on treatment included lack of symptoms, not being prescribed treatment, and having finished one course of treatment.
conclusionMajor risk factors for hypertension in Dar es Salaam are overweight, obesity, inadequate physical activity, and limited access to quality medical care. Increased insurance coverage and community-based screening, along with quality medical care and patient education, may help control this burgeoning epidemic.
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Registered trials
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