ArticleGlobal heart2017
Regional and Sex Differences in the Prevalence and Awareness of Hypertension: An H3Africa AWI-Gen Study Across 6 Sites in Sub-Saharan Africa.
Article in Global heart, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 117 papers, 4 of them syntheses that pooled it.
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Who cites it
117 citing papers in PubMed, 4 syntheses or guidelines pooled it, 180 citations in OpenAlex.
- Genome-wide association study meta-analysis of blood pressure traits and hypertension in sub-Saharan African populations: an AWI-Gen study.Nature communications · 2023Pooled 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
- HIV Testing and Treatment with the Use of a Community Health Approach in Rural Africa.The New England journal of medicine · 2019Trial
- Hypertension control in integrated HIV and chronic disease clinics in Uganda in the SEARCH study.BMC public health · 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
- Integrating a Non-Communicable Disease Care Cascade within Ghana's Community-Based Health Planning and Services (CHPS) Program: the COMBINE Pilot Implementation Trial.medRxiv : the preprint server for health sciences · 2026Article
- A Stratification Method for Identifying Subgroups at High-Risk for Type 2 Diabetes in sub-Saharan Africa.Nature communications · 2026Article
- Hypertension Incidence and Its Risk Factors in a Longitudinal Cohort of Middle-Aged Men and Women Living in Urban South Africa.Journal of clinical hypertension (Greenwich, Conn.) · 2026Article
- Hypertension Prevalence and Associated Risk Factors in a South African Population.International journal of environmental research and public health · 2026Observational
- Integrated Model for Evidence-Based Risk Factor Prioritisation and Dynamic Resource Allocation in Hypertension Prevention and Control: A Study Protocol.Healthcare (Basel, Switzerland) · 2026Article
- Assessing the burden and inequality in the unmet need for hypertension and type 2 diabetes care using a care cascade framework in Tanzania, Lesotho, and South Africa.Primary health care research & development · 2026Article
- Unmasking the contemporary burden of hypertension in Lagos, Nigeria: insights from an opportunistic screening.BMC public health · 2026Article
- Association between body mass index, demographics, and hypertension risk in South African university students.BMC public health · 2026Article
- Prevalence and risk factors of hypertension in rural Bangladesh: A population-based cross-sectional study.PloS one · 2026Article
- Self management strategies for hypertensive patients on treatment in selected clinics at Ga-Dikgale, Capricorn District, Limpopo, South Africa.Frontiers in public health · 2026Article
- Prevalence, Awareness, and Treatment of Hypertension in 37 African Countries: Trends From 2003 to 2022.Journal of the American College of Cardiology · 2025Article
- Bayesian and Probit comparative analysis of risk factors for high blood pressure among adults in Kassena-Nankana Districts, Ghana: An AWI-Gen sub-study.Research square · 2025Article
- Genetic Variation in Hydrochlorothiazide Response-Related Genes Among Hypertensive Individuals in Soweto, South Africa.Clinical and translational science · 2025Article
57 more citing papers are in PubMed but not listed here.
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Authors and funding
32 authors at 9 institutions in 6 countries.
Funding
Abstract
backgroundThere is a high prevalence of hypertension and related cardiovascular diseases in sub-Saharan Africa, yet few large studies exploring hypertension in Africa are available. The actual burden of disease is poorly understood and awareness and treatment to control it is often suboptimal.
objectivesThe study sought to report the prevalence of measured hypertension and to assess awareness and control of blood pressure among older adults in rural and urban settings in 6 sites located in West, East, and Southern Africa. In addition, we examined regional, sex, and age differences related to hypertension.
methodsA population-based cross-sectional study was performed at 6 sites in 4 African countries: Burkina Faso (Nanoro), Ghana (Navrongo), Kenya (Nairobi), and South Africa (Agincourt, Dikgale, Soweto). Blood pressure measurements were taken using standardized procedures on 10,696 adults 40 to 60 years of age. Hypertension was defined as systolic blood pressure ≥140 mm Hg or diastolic blood pressure ≥90 mm Hg or taking antihypertensive medication.
resultsThe mean prevalence of hypertension ranged from 15.1% in Nanoro to 54.1% in Soweto. All 3 of the South African sites had a mean prevalence of hypertension of over 40.0%, significantly higher than in Nairobi (25.6%) and Navrongo (24.5%). Prevalence increased with age in both sexes and at all sites. A significantly higher prevalence of hypertension was observed in women in Agincourt, Dikgale, and Nairobi, whereas in Nanoro this trend was reversed. Within the hypertensive group the average proportion of participants who were aware of their blood pressure status was only 39.4% for men and 53.8% for women, and varied widely across sites.
conclusionsOur study demonstrates that the prevalence of hypertension and the level of disease awareness differ not only between but also within sub-Saharan African countries. Each nation must tailor their regional hypertension awareness and screening programs to match the characteristics of their local populations.
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