ArticleJournal of hypertension2017
Hypertension management in a population of older adults in rural South Africa.
Article in Journal of hypertension, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.
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Who cites it
36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.
- Prevalence of cardiometabolic diseases in Sub-Saharan Africa: a systematic review and meta-analysis.Global health action · 2025Pooled it
- Prevention of cardiovascular disease among people living with HIV in sub-Saharan Africa.Progress in cardiovascular diseasesPooled it
- Article
- Hypertension and the Well-Being of African Migrants in South Africa.International journal of environmental research and public health · 2025Article
- Alcohol use and optimal chronic diseases' treatment outcomes among adults aged 40 years and above in rural South Africa.Scientific reports · 2025Article
- Physical activity profile of hypertensive adults living in rural South Africa.The South African journal of physiotherapy · 2025Article
- Leadership, cohesion, and stress in primary care facilities and retention in chronic care in rural northeast South Africa before and during the COVID-19 pandemic: A longitudinal study.Journal of global health · 2024Article
- Sociocultural perceptions of physical activity and dietary habits for hypertension control: voices from adults in a rural sub-district of South Africa.BMC public health · 2024Article
- Sociodemographic disparities in awareness of chronic conditions: an observational study among older persons in rural north-east of South Africa.BMJ public health · 2024Article
- Feasibility and acceptability of a contextualized physical activity and diet intervention for the control of hypertension in adults from a rural subdistrict: a study protocol (HYPHEN).Pilot and feasibility studies · 2024Article
- Plant-based meat alternatives in South Africa: An analysis of products on supermarket shelves.Food science & nutrition · 2024Article
- Significant Improvement in Blood Pressure Levels Among Older Adults With Hypertension in Rural South Africa.Hypertension (Dallas, Tex. : 1979) · 2023Article
- Improvements in Hypertension Control in the Rural Longitudinal HAALSI Cohort of South African Adults Aged 40 and Older, From 2014 to 2019.American journal of hypertension · 2023Article
- Undiagnosed hypertension and its determinants among hypertensive patients in rural districts of northwest Ethiopia: a mediation analysis.BMC health services research · 2023Article
- Individual and area-level socioeconomic correlates of hypertension prevalence, awareness, treatment, and control in uMgungundlovu, KwaZulu-Natal, South Africa.BMC public health · 2023Article
- Article
- Twin epidemics: the effects of HIV and systolic blood pressure on mortality risk in rural South Africa, 2010-2019.BMC public health · 2022Article
- Hypertension incidence among middle-aged and older adults: findings from a 5-year prospective study in rural South Africa, 2010-2015.BMJ open · 2021Article
- Echocardiographic and Electrocardiographic Abnormalities Among Elderly Adults With Cardiovascular Disease in Rural South Africa.Circulation. Cardiovascular quality and outcomes · 2021Article
- Prevalence of Hypertension and Its Associated Risk Factors in a Rural Black Population of Mthatha Town, South Africa.International journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
10 authors at 5 institutions in 6 countries.
Funding
Abstract
objectiveAssess awareness, treatment, and control of hypertension, as an indication of its management, in rural South Africa, especially regarding modifiers of these variables.
methodsA population-representative sample of adults aged at least 40 years residing in the rural Agincourt subdistrict (Mpumalanga Province) covered by a long-term health and sociodemographic surveillance system was recruited. In-person interviews, physical exams, and dried blood spots were collected. Hypertension awareness, treatment, and control rates were assessed. A regression model was built to identify predictors of those outcomes.
resultsThe mean age of the 2884 hypertensive participants was 64.1 ± 12.7 years. Hypertension awareness rate was 64.4%, treatment among those aware was 89.3 and 45.8% of those treated were controlled. Considering aware and unaware hypertensives, treatment rate was 49.7% and control 22.8%. In the multivariable regression model, awareness was predicted by female sex, age at least 60 years, higher social economic status, prior cardiovascular disease (CVD), nonimmigrant status, literacy, and physical limitation. Improved control among those treated was predicted by age at least 60 years. Blood pressure control among all hypertensive study participants was predicted by female sex, being HIV-negative, age at least 60 years, nonimmigrant status, and prior CVD.
conclusionHigh rates of awareness and treatment of hypertension as well as good levels of control were found in this population, probably explained by the long-term surveillance program conducted in the area. Considering the predictors of hypertension management, particular attention should be given to men, residents younger than 60 years, immigrants, and study participants without CVD as these characteristics were predictors of poor outcome.
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Registered trials
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