ArticleThe Pan African medical journal2018
Hypertension prevalence and risk factors in rural and urban Zambian adults in western province: a cross-sectional study.
Article in The Pan African medical journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Assessment of the association between plant-based dietary exposures and cardiovascular disease risk profile in sub-Saharan Africa: a systematic review.BMC public health · 2022Pooled it
- Determinants of systemic hypertension in older adults in Africa: a systematic review.BMC cardiovascular disorders · 2019Pooled it
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- Dilatory effects and safety of a polyphenol-rich extract ofFrontiers in pharmacology · 2025Article
- Hypertensive crisis: Insights into prevalence and associated factors at a tertiary care facility in Zambia.PLOS global public health · 2025Article
- Why is there a gap in self-rated health among people with hypertension in Zambia? A decomposition of determinants and rural‒urban differences.BMC public health · 2024Article
- The prevalence of hypertension and hypertension control among married Namibian couples.PloS one · 2023Article
- Productivity-adjusted life-years and correlates of uncontrolled hypertension at two health facilities in Zambia.PloS one · 2023Article
- Hypertension among persons living with HIV-Zambia, 2021; A cross-sectional study of a national electronic health record system.PLOS global public health · 2023Article
- Diabetes prevalence and risk factors, underestimated without oral glucose tolerance test, in rural Gombe-Matadi Adults, Democratic Republic of Congo, 2019.Scientific reports · 2022Article
- Fruit and Vegetable Consumption Patterns and Risk of Chronic Diseases of Lifestyle among University Students in Kenya.International journal of environmental research and public health · 2022Article
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- Paediatric Hypertension in Africa: A Systematic Review and Meta-Analysis.EClinicalMedicine · 2022Article
- Rural-urban variation in hypertension among women in Ghana: insights from a national survey.BMC public health · 2021Article
- Urban rural differences in prevalence and risk factors of self-reported hypertension among Kenyan women: a population-based study.Journal of human hypertension · 2021Article
- Association between hypertension, obesity and dietary intake in post-menopausal women from rural Zambian communities.Health SA = SA Gesondheid · 2021Article
- Prevalence, Awareness, Treatment and Control of Hypertension in Nigeria: Data from a Nationwide Survey 2017.Global heart · 2020Article
- Prevalence and factors associated with arterial hypertension in a Brazilian rural working population.Clinics (Sao Paulo, Brazil) · 2020Article
- May Measurement Month 2017: an analysis of blood pressure screening in Angola-Sub-Saharan Africa.European heart journal supplements : journal of the European Society of Cardiology · 2019Article
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Authors and funding
6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
introductionHypertension is a longstanding problem in Zambia, yet little is known about its prevalence and risk factors, particularly in rural and urban settings. Identifying geographical variations in hypertension is important to enhance the health of adult Zambians regardless of where they live. Therefore, the purpose of this study was to compare the prevalence of hypertension and related risk factors between rural (n = 130) and urban (n = 131) communities in Western Province, Zambia.
methodsThis cross-sectional study included urban and rural adult Zambians attending health checks who completed a modified World Health Organization (WHO) survey, and had blood pressure and anthropometric measurements completed. Descriptive statistics were used to summarize demographic and risk factor variables. Chi-square tests of association were used to analyze relationships between categorical variables, t-tests to analyze relationships between continuous variables and logistic regression to examine associations of hypertension with selected risk factors.
resultsThe prevalence of hypertension in rural Zambians was double (46.9%) that of urban Zambians (22.9%). Increasing age, not engaging in walking/biking, and alcohol intake within the last 30 days were associated with an increased likelihood of hypertension in rural Zambians while eating vegetables more days during the week was associated with a decreased likelihood of hypertension in rural Zambians. Body Mass Index (BMI) was significantly associated with an increased likelihood of hypertension in urban Zambians.
conclusionModifiable risk factors (such as BMI, dietary intake, and physical activity) are associated with hypertension prevalence in this population, indicating opportunities for screening and other prevention measures.
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