ArticleTropical medicine & international health : TM & IH2021
Evaluating the cascade of care for hypertension in Sierra Leone.
Article in Tropical medicine & international health : TM & IH, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- Care Cascades for Hypertension in Low-Income Settings: A Systematic Review and Meta-Analysis.International journal of public health · 2023Pooled it
- Health-system barriers and missed opportunities in cardiovascular care in Sierra Leone: a scoping review.Communications medicine · 2026Article
- Unmasking the contemporary burden of hypertension in Lagos, Nigeria: insights from an opportunistic screening.BMC public health · 2026Article
- Variations in the hypertension care cascade across districts and the factors influencing it among Indian adults: findings from the National Family Health Survey -5.Journal of human hypertension · 2025Article
- Evaluation of Hypertension Care Services in 93 Ethiopian Public Healthcare Facilities From 2019 to 2023: A Quasi-Experimental Study.Health science reports · 2025Article
- Hypertension in sub-Saharan Africa: the current profile, recent advances, gaps, and priorities.Journal of human hypertension · 2025Review
- Prevalence of hypertension among Patients Seeking Care in selected health facilities in the Southern Province of Sierra Leone.PLOS global public health · 2025Article
- Blood pressure and the hypertension care cascade in The Gambia: Findings from a nationwide survey.Journal of clinical hypertension (Greenwich, Conn.) · 2024Article
- Hypertension treatment cascade among men and women of reproductive age group in India: analysis of National Family Health Survey-5 (2019-2021).The Lancet regional health. Southeast Asia · 2024Article
- Prevalence and correlates of metabolic syndrome among adults in freetown, Sierra Leone: A comparative analysis of NCEP ATP III, IDF and harmonized ATP III criteria.International journal of cardiology. Cardiovascular risk and prevention · 2024Article
- Understanding Gaps in the Hypertension and Diabetes Care Cascade: Systematic Scoping Review.JMIR public health and surveillance · 2024Article
- Non-communicable disease care in Sierra Leone: a mixed-methods study of the drivers and barriers to retention in care for hypertension.BMJ open · 2024Article
- District-Wise Heterogeneity in Blood Pressure Measurements, Prehypertension, Raised Blood Pressure, and Their Determinants Among Indians: National Family Health Survey-5.International journal of public health · 2024Article
- Generalisability of and lessons learned from a mixed-methods study conducted in three low- and middle-income countries to identify care pathways for atrial fibrillation.Global health action · 2023Article
- 'Inequalities in prevalence of hypertension, prehypertension, anti-hypertensive coverage, awareness, and effective treatment in 429 districts of Iran; a population-based STEPS 2016 small area spatial estimation model'.Journal of diabetes and metabolic disorders · 2023Article
- High prevalence of TB multimorbidity among adults of a tertiary hospital in Sierra Leone: a cross-sectional study.BMC research notes · 2023Article
- Evaluating the hypertension care cascade in middle-aged and older adults in The Gambia: findings from a nationwide survey.EClinicalMedicine · 2023Article
- Article
- Prevalence and determinants of unmet needs for hypertension care among the older population in Selangor: cross-sectional study.Health research policy and systems · 2022Article
- Evaluating the cascade of care for hypertension in Sierra Leone.Tropical medicine & international health : TM & IH · 2021Article
Corrections and comments
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Authors and funding
17 authors at 7 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the care for hypertension in Sierra Leone, by the use of a cascade-of-care approach, to identify where the need for healthcare system interventions is greatest.
methodsUsing data from a nationwide household survey on surgical conditions undertaken in 1956 participants ≥18 years from October 2019 to March 2020, a cascade of care for hypertension consisting of four categories - hypertensive population, those diagnosed, those treated and those controlled - was constructed. Hypertension was defined as having a blood pressure ≥140/90 mmHg, or self-reported use of antihypertensive medication. Logistic regression analysis was used to investigate factors associated with undiagnosed hypertension.
resultsThe prevalence of hypertension was 22%. Among those with hypertension, 23% were diagnosed, 11% were treated and 5% had controlled blood pressure. The largest loss to care (77%) was between being hypertensive and receiving a diagnosis. Male sex, age and living in a rural location, were significantly associated with the odds of undiagnosed hypertension. There was no significant difference between men and women in the number of patients with controlled blood pressure. Adults aged 40 or older were observed to be better retained in care compared with those younger than 40 years of age.
conclusionThere is a significant loss to care in the care cascade for hypertension in Sierra Leone. Our results suggest that increasing awareness of cardiovascular risk and risk factor screening for early diagnosis might have a large impact on hypertension care.
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