ArticleGlobal heart2022
Hypertension and Socioeconomic Status in South Central Uganda: A Population-Based Cohort Study.
Article in Global heart, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- HIV Seroprevalence, Incidence, and Viral Suppression Among Ugandan Female Bar Workers: A Population-Based Study.Journal of acquired immune deficiency syndromes (1999) · 2026Article
- Prevalence, predictors and risk perceptions of Hypertension among adults in Bududa Town Council, Eastern Uganda.African health sciences · 2025Article
- Trends in mobile phone ownership, frequency of number changes, and implications for public health service delivery in Uganda, 2010-2020.Scientific reports · 2025Article
- Associations of socioeconomic status and healthy lifestyle with incident early-onset and late-onset hypertension: a nationwide prospective cohort study in the UK.Population health metrics · 2025Article
- Association Between Socio-Economic Status (SES) and the Traditional Risk Factors of Cardiovascular Diseases (CVD): A Cross-Sectional MASHAD Cohort Study Results.Health science reports · 2025Article
- Prevalence, Awareness, and Factors Associated with Hypertension Among Adults in Rural Southwestern Uganda: A Baseline Survey.International journal of general medicine · 2025Article
- Hypertension risk perception among young adults in Victoria University Kampala Uganda.International journal of cardiology. Cardiovascular risk and prevention · 2024Article
- Is gender a factor in socioeconomic disparities in undiagnosed, and untreated hypertension in Bangladesh?Journal of clinical hypertension (Greenwich, Conn.) · 2024Article
- Mediating effect of BMI on the association of economic status and coexistence of hypertension and diabetes in Bangladesh: A counterfactual framework-based weighting approach.Health science reports · 2024Article
- Decomposing the Poor-Non-Poor Gap in the Prevalence of Undiagnosed and Untreated Hypertension Among Bangladeshi Population.Global heart · 2024Article
- Associations between socioeconomic status and stroke in American adults: A population-based study.Preventive medicine reports · 2023Article
- Associations of socioeconomic status and obesity with hypertension in tibetan adults in a Chinese plateau area.BMC public health · 2023Article
- Cardiovascular (Framingham) and type II diabetes (Finnish Diabetes) risk scores: a qualitative study of local knowledge of diet, physical activity and body measurements in rural Rakai, Uganda.BMC public health · 2022Article
- Overweight and obesity in south central Uganda: A population-based study.PLOS global public health · 2022Article
- Impact of internal migration on cardiovascular disease risk factors: Insights from a large industrial cohort in Ludhiana.Indian heart journalObservational
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12 authors.
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Abstract
Background: Limited studies exploring the impact of socioeconomic status (SES) on hypertension in Africa suggest a positive association between higher SES and hypertension. The economic development in sub-Saharan African countries has led to changes in SES and associated changes in lifestyle, diet, and physical activity, which may affect the relationship between hypertension and SES differently compared with higher income countries. This cross-sectional study from a large population-based cohort, the Rakai Community Cohort Study (RCCS), examines SES, hypertension prevalence, and associated risk factors in the rural Rakai Region in south-central Uganda. Methods: Adults aged 30-49 years residing in 41 RCCS fishing, trading, and agrarian communities, were surveyed with biometric data obtained between 2016 and 2018. The primary outcome was hypertension (systolic blood pressure (BP) ≥ 130 mmHg or diastolic BP ≥ 80 mmHg). Modified Poisson regression assessed the adjusted prevalence ratios (PR) of hypertension associated with SES; body mass index (BMI) was explored as a potential mediator. Results: Among 9,654 adults, 20.8% had hypertension (males 21.2%; females 20.4 %). Participants with hypertension were older (39.0 ± 6.0 vs. 37.8 ± 5.0; p < 0.001). Higher SES was associated with overweight or obese BMI categories (p < 0.001). In the multivariable model, hypertension was associated with the highest SES category (aPR 1.23; confidence interval 1.09-1.38; p = 0.001), older age, male sex, alcohol use, and living in fishing communities and inversely associated with smoking and positive HIV serostatus. When BMI was included in the model, there was no association between SES and hypertension (aPR 1.02; CI 0.90-1.15, p = 0.76). Conclusion: Hypertension is common in rural Uganda among individuals with higher SES and appears to be mediated by BMI. Targeted interventions could focus on lifestyle modification among highest-risk groups to optimize public health impact. Key Messages:
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