ArticleBMJ global health2022
Use of traditional medicine and control of hypertension in 12 African countries.
Article in BMJ global health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 17 citations in OpenAlex.
- Facilitators of Blood Pressure Control Among Treated Patients in Public Clinics in Botswana.Public health challenges · 2026Article
- Traditional medicine use among adults living with hypertension in Cape Verde: A WHO STEPWISE study.Journal of health, population, and nutrition · 2026Article
- International collaborative research and development (R&D) on traditional medicine and its contextual factors: a cross-sectional analysis from 1996 to 2022.Journal of global health · 2026Article
- Transforming Healthcare: Mozambique's Pioneering Integrative Medicine Course.Annals of global 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
- Use of traditional medicine for hypertension, diabetes and hypercholesterolaemia measured in 71 surveys.Bulletin of the World Health Organization · 2025Article
- Article
- Pathways to Hypertension Control: Unfinished Journeys of Low-Income Individuals in Malaysia and the Philippines.The International journal of health planning and management · 2025Observational
- Dilatory effects and safety of a polyphenol-rich extract ofFrontiers in pharmacology · 2025Article
- Promotion of Cardiovascular Health in Africa: The Alliance for Medical Research in Africa (AMedRA) Expert Panel.JACC. Advances · 2024Review
- Exploring the experiences of traditional practitioners while managing hypertension in Rwanda.BMC complementary medicine and therapies · 2024Article
- Determinants of uncontrolled blood pressure among adult hypertensive patients on follow-up at Negelle and Adola General Hospital, Guji Zone, Southern Ethiopia: facility-based case control study.BMC public health · 2024Article
- Blood pressure and the hypertension care cascade in The Gambia: Findings from a nationwide survey.Journal of clinical hypertension (Greenwich, Conn.) · 2024Article
- Descriptive epidemiology of prevalence of exercise habits among participants with hypertension: The National Health and Nutrition Survey 2013-2018.Journal of general and family medicine · 2024Article
- Healthcare system barriers and facilitators to hypertension management in Ghana.Annals of global health · 2024Article
- Evaluating the hypertension care cascade in middle-aged and older adults in The Gambia: findings from a nationwide survey.EClinicalMedicine · 2023Article
- Self-reported medication adherence instruments and their applicability in low-middle income countries: a scoping review.Frontiers in public health · 2023Article
- Understanding traditional healer utilisation for hypertension care using the Andersen model: A qualitative study in Mwanza, Tanzania.Global public health · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
25 authors at 16 institutions in 21 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUse of traditional medicine (TM) is widespread in sub-Saharan Africa as a treatment option for a wide range of disease. We aimed to describe main characteristics of TM users and estimate the association of TM use with control of hypertension.
methodsWe used data on 2128 hypertensive patients of a cross-sectional study (convenience sampling), who attended cardiology departments of 12 sub-Saharan African countries (Benin, Cameroon, Congo, Democratic Republic of the Congo, Gabon, Guinea, Côte d'Ivoire, Mauritania, Mozambique, Niger, Senegal, Togo). To model association of TM use with odds of uncontrolled, severe and complicated hypertension, we used multivariable mixed logistic regressions, and to model the association with blood pressure (systolic (SBP) and diastolic (DBP)) we used mixed linear models. All models were adjusted for age, sex, wealth, adherence to hypertension conventional treatment and country (random effect).
resultsA total of 512 (24%) participants reported using TM, varying across countries from 10% in the Congo to 48% in Guinea. TM users were more likely to be men, living in rural area, poorly adhere to prescribed medication (frequently due to its cost). Use of TM was associated with a 3.87 (95% CI 1.52 to 6.22)/1.75 (0.34 to 3.16) mm Hg higher SBP/DBP compared with no use; and with greater odds of severe hypertension (OR=1.34; 95% CI 1.04 to 1.74) and of any hypertension complication (OR=1.27; 95% CI 1.01 to 1.60), mainly driven by renal complication (OR=1.57; 95% CI 1.07 to 2.29) after adjustment for measured confounders.
conclusionsThe use of TM was associated with higher blood pressure, more severe hypertension and more complications in Sub-Saharan African countries. The widespread use of TM needs to be acknowledged and worked out to integrate TM safely within the conventional healthcare.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.