Evidence map›Paper›PMID 36509988›Full record

ArticleJournal of human hypertension2023

The hypertension cascade of care in the midst of conflict: the case of the Gaza Strip.

Bassam A Abu Hamad, Zeina Jamaluddine, Gloria Safadi, Marie-Elizabeth Ragi, Raeda El Sayed Ahmad, Eszter P Vamos, Sanjay Basu, John S Yudkin, Mohammed Jawad, Christopher Millett and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of human hypertension, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 5% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
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  8. Hypertension in the Shadows of Conflict: The Impact of the Sudan War on Blood Pressure Management.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 7 institutions in 4 countries.

Bassam A Abu Hamad *School of Public Health, Al-Quds University, Gaza, Palestine. ghsrcb@gmail.com.ORCID 0000-0002-4506-3289
Zeina Jamaluddine *Center for Research on Population and Health, American University of Beirut, Beirut, Lebanon.
Gloria SafadiCenter for Research on Population and Health, American University of Beirut, Beirut, Lebanon.
Marie-Elizabeth RagiCenter for Research on Population and Health, American University of Beirut, Beirut, Lebanon.
Raeda El Sayed AhmadCenter for Research on Population and Health, American University of Beirut, Beirut, Lebanon.
Eszter P VamosPublic Health Policy Evaluation Unit, School of Public Health, Imperial College London, London, UK.
Sanjay BasuResearch and Development, Waymark, San Francisco, CA, USA.
John S YudkinInstitute of Cardiovascular Science, Division of Medicine, University College London, London, UK.
Mohammed JawadPublic Health Policy Evaluation Unit, School of Public Health, Imperial College London, London, UK. mohammed.jawad06@imperial.ac.uk.
Christopher MillettPublic Health Policy Evaluation Unit, School of Public Health, Imperial College London, London, UK.
Hala GhattasCenter for Research on Population and Health, American University of Beirut, Beirut, Lebanon.
American University of Beirut · LBImperial College London · GBAl-Quds University · PSBenchmark Research (United States) · USLondon School of Hygiene & Tropical Medicine · GBPublic Health England · GBUniversity College London · GB

Funding

Translational Research Core - Health Engagement & Action Translational (HEAT)P30DK092924 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI Alyce Sophia Adams, HILARY Kessler SELIGMAN · 2011 to 2026
$9.2M
Medical Research Council MR/S012877/1NIDDK NIH HHS P30 DK092924Wellcome Trust
6 · The paper itself

Abstract

Although hypertension constitutes a substantial burden in conflict-affected areas, little is known about its prevalence, control, and management in Gaza. This study aims to estimate the prevalence and correlates of hypertension, its diagnosis and control among adults in Gaza. We conducted a representative, cross-sectional, anonymous, household survey of 4576 persons older than 40 years in Gaza in mid-2020. Data were collected through face-to-face interviews, anthropometric, and blood pressure measurements. Hypertension was defined in anyone with an average systolic blood pressure ≥140 mmHg or average diastolic blood pressure ≥90 mmHg from two consecutive readings or a hypertension diagnosis. The mean age of participants was 56.9 ± 10.5 years, 54.0% were female and 68.5% were Palestinian refugees. The prevalence of hypertension was 56.5%, of whom 71.5% had been diagnosed. Hypertension was significantly higher among older participants, refugees, ex-smokers, those who were overweight or obese, and had other co-morbidities including mental illnesses. Two-thirds (68.3%) of those with hypertension were on treatment with one in three (35.6%) having their hypertension controlled. Having controlled hypertension was significantly higher in females, those receiving all medications for high blood pressure and those who never or rarely added salt to food. Investing in comprehensive but cost-effective initiatives that strengthen the prevention, early detection and timely treatment of hypertension in conflict settings is critical. It is essential to better understand the underlying barriers behind the lack of control and develop multi-sectoral programs to address these barriers.

Indexed as

HypertensionAdultAgedBlood PressureCross-Sectional StudiesFemaleHumansMaleMiddle AgedMiddle EastObesityPrevalence

Identifiers

PMID36509988
PMCPMC9744039
OpenAlexW4311244868

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.