Evidence map›Paper›PMID 38844883›Full record

ArticleBMC public health2024

Prevalence, risks factors, and control of hypertension in Guinean older adults in 2021: a cross-sectional survey.

Alioune Camara, Alpha Koné, Thierno Mamadou Millimono, Abdoulaye Sow, Amadou Kaké, Pierre-Marie Preux, Mamadou Dadhi Balde, Pierre Jesus

Abstract read
In one paragraph

Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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

8 authors.

Alioune CamaraDepartment of Public Health, Faculty of Sciences and Health Technics, Gamal Abdel Nasser University of Conakry, Conakry, BP: 1017, CP:030, Guinea. aliounec@gmail.com.
Alpha KonéDepartment of Cardiology, Faculty of Sciences and Health Technics, Gamal Abdel Nasser University of Conakry, Conakry, Guinea.
Thierno Mamadou MillimonoDepartment of Public Health, Faculty of Sciences and Health Technics, Gamal Abdel Nasser University of Conakry, Conakry, BP: 1017, CP:030, Guinea.
Abdoulaye SowDepartment of Public Health, Faculty of Sciences and Health Technics, Gamal Abdel Nasser University of Conakry, Conakry, BP: 1017, CP:030, Guinea.
Amadou KakéNational Program of Prevention and Control of Non-Communicable Diseases, Ministry of Health Public Hygiene, Conakry, Guinea.
Pierre-Marie PreuxEpiMaCT - Epidemiology of Chronic Diseases in Tropical Zone, Institute of Epidemiology and Tropical Neurology, Inserm U1094, IRD U270, CHU Limoges, Univ. Limoges, Limoges, France.
Mamadou Dadhi BaldeDepartment of Cardiology, Faculty of Sciences and Health Technics, Gamal Abdel Nasser University of Conakry, Conakry, Guinea.
Pierre JesusEpiMaCT - Epidemiology of Chronic Diseases in Tropical Zone, Institute of Epidemiology and Tropical Neurology, Inserm U1094, IRD U270, CHU Limoges, Univ. Limoges, Limoges, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe incidence of arterial hypertension increases with the aging of the population, but its magnitude remains insufficiently assessed. The aim of this study was to investigate the prevalence of hypertension and associated factors in elderly people in Guinea.

methodsData were obtained from a cross-sectional general population survey, conducted among people aged ≥ 60 years. A stratified enumeration area random sample survey was conducted in the four natural regions of Guinea from February to April 2021. This study included an interview on sociodemographic data, and a clinical examination. Hypertension was defined as systolic blood pressure ≥ 140mmHg and/or diastolic blood pressure ≥ 90mmHg or previous diagnosis of hypertension (with or without antihypertensive medication). Hypertension control was defined as blood pressure below 140/90 mmHg during treatment. Age-standardized prevalence was calculated, and logistic regression was used to examine factors associated with hypertension.

resultsA total of 1698 adults (1079 men, mean age: 71.6 ± 9.4 years) had at least two blood pressure measurements. The standardized prevalence of hypertension was 61.4% [95% CI: 61.3-61.6], ranging from 52% in Middle Guinea to 67% in Upper Guinea, and was higher in women (65.2%: 65.0-65.4) than in men (59.1%:58.9-59.3). Among those with hypertension, 46.7% were unaware of their condition before the survey and 49.6% were on treatment and only 18.5% had controlled hypertension. Whatever the residence (rural or urban), increasing age, being unmarried, working as a trader or functionary, jobless, living in upper Guinea, low monthly income, intake of extra salt, known diabetic, overweight, and obesity increased the risk of hypertension. In urban area, female sex (AOR: 1.14: 1.12-1.17), living in lower Guinea (AOR: 3.08: 2.97-3.20), being Maninka (AOR: 1.26: 1.21-1.31), being Nguerze (AOR: 1.71: 1.63-1.81) increased the risk of hypertension, but living in forest Guinea (AOR: 0.88: 0.83-0.93), being Soussou (AOR: 0.88: 0.85-0.92) decreased the risk. In rural area, living in forest Guinea (AOR: 2.14: 2.03-2.26), being Soussou (AOR: 1.14: 1.12-1.17) increased the risk of hypertension, but female sex (AOR: 0.96: 0.94-0.98), living in lower Guinea (AOR: 0.87: 0.85-0.89), being Maninka (AOR: 0.94: 0.92-0.97), being Nguerze (AOR: 0.50: 0.47-0.52) decreased the risk.

conclusionHypertension is a major problem in the elderly population in Guinea, and the level of treatment and control in elderly with known hypertension is inadequate. The place of hypertension among cardiovascular diseases and the identification of associated factors underlines the need to develop innovative approaches to control this major risk factor.

Indexed as

HypertensionAgedAged, 80 and overAntihypertensive AgentsCross-Sectional StudiesFemaleGuineaHumansMaleMiddle AgedPrevalenceRisk FactorsAntihypertensive AgentsArterial hypertensionAssociated factorsElderlyGuineaPrevalence

Identifiers

PMID38844883
PMCPMC11157834

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Registered trials

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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.