Determinants of change in blood pressure in Ghana: Longitudinal data from WHO-SAGE Waves 1-3.
The prevalence of hypertension is increasing in low- and middle-income countries, however statistics are generally derived from cross sectional surveys that utilize different methodologies and population samples. We investigated blood pressure (BP) changes over 11-12 years in a large cohort of adult...
Saved in:
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2021-01-01
|
| Series: | PLoS ONE |
| Online Access: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0244807&type=printable |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850159934278205440 |
|---|---|
| author | Elias K Menyanu Barbara Corso Nadia Minicuci Ilaria Rocco Joanna C Russell Lisa J Ware Glory Chidumwa Nirmala N Naidoo Richard B Biritwum Paul R Kowal Aletta E Schutte Karen E Charlton |
| author_facet | Elias K Menyanu Barbara Corso Nadia Minicuci Ilaria Rocco Joanna C Russell Lisa J Ware Glory Chidumwa Nirmala N Naidoo Richard B Biritwum Paul R Kowal Aletta E Schutte Karen E Charlton |
| author_sort | Elias K Menyanu |
| collection | DOAJ |
| description | The prevalence of hypertension is increasing in low- and middle-income countries, however statistics are generally derived from cross sectional surveys that utilize different methodologies and population samples. We investigated blood pressure (BP) changes over 11-12 years in a large cohort of adults aged 50 years and older (n = 820) included in the World Health Organization's Study on global AGEing and adult health (WHO-SAGE Ghana) Wave 1 (2007/8) with follow up in Wave 3 (2019). Participants' BP were measured in triplicate and a survey completed at both time points. Survey instruments collected information on sociodemographic characteristics, lifestyle, health behaviors and chronic conditions. While no significant difference was found in systolic BP between Waves 1 and 3, diastolic BP decreased by 9.7mmHg (mean = 88.6, 15.4 to 78.9, 13.6 respectively) and pulse pressure increased by 9.5mmHg (44.8, 13.7 to 54.3, 14.1). Awareness of hypertension increased by 37%, from (20% to 57%), but no differences were found for the proportion of hypertensives receiving treatment nor those that had controlled BP. Mixed effects modelling showed a decrease in diastolic BP was associated with increasing age, living in rural areas and having health insurance. Factors associated with an increased awareness of hypertension were residing in urban areas, having health insurance and increasing body mass index. While diagnosis of hypertension has improved over time in Ghana, there is an ongoing need to improve its treatment in older adults. |
| format | Article |
| id | doaj-art-508e0ef65bf94b4dae4a75a28cda3f0d |
| institution | OA Journals |
| issn | 1932-6203 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-508e0ef65bf94b4dae4a75a28cda3f0d2025-08-20T02:23:19ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01161e024480710.1371/journal.pone.0244807Determinants of change in blood pressure in Ghana: Longitudinal data from WHO-SAGE Waves 1-3.Elias K MenyanuBarbara CorsoNadia MinicuciIlaria RoccoJoanna C RussellLisa J WareGlory ChidumwaNirmala N NaidooRichard B BiritwumPaul R KowalAletta E SchutteKaren E CharltonThe prevalence of hypertension is increasing in low- and middle-income countries, however statistics are generally derived from cross sectional surveys that utilize different methodologies and population samples. We investigated blood pressure (BP) changes over 11-12 years in a large cohort of adults aged 50 years and older (n = 820) included in the World Health Organization's Study on global AGEing and adult health (WHO-SAGE Ghana) Wave 1 (2007/8) with follow up in Wave 3 (2019). Participants' BP were measured in triplicate and a survey completed at both time points. Survey instruments collected information on sociodemographic characteristics, lifestyle, health behaviors and chronic conditions. While no significant difference was found in systolic BP between Waves 1 and 3, diastolic BP decreased by 9.7mmHg (mean = 88.6, 15.4 to 78.9, 13.6 respectively) and pulse pressure increased by 9.5mmHg (44.8, 13.7 to 54.3, 14.1). Awareness of hypertension increased by 37%, from (20% to 57%), but no differences were found for the proportion of hypertensives receiving treatment nor those that had controlled BP. Mixed effects modelling showed a decrease in diastolic BP was associated with increasing age, living in rural areas and having health insurance. Factors associated with an increased awareness of hypertension were residing in urban areas, having health insurance and increasing body mass index. While diagnosis of hypertension has improved over time in Ghana, there is an ongoing need to improve its treatment in older adults.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0244807&type=printable |
| spellingShingle | Elias K Menyanu Barbara Corso Nadia Minicuci Ilaria Rocco Joanna C Russell Lisa J Ware Glory Chidumwa Nirmala N Naidoo Richard B Biritwum Paul R Kowal Aletta E Schutte Karen E Charlton Determinants of change in blood pressure in Ghana: Longitudinal data from WHO-SAGE Waves 1-3. PLoS ONE |
| title | Determinants of change in blood pressure in Ghana: Longitudinal data from WHO-SAGE Waves 1-3. |
| title_full | Determinants of change in blood pressure in Ghana: Longitudinal data from WHO-SAGE Waves 1-3. |
| title_fullStr | Determinants of change in blood pressure in Ghana: Longitudinal data from WHO-SAGE Waves 1-3. |
| title_full_unstemmed | Determinants of change in blood pressure in Ghana: Longitudinal data from WHO-SAGE Waves 1-3. |
| title_short | Determinants of change in blood pressure in Ghana: Longitudinal data from WHO-SAGE Waves 1-3. |
| title_sort | determinants of change in blood pressure in ghana longitudinal data from who sage waves 1 3 |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0244807&type=printable |
| work_keys_str_mv | AT eliaskmenyanu determinantsofchangeinbloodpressureinghanalongitudinaldatafromwhosagewaves13 AT barbaracorso determinantsofchangeinbloodpressureinghanalongitudinaldatafromwhosagewaves13 AT nadiaminicuci determinantsofchangeinbloodpressureinghanalongitudinaldatafromwhosagewaves13 AT ilariarocco determinantsofchangeinbloodpressureinghanalongitudinaldatafromwhosagewaves13 AT joannacrussell determinantsofchangeinbloodpressureinghanalongitudinaldatafromwhosagewaves13 AT lisajware determinantsofchangeinbloodpressureinghanalongitudinaldatafromwhosagewaves13 AT glorychidumwa determinantsofchangeinbloodpressureinghanalongitudinaldatafromwhosagewaves13 AT nirmalannaidoo determinantsofchangeinbloodpressureinghanalongitudinaldatafromwhosagewaves13 AT richardbbiritwum determinantsofchangeinbloodpressureinghanalongitudinaldatafromwhosagewaves13 AT paulrkowal determinantsofchangeinbloodpressureinghanalongitudinaldatafromwhosagewaves13 AT alettaeschutte determinantsofchangeinbloodpressureinghanalongitudinaldatafromwhosagewaves13 AT karenecharlton determinantsofchangeinbloodpressureinghanalongitudinaldatafromwhosagewaves13 |