Geo-behavioural predictors of diagnosed hypertension in Igbo Ora Area, Oyo State, Nigeria

Abstract Diagnosed hypertension stands out as a prominent global cause of mortality, prompting recent efforts to understand not only treatment options but also determinants across diverse age and occupational groups. However, the literature on the impact of environmental factors on diagnosed hyperte...

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Main Authors: Olalekan J. Taiwo, Joshua O. Akinyemi, Ayodeji Adebayo, Oluwafemi A. Popoola, Rufus O. Akinyemi, Onoja M. Akpa, Paul Olowoyo, Akinkunmi P. Okekunle, Ezinne O. Uvere, Omotolani Titilayo Ajala, Chukwuemeka Nwimo, Olayinka J. Adebajo, Adewale E. Ayodele, Ayodeji Salami, Oyedunni S. Arulogun, Olanrewaju Olaniyan, Richard W. Walker, Carolyn Jenkins, Bruce Ovbiagele, Mayowa Owolabi
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-025-21653-3
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author Olalekan J. Taiwo
Joshua O. Akinyemi
Ayodeji Adebayo
Oluwafemi A. Popoola
Rufus O. Akinyemi
Onoja M. Akpa
Paul Olowoyo
Akinkunmi P. Okekunle
Ezinne O. Uvere
Omotolani Titilayo Ajala
Chukwuemeka Nwimo
Olayinka J. Adebajo
Adewale E. Ayodele
Ayodeji Salami
Oyedunni S. Arulogun
Olanrewaju Olaniyan
Richard W. Walker
Carolyn Jenkins
Bruce Ovbiagele
Mayowa Owolabi
author_facet Olalekan J. Taiwo
Joshua O. Akinyemi
Ayodeji Adebayo
Oluwafemi A. Popoola
Rufus O. Akinyemi
Onoja M. Akpa
Paul Olowoyo
Akinkunmi P. Okekunle
Ezinne O. Uvere
Omotolani Titilayo Ajala
Chukwuemeka Nwimo
Olayinka J. Adebajo
Adewale E. Ayodele
Ayodeji Salami
Oyedunni S. Arulogun
Olanrewaju Olaniyan
Richard W. Walker
Carolyn Jenkins
Bruce Ovbiagele
Mayowa Owolabi
author_sort Olalekan J. Taiwo
collection DOAJ
description Abstract Diagnosed hypertension stands out as a prominent global cause of mortality, prompting recent efforts to understand not only treatment options but also determinants across diverse age and occupational groups. However, the literature on the impact of environmental factors on diagnosed hypertension is limited, especially in rural areas with restricted access to health infrastructure. Geographical determinants research has often focused on spatial variations across different units, potentially masking individual environmental contributions. Data on diagnosed hypertension patients and their behaviours were gathered during the ARISE project, complemented by geographical data (elevation, vegetation, road network, population density, and nighttime light exposure) from secondary sources. Spatial patterns were analyzed using the Nearest Neighbour Statistic, Ripley K Function, and Kernel Density Estimation, while Binomial logistic regression identified predictors. Diagnosed hypertension patients exhibit spatial clustering, and are mainly comprised of elderly individuals, residing closer to roads, at higher elevations, in areas with higher population distribution, and with little or no green vegetation. Socio-economic, health-related, behavioural, and environmental factors collectively drive diagnosed hypertension. Spatial clustering of diagnosed hypertension in the Igbo Ora community is localized, indicating potential spatial factors influencing its prevalence. Beyond identified behavioural and medical history factors, geographical elements like nighttime light exposure and normalized vegetation index contribute to the observed clustering. Understanding these dynamics is crucial for targeted interventions in the community.
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spelling doaj-art-ccac4d2ee0f543d485fe3c5c9a90eb252025-02-09T12:57:28ZengBMCBMC Public Health1471-24582025-02-0125111410.1186/s12889-025-21653-3Geo-behavioural predictors of diagnosed hypertension in Igbo Ora Area, Oyo State, NigeriaOlalekan J. Taiwo0Joshua O. Akinyemi1Ayodeji Adebayo2Oluwafemi A. Popoola3Rufus O. Akinyemi4Onoja M. Akpa5Paul Olowoyo6Akinkunmi P. Okekunle7Ezinne O. Uvere8Omotolani Titilayo Ajala9Chukwuemeka Nwimo10Olayinka J. Adebajo11Adewale E. Ayodele12Ayodeji Salami13Oyedunni S. Arulogun14Olanrewaju Olaniyan15Richard W. Walker16Carolyn Jenkins17Bruce Ovbiagele18Mayowa Owolabi19Department of Geography, Faculty of the Social Sciences, University of IbadanDepartment of Epidemiology and Medical Statistics, College of Medicine, University of IbadanDepartment of Community Medicine, College of Medicine, University of IbadanDepartment of Community Medicine, College of Medicine, University of IbadanNeuroscience and Ageing Research Unit, IAMRAT, College of Medicine, University of IbadanDepartment of Epidemiology and Medical Statistics, College of Medicine, University of IbadanDepartment of Medicine, Afe Babalola UniversityDepartment of Medicine, College of Medicine, University of Ibadan, and University College HospitalCenter for Genomic and Precision Medicine, College of Medicine, University of IbadanCenter for Genomic and Precision Medicine, College of Medicine, University of IbadanCenter for Genomic and Precision Medicine, College of Medicine, University of IbadanCenter for Genomic and Precision Medicine, College of Medicine, University of IbadanCenter for Genomic and Precision Medicine, College of Medicine, University of IbadanDepartment of Pathology, College of Medicine, University of IbadanDepartment of Health Promotion and Education, College of Medicine, University of IbadanDepartment of Economics, Faculty of Social Sciences, University of IbadanPopulation Health Sciences Institute, Newcastle UniversityCollege of Nursing, Medical University of South CarolinaNorthern California Institute for Research and Education, University of CaliforniaCenter for Genomic and Precision Medicine, College of Medicine, University of IbadanAbstract Diagnosed hypertension stands out as a prominent global cause of mortality, prompting recent efforts to understand not only treatment options but also determinants across diverse age and occupational groups. However, the literature on the impact of environmental factors on diagnosed hypertension is limited, especially in rural areas with restricted access to health infrastructure. Geographical determinants research has often focused on spatial variations across different units, potentially masking individual environmental contributions. Data on diagnosed hypertension patients and their behaviours were gathered during the ARISE project, complemented by geographical data (elevation, vegetation, road network, population density, and nighttime light exposure) from secondary sources. Spatial patterns were analyzed using the Nearest Neighbour Statistic, Ripley K Function, and Kernel Density Estimation, while Binomial logistic regression identified predictors. Diagnosed hypertension patients exhibit spatial clustering, and are mainly comprised of elderly individuals, residing closer to roads, at higher elevations, in areas with higher population distribution, and with little or no green vegetation. Socio-economic, health-related, behavioural, and environmental factors collectively drive diagnosed hypertension. Spatial clustering of diagnosed hypertension in the Igbo Ora community is localized, indicating potential spatial factors influencing its prevalence. Beyond identified behavioural and medical history factors, geographical elements like nighttime light exposure and normalized vegetation index contribute to the observed clustering. Understanding these dynamics is crucial for targeted interventions in the community.https://doi.org/10.1186/s12889-025-21653-3Diagnosed hypertensionNormalised difference vegetation indexNighttime light
spellingShingle Olalekan J. Taiwo
Joshua O. Akinyemi
Ayodeji Adebayo
Oluwafemi A. Popoola
Rufus O. Akinyemi
Onoja M. Akpa
Paul Olowoyo
Akinkunmi P. Okekunle
Ezinne O. Uvere
Omotolani Titilayo Ajala
Chukwuemeka Nwimo
Olayinka J. Adebajo
Adewale E. Ayodele
Ayodeji Salami
Oyedunni S. Arulogun
Olanrewaju Olaniyan
Richard W. Walker
Carolyn Jenkins
Bruce Ovbiagele
Mayowa Owolabi
Geo-behavioural predictors of diagnosed hypertension in Igbo Ora Area, Oyo State, Nigeria
BMC Public Health
Diagnosed hypertension
Normalised difference vegetation index
Nighttime light
title Geo-behavioural predictors of diagnosed hypertension in Igbo Ora Area, Oyo State, Nigeria
title_full Geo-behavioural predictors of diagnosed hypertension in Igbo Ora Area, Oyo State, Nigeria
title_fullStr Geo-behavioural predictors of diagnosed hypertension in Igbo Ora Area, Oyo State, Nigeria
title_full_unstemmed Geo-behavioural predictors of diagnosed hypertension in Igbo Ora Area, Oyo State, Nigeria
title_short Geo-behavioural predictors of diagnosed hypertension in Igbo Ora Area, Oyo State, Nigeria
title_sort geo behavioural predictors of diagnosed hypertension in igbo ora area oyo state nigeria
topic Diagnosed hypertension
Normalised difference vegetation index
Nighttime light
url https://doi.org/10.1186/s12889-025-21653-3
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