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Prevalence of hypertension and associated risk factors in a rural black population of Mthatha town, South Africa
                                           Sihle Mabhida*, Jyoti Sharma*, Brownyn Myers, Teke Apalata, Mongi Benjeddou, and Rabia Johnson
                                                                          *Equally contributed and Contacts Email: rabia.johnson@mrc.ac.za
                     Background                                            Results                          Table 2.  Sociodemographic and clinical characteristics associated with untreated HTN treatment among
    •    Globally,  1.39  billion  individuals  have                                                        hypertensive individuals
         hypertension, with a prevalence of 31.1%.
    •    In Sub-Sharan Africa, South Africa has the
         heaviest  burden  of  disease  with  an                        35%      28%
         estimated prevalence between 27-58%.
    •    Despite acknowledging HTN as the most                                   10%
         common life-threatening risk factor for                            27%
         CVD, dearth of data is available on the
         prevalence, awareness and determinants
         of HTN in rural parts of South Africa.
                        Aim                                 NORMAL              ELEVATED
    •    To assess the prevalence and associated            HYPERTENSION GRADE 1  HYPERTENSION GRADE II
         risk factors among black African population
         of Mthatha town, Eastern Cape.            Figure 1. Distribution of participants according to their blood pressure
                                                   Table 1. Multivariable logistic regression model of sociodemographic
                                                   and clinical factors associated with HTN.
                      Methods


                                                                                                             •   Variables such as gender, age, race, body mass index (BMI), blood glucose levels,
                                                                                                                 marital status, level of education, monthly income, status of employment, physical
                                                                                                                 activity, diet pattern, beliefs of HTN and its treatment were screened but only those
                                                                                                                 displayed in Table 1 showed significant association with HTN in a multivariate logistic
                                                                                                                 regression model.
                                                                                                             •   Table 2 describes potential factors that were associated with untreated HTN among
                                                                                                                 hypertensive individuals.
                                                                                                                                        Discussion and Conclusion
                                                                                                             •   Prevalence of HTN was high among the black African population of Mthatha town.
                                                                                                             •   Sex, age, western diet, diabetic and overweight/obese status were the most significant
                                                                                                                 predictors of HTN.
                                                                                                             •   Male sex and participants who does not value the use of medication for the treatment
                                                                                                                 of HTN were associated with higher odds of being untreated.
                                                                                                             •   Being female, aged and overweight/obese reduces the risks of being untreated.
                                                                                                                                              Acknowledgment
                                                                                                             •   Pharmacogenomic in  Precision Medicine SHIP-RFA-01-2019, SAMRC
                                                                                                             •   BRIP-Baseline Funding, SAMRC
                                                                                                             •   Research Capacity Development, SAMRC  and  Novartis
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