Burden of hypertension in Ghana – Analysis of awareness and screening campaign in the Ashanti Region of Ghana

Objectives Hypertension is a major risk factor for cardiovascular mortality globally and in Ghana. May Measurement Month (MMM) is a global awareness and screening campaign initiated by the International Society of Hypertension. Methods Participants were recruited by opportunist sampling in the Ashan...

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Published in:JRSM cardiovascular disease 2022-01, Vol.11, p.20480040221075521-20480040221075521
Main Authors: Tannor, Elliot Koranteng, Nyarko, Obed Ofori, Adu-Boakye, Yaw, Owusu Konadu, Saabea, Opoku, Gilda, Ankobea-Kokroe, Frank, Opare Addo, Mercy, Amuzu, Evans Xorse, Ansah, Gilgal Justice, Appiah-Boateng, Kate, Ansong, Daniel
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Blood pressure
Hypertension
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Regression analysis
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creator Tannor, Elliot Koranteng
Nyarko, Obed Ofori
Adu-Boakye, Yaw
Owusu Konadu, Saabea
Opoku, Gilda
Ankobea-Kokroe, Frank
Opare Addo, Mercy
Amuzu, Evans Xorse
Ansah, Gilgal Justice
Appiah-Boateng, Kate
Ansong, Daniel
description Objectives Hypertension is a major risk factor for cardiovascular mortality globally and in Ghana. May Measurement Month (MMM) is a global awareness and screening campaign initiated by the International Society of Hypertension. Methods Participants were recruited by opportunist sampling in the Ashanti region of Ghana. The blood pressures of participants were measured three times and the mean of the last two readings was used for the analysis. Simple and multiple logistic regression was used to determine the predictors of hypertension. Results The MMM 2018 awareness and screening campaign enrolled 5054 participants with a mean age of 39.4 ± 14.7 years. There were 2553 (50.6%) males, 987 (20.1%) of respondents had never checked their blood pressure and 676 (13.9%) had a prior history of hypertension. The prevalence of hypertension was 37.4%. We found that 589(66.8%) of 822 respondents with high blood pressure did not have a history of hypertension. Respondents with a known history of hypertension on medication were 442 (65.9%) and 219(68.0%) of 322 respondents on medication had uncontrolled hypertension. The predictors of high blood pressure in a multiple logistic regression were increasing age (OR = 1.05 CI 1.05–1.06, p 
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May Measurement Month (MMM) is a global awareness and screening campaign initiated by the International Society of Hypertension. Methods Participants were recruited by opportunist sampling in the Ashanti region of Ghana. The blood pressures of participants were measured three times and the mean of the last two readings was used for the analysis. Simple and multiple logistic regression was used to determine the predictors of hypertension. Results The MMM 2018 awareness and screening campaign enrolled 5054 participants with a mean age of 39.4 ± 14.7 years. There were 2553 (50.6%) males, 987 (20.1%) of respondents had never checked their blood pressure and 676 (13.9%) had a prior history of hypertension. The prevalence of hypertension was 37.4%. We found that 589(66.8%) of 822 respondents with high blood pressure did not have a history of hypertension. Respondents with a known history of hypertension on medication were 442 (65.9%) and 219(68.0%) of 322 respondents on medication had uncontrolled hypertension. The predictors of high blood pressure in a multiple logistic regression were increasing age (OR = 1.05 CI 1.05–1.06, p &lt; 0.001), history of alcohol intake (OR = 1.33 CI 1.04 −1.70, p = 0.02), overweight (OR = 1.4 CI 1.14–1.76, p = 0.001) and obesity (OR = 1.32, CI 1.01–1.74, p = 0.047). Conclusion There is a high prevalence of hypertension in the Ashanti region in Ghana. Most participants with hypertension were not aware and the majority of those with hypertension on medications were uncontrolled. This calls for more education and screening of hypertension to decrease cardiovascular mortality.</description><identifier>ISSN: 2048-0040</identifier><identifier>EISSN: 2048-0040</identifier><identifier>DOI: 10.1177/20480040221075521</identifier><identifier>PMID: 35111304</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Blood pressure ; Hypertension ; Original ; Regression analysis</subject><ispartof>JRSM cardiovascular disease, 2022-01, Vol.11, p.20480040221075521-20480040221075521</ispartof><rights>The Author(s) 2022</rights><rights>The Author(s) 2022.</rights><rights>The Author(s) 2022. This work is licensed under the Creative Commons Attribution – Non-Commercial License https://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2022 2022 SAGE Publications</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-53212187fbc0947038497f842e2aecb172147cbb1d5bcddc6e643be4e8610e303</citedby><cites>FETCH-LOGICAL-c396t-53212187fbc0947038497f842e2aecb172147cbb1d5bcddc6e643be4e8610e303</cites><orcidid>0000-0001-9184-6965</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8801650/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2758261782?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,21966,25753,27853,27924,27925,37012,37013,44590,44945,45333,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35111304$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tannor, Elliot Koranteng</creatorcontrib><creatorcontrib>Nyarko, Obed Ofori</creatorcontrib><creatorcontrib>Adu-Boakye, Yaw</creatorcontrib><creatorcontrib>Owusu Konadu, Saabea</creatorcontrib><creatorcontrib>Opoku, Gilda</creatorcontrib><creatorcontrib>Ankobea-Kokroe, Frank</creatorcontrib><creatorcontrib>Opare Addo, Mercy</creatorcontrib><creatorcontrib>Amuzu, Evans Xorse</creatorcontrib><creatorcontrib>Ansah, Gilgal Justice</creatorcontrib><creatorcontrib>Appiah-Boateng, Kate</creatorcontrib><creatorcontrib>Ansong, Daniel</creatorcontrib><title>Burden of hypertension in Ghana – Analysis of awareness and screening campaign in the Ashanti Region of Ghana</title><title>JRSM cardiovascular disease</title><addtitle>JRSM Cardiovasc Dis</addtitle><description>Objectives Hypertension is a major risk factor for cardiovascular mortality globally and in Ghana. May Measurement Month (MMM) is a global awareness and screening campaign initiated by the International Society of Hypertension. Methods Participants were recruited by opportunist sampling in the Ashanti region of Ghana. The blood pressures of participants were measured three times and the mean of the last two readings was used for the analysis. Simple and multiple logistic regression was used to determine the predictors of hypertension. Results The MMM 2018 awareness and screening campaign enrolled 5054 participants with a mean age of 39.4 ± 14.7 years. There were 2553 (50.6%) males, 987 (20.1%) of respondents had never checked their blood pressure and 676 (13.9%) had a prior history of hypertension. The prevalence of hypertension was 37.4%. We found that 589(66.8%) of 822 respondents with high blood pressure did not have a history of hypertension. Respondents with a known history of hypertension on medication were 442 (65.9%) and 219(68.0%) of 322 respondents on medication had uncontrolled hypertension. The predictors of high blood pressure in a multiple logistic regression were increasing age (OR = 1.05 CI 1.05–1.06, p &lt; 0.001), history of alcohol intake (OR = 1.33 CI 1.04 −1.70, p = 0.02), overweight (OR = 1.4 CI 1.14–1.76, p = 0.001) and obesity (OR = 1.32, CI 1.01–1.74, p = 0.047). Conclusion There is a high prevalence of hypertension in the Ashanti region in Ghana. Most participants with hypertension were not aware and the majority of those with hypertension on medications were uncontrolled. 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May Measurement Month (MMM) is a global awareness and screening campaign initiated by the International Society of Hypertension. Methods Participants were recruited by opportunist sampling in the Ashanti region of Ghana. The blood pressures of participants were measured three times and the mean of the last two readings was used for the analysis. Simple and multiple logistic regression was used to determine the predictors of hypertension. Results The MMM 2018 awareness and screening campaign enrolled 5054 participants with a mean age of 39.4 ± 14.7 years. There were 2553 (50.6%) males, 987 (20.1%) of respondents had never checked their blood pressure and 676 (13.9%) had a prior history of hypertension. The prevalence of hypertension was 37.4%. We found that 589(66.8%) of 822 respondents with high blood pressure did not have a history of hypertension. Respondents with a known history of hypertension on medication were 442 (65.9%) and 219(68.0%) of 322 respondents on medication had uncontrolled hypertension. The predictors of high blood pressure in a multiple logistic regression were increasing age (OR = 1.05 CI 1.05–1.06, p &lt; 0.001), history of alcohol intake (OR = 1.33 CI 1.04 −1.70, p = 0.02), overweight (OR = 1.4 CI 1.14–1.76, p = 0.001) and obesity (OR = 1.32, CI 1.01–1.74, p = 0.047). Conclusion There is a high prevalence of hypertension in the Ashanti region in Ghana. Most participants with hypertension were not aware and the majority of those with hypertension on medications were uncontrolled. This calls for more education and screening of hypertension to decrease cardiovascular mortality.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>35111304</pmid><doi>10.1177/20480040221075521</doi><orcidid>https://orcid.org/0000-0001-9184-6965</orcidid><oa>free_for_read</oa></addata></record>
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subjects Blood pressure
Hypertension
Original
Regression analysis
title Burden of hypertension in Ghana – Analysis of awareness and screening campaign in the Ashanti Region of Ghana
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