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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
biochemistry, genetics and molecular biology
Hypertension in four African-origin populations: Current 'Rule of Halves', quality of blood pressure control and attributable risk of cardiovascular disease
Journal of Hypertension, Volume 19, No. 1, Year 2001
Notification
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Description
Objective: To assess the public health burden from high blood pressure and the current status of its detection and management in four African-origin populations at emerging or high cardiovascular risk. Design: Cross-site comparison using standardized measurement and techniques. Setting: Rural and urban Cameroon; Jamaica; Manchester, Britain. Subjects: Representative population samples in each setting. African-Caribbeans (80% of Jamaican origin) and a local European sample in Manchester. Main outcome measures: Cross-site age-adjusted prevalence; population attributable risk. Results: Among 1587 men and 2087 women, age-adjusted rates of blood pressure ≥ 160 or 95 mmHg or its treatment rose from 5% in rural to 17% in urban Cameroon, despite young mean ages, to 21% in Jamaica and 29% in Caribbeans in Britain. Treatment rates reached 34% in urban Cameroon, and 69% in Jamaican- and British-Caribbean-origin women. Sub-optimal blood pressure control (> 140 and 90 mmHg) on treatment reached 88% in European women. Population attributable risks (or fractions) indicated that up to 22% of premature all-cause, and 45% of stroke mortality could be reduced by appropriate detection and treatment. Additional benefit on just strokes occurring on treatment could be up to 47% (e.g. in both urban Cameroon men and European women) from tighter blood pressure control on therapy. Cheap, effective therapy is available. Conclusion: With mortality risk now higher from non-communicable than communicable diseases in sub-Saharan Africa and elsewhere, systematic measurement, detection and genuine control of hypertension once treated can go hand-in-hand with other adult health programmes in primary care. Cost implications are not great. The data from this collaborative study suggest that such efforts should be well rewarded. © 2001 Lippincott Williams & Wilkins.
Authors & Co-Authors
Cruickshank, J. Kennedy
United Kingdom, Manchester
School of Medical Sciences
Cameroon, Yaounde
Université de Yaoundé I
Jamaica, Kingston
The University of the West Indies
France, Paris
Inserm
United Kingdom, Manchester
The University of Manchester
Mbanya, J. C.
United Kingdom, Manchester
School of Medical Sciences
Cameroon, Yaounde
Université de Yaoundé I
Jamaica, Kingston
The University of the West Indies
France, Paris
Inserm
Wilks, Rainford J.
United Kingdom, Manchester
School of Medical Sciences
Cameroon, Yaounde
Université de Yaoundé I
Jamaica, Kingston
The University of the West Indies
France, Paris
Inserm
Balkau, Beverley J.
United Kingdom, Manchester
School of Medical Sciences
Cameroon, Yaounde
Université de Yaoundé I
Jamaica, Kingston
The University of the West Indies
France, Paris
Inserm
Forrester, Terrence E.
United Kingdom, Manchester
School of Medical Sciences
Cameroon, Yaounde
Université de Yaoundé I
Jamaica, Kingston
The University of the West Indies
France, Paris
Inserm
Anderson, Simon George
United Kingdom, Manchester
School of Medical Sciences
Cameroon, Yaounde
Université de Yaoundé I
Jamaica, Kingston
The University of the West Indies
France, Paris
Inserm
Mennen, Louise I.
United Kingdom, Manchester
School of Medical Sciences
Cameroon, Yaounde
Université de Yaoundé I
Jamaica, Kingston
The University of the West Indies
France, Paris
Inserm
Forhan, Anne
United Kingdom, Manchester
School of Medical Sciences
Cameroon, Yaounde
Université de Yaoundé I
Jamaica, Kingston
The University of the West Indies
France, Paris
Inserm
Riste, Lisa K.
United Kingdom, Manchester
School of Medical Sciences
Cameroon, Yaounde
Université de Yaoundé I
Jamaica, Kingston
The University of the West Indies
France, Paris
Inserm
McFarlane-Anderson, Norma D.
United Kingdom, Manchester
School of Medical Sciences
Cameroon, Yaounde
Université de Yaoundé I
Jamaica, Kingston
The University of the West Indies
France, Paris
Inserm
Statistics
Citations: 131
Authors: 10
Affiliations: 5
Identifiers
Doi:
10.1097/00004872-200101000-00006
ISSN:
02636352
Research Areas
Maternal And Child Health
Noncommunicable Diseases
Study Design
Cross Sectional Study
Study Locations
Cameroon
Participants Gender
Male
Female