Determinants and treatment of hypertension in South Africans: The first demographic and health survey

Steyn, K., Bradshaw, D., Norman, R.E., & Laubscher, R. (2008) Determinants and treatment of hypertension in South Africans: The first demographic and health survey. South African Medical Journal, 98(5), pp. 376-380.

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Abstract

Objectives:

To identify the groups of patients with high prevalence and poor control of hypertension in South Africa.

Methods:

In the first national Demographic and Health Survey, 12 952 randomly selected South Africans, aged 15 years and older were surveyed. Trained interviewers completed questionnaires on socio-demographic characteristics, lifestyle and the management of hypertension. This cross-sectional survey also included blood pressure, height and weight measurements. Logistic regression analyses identified the determinants of hypertension and the treatment status in this dataset.

Results:

A high risk of hypertension was associated with less than tertiary education, older age groups, overweight and obese people, using alcohol in excess, and a family history of stroke and hypertension. Rural Africans had the lowest risk of hypertension, which was significantly higher in obese African women than in women with normal body mass index. Improved hypertension control was found in the wealthy, women, older persons, being Asian, and having medical insurance.

Conclusions:

Rural African people had lower hypertension prevalence rates than the other groups. The poorer, younger men, without health insurance had the worst level of hypertension control.

Impact and interest:

28 citations in Scopus
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22 citations in Web of Science®

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ID Code: 80268
Item Type: Journal Article
Refereed: Yes
Additional Information: Cited By :19
Export Date: 6 January 2015
Keywords: South Africa, hypertension, determinants
ISSN: 2078-5135
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Epidemiology (111706)
Australian and New Zealand Standard Research Classification
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Public Health & Social Work
Copyright Owner: 2008 Health & Medical Publishing Group
Copyright Statement: This journal is protected by a Creative Commons Attribution - NonCommercial Works License (CC BY-NC 3.0)
Deposited On: 22 Jan 2015 03:38
Last Modified: 06 Feb 2015 04:53

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