Prevalence of high blood pressure and associated factors among adolescents and young people in Tanzania and Uganda

TY - JOUR

T1 - Prevalence of high blood pressure and associated factors among adolescents and young people in Tanzania and Uganda

AU - Nsanya, Mussa K

AU - Kavishe, Bazil Baltazar

AU - Katende, David

AU - Mosha, Neema

AU - Hansen, Christian

AU - Nsubuga, Rebecca N

AU - Munderi, Paula

AU - Grosskurth, Heiner

AU - Kapiga, Saidi

N1 - (Ekstern)

PY - 2019/4

Y1 - 2019/4

N2 - We conducted a cross-sectional study among school/college students in Tanzania and Uganda to determine the prevalence of high blood pressure (BP) and associated factors. Participants were classified to have high BP if they had pre-hypertension or hypertension. Interviews were done using the WHO STEPS instrument. Using data from both countries (n = 1596), the overall prevalence of high BP was 40% (95% CI: 37-42). The prevalence of pre-hypertension was 29% (95% CI: 26-31) and that of hypertension was 11% (95% CI: 10-13). High BP was independently associated with obesity (aOR = 6.7, 95% CI: 2.2-20.0), male sex (aOR = 3.2, 95% CI: 2.4-4.4), and among males aged above 20 years (aOR = 5.5, 95% CI: 2.9−10.5). Consumption of fruits/vegetables was associated with decreased odds for high BP (aOR = 0.7, 95% CI: 0.50-0.98). The increasing burden of pre-hypertension across age groups could explain the early onset of hypertension and cardiovascular diseases (CVDs) among young African adults. There is a need for longitudinal studies to explore the drivers of pre-hypertension in East African adolescents.

AB - We conducted a cross-sectional study among school/college students in Tanzania and Uganda to determine the prevalence of high blood pressure (BP) and associated factors. Participants were classified to have high BP if they had pre-hypertension or hypertension. Interviews were done using the WHO STEPS instrument. Using data from both countries (n = 1596), the overall prevalence of high BP was 40% (95% CI: 37-42). The prevalence of pre-hypertension was 29% (95% CI: 26-31) and that of hypertension was 11% (95% CI: 10-13). High BP was independently associated with obesity (aOR = 6.7, 95% CI: 2.2-20.0), male sex (aOR = 3.2, 95% CI: 2.4-4.4), and among males aged above 20 years (aOR = 5.5, 95% CI: 2.9−10.5). Consumption of fruits/vegetables was associated with decreased odds for high BP (aOR = 0.7, 95% CI: 0.50-0.98). The increasing burden of pre-hypertension across age groups could explain the early onset of hypertension and cardiovascular diseases (CVDs) among young African adults. There is a need for longitudinal studies to explore the drivers of pre-hypertension in East African adolescents.

KW - Adolescents

KW - Hypertension

KW - Pre-hypertension

KW - Schools

KW - Young adults

UR - http://www.scopus.com/inward/record.url?scp=85062353188&partnerID=8YFLogxK

U2 - 10.1111/jch.13502

DO - 10.1111/jch.13502

M3 - Journal article

C2 - 30811099

AN - SCOPUS:85062353188

SN - 1524-6175

VL - 21

SP - 470

EP - 478

JO - Journal of Clinical Hypertension

JF - Journal of Clinical Hypertension

IS - 4

ER -