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Original Research
Prevalence and associated risk factors of hypertension amongst adults in a rural community of Limpopo Province, South Africa
Submitted: 16 March 2015 | Published: 22 October 2015
About the author(s)
Samuel T. Ntuli, Research Development and Administration, University of Limpopo, Polokwane Campus and Department of Public Health, University of Limpopo, Polokwane Campus, South AfricaEric Maimela, Epidemiology Services, Limpopo Department of Health, South Africa
Mariannes Alberts, Medical Science Department, University of Limpopo, Turfloop Campus, South Africa
Solly Choma, Medical Science Department, University of Limpopo, Turfloop Campus, South Africa
Sekgothe Dikotope, Medical Science Department, University of Limpopo, Turfloop Campus, South Africa
Abstract
Background: Hypertension is problem already faced by urban populations of South Africa, but little is known about its prevalence and risk factors in rural areas.
Aim: To assess the prevalence of and risk factors associated with hypertension amongst adults in a rural community in South Africa.
Setting: Dikgale Health and Demographic Surveillance Site, Limpopo Province, South Africa.
Methods: A community-based cross-sectional survey was carried out at this site where individuals aged 15 years and older were screened using a locally adapted version of the World Health Organization STEPwise questionnaire. Demographics, anthropometry and three independent blood pressure (BP) readings were taken. The average of the three BP measurements was used in analysis, and hypertension taken as systolic and diastolic BP of ≥ 140 or ≥ 90 mmHg respectively, or at least a two-week history of antihypertensive treatment. Analysis included the Chi-square test and statistical significance was set at p ≤ 0.05.
Results: A total of 1407 individuals were interviewed, of whom 1281 had complete BP, weight and height measurements taken. The mean age of participants was 44.2 ± 2 0.9 years (range 15–98 years), 63% were female, 55% were single and 90% were unemployed, whilst 13% were tobacco smokers and 20% reported drinking alcohol. Overall prevalence of hypertension was 41% and this was significantly associated with age and marital status.
Conclusion: The prevalence of hypertension was found to be high. Prevention strategies are urgently needed to address this life-threatening and important risk factor for cardiovascular disease in rural Limpopo Province.
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1. Nutritional Counseling for Hypertensive Patients: Have Final-Year Nursing Students Learnt Enough to Be Able to Offer Advice to Such Patients?
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doi: 10.1155/2017/6865704
2. Community-Based Screening for Cardiovascular Disease in the Capricorn District of Limpopo Province, South Africa
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doi: 10.2174/1874944502114010241
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doi: 10.1017/S0021932019000130
5. Hypertension Prevalence and Determinants among Black South African Adults in Semi-Urban and Rural Areas
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doi: 10.3390/ijerph17207463
6. Treatment Gaps Found in the Management of Type 2 Diabetes at a Community Health Centre in Johannesburg, South Africa
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7. Prevalence of metabolic syndrome, discrete or comorbid diabetes and hypertension in sub-Saharan Africa among people living with HIV versus HIV-negative populations: a systematic review and meta-analysis protocol
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8. Feasibility and acceptability of a contextualized physical activity and diet intervention for the control of hypertension in adults from a rural subdistrict: a study protocol (HYPHEN)
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9. Salt Use Behaviours of Ghanaians and South Africans: A Comparative Study of Knowledge, Attitudes and Practices
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doi: 10.3390/nu9090939
10. Undiagnosed Hypertension in a Workplace: The Case of a Logistics Company in Gauteng, South Africa
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doi: 10.3390/healthcare9080964
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doi: 10.1186/s12872-021-02290-1
13. Physical activity profile of hypertensive adults living in rural South Africa
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South African Journal of Physiotherapy vol: 81 issue: 1 year: 2025
doi: 10.4102/sajp.v81i1.2134
14. A Review of Non-Communicable Diseases (NCDs) Prescribed Medications Instructions to Promote Medication Adherence: A Document Analysis Study
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15. Low fruit consumption and omission of daily meals as risk factors for increased blood pressure in adults
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doi: 10.1017/S0007114516002397
16. High Blood Pressure and Its Associated Factors Among Aksum University Students, Northern Ethiopia, 2019: A Cross-Sectional Study
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International Journal of Public Health vol: 69 year: 2024
doi: 10.3389/ijph.2024.1607275
17. Sociocultural perceptions of physical activity and dietary habits for hypertension control: voices from adults in a rural sub-district of South Africa
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doi: 10.1186/s12889-024-19320-0
18. Poorly controlled hypertension among adults treated for hypertension in Tshwane District, South Africa
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doi: 10.4103/jfmpc.jfmpc_740_22
19. Spatial Co-Clustering of Cardiovascular Diseases and Select Risk Factors among Adults in South Africa
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International Journal of Environmental Research and Public Health vol: 17 issue: 10 first page: 3583 year: 2020
doi: 10.3390/ijerph17103583
20. Hypertension prevalence, associated factors, treatment and control in rural Cameroon: a cross-sectional study
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BMJ Open vol: 10 issue: 9 first page: e040981 year: 2020
doi: 10.1136/bmjopen-2020-040981
21. STUDY OF PREVALENCE AND ASSOCIATED RISK FACTORS FOR HYPERTENSION IN A TEACHING HOSPITAL
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doi: 10.18410/jebmh/2019/420
22. Elevated blood pressure levels among 533 167 adults living in Sub-Saharan Africa: a systematic review and meta-analysis
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doi: 10.1136/bmjopen-2019-035823
24. Hypertension incidence among middle-aged and older adults: findings from a 5-year prospective study in rural South Africa, 2010–2015
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doi: 10.1136/bmjopen-2021-049621
25. Active smoking among people with diabetes mellitus or hypertension in Africa: a systematic review and meta-analysis
Jean Jacques Noubiap, Jobert Richie Nansseu, Francky Teddy Endomba, Anderson Ngouo, Jan René Nkeck, Ulrich Flore Nyaga, Arnaud D. Kaze, Jean Joel Bigna
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doi: 10.1038/s41598-018-37858-z
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doi: 10.3390/ijerph18052570
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doi: 10.4102/safp.v64i1.5528
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doi: 10.4236/ojepi.2018.81002
30. Identifying gaps in the continuum of care for cardiovascular disease and diabetes in two communities in South Africa: Baseline findings from the HealthRise project
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doi: 10.1371/journal.pone.0192603
31. The Association between Apparent Temperature and Hospital Admissions for Cardiovascular Disease in Limpopo Province, South Africa
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International Journal of Environmental Research and Public Health vol: 20 issue: 1 first page: 116 year: 2022
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32. Indirect and direct effects of factors associated with diabetes amongst the rural black population in the Dikgale Health and Demographic Surveillance System, South Africa
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doi: 10.4102/phcfm.v13i1.2819
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doi: 10.5897/JPHE2017.0908
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