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Prevalence factors associated with hypertension in Rukungiri district, Uganda--a community-based study
J F Wamala1, Z Karyabakabo, D Ndungutse
1Epidemiology and Surveillance Division, Ministry of Health, Kampala, Uganda.
African Health Sciences
|July 1, 2010
Summary
High hypertension prevalence (30.5%) was found in rural Uganda. Associated factors include alcohol use, overweight/obesity, female sex, tertiary education, and older age, highlighting a significant public health concern.
Area of Science:
- Public Health
- Epidemiology
- Cardiovascular Health
Background:
- Hypertension presents a significant and growing public health challenge in Uganda and across Africa.
- This study addresses the increasing burden of hypertension in the region.
Purpose of the Study:
- To determine the prevalence of hypertension among adult residents in the rural Rukungiri district of Uganda.
- To identify key demographic, socioeconomic, and lifestyle factors associated with hypertension in this population.
Main Methods:
- A community-based, cross-sectional study was conducted from January to February 2006.
- A random sample of 842 residents aged 20 years and older completed standardized questionnaires and physical measurements.
- Hypertension was defined as systolic blood pressure (BP) ≥ 140mmHg, diastolic BP ≥ 90mmHg, or regular anti-hypertensive medication use. Logistic regression analysis was employed.
Main Results:
- The age-standardized prevalence of hypertension was 30.5% (95% CI: 26.6 – 34.3%).
- Significant associations with hypertension included past alcohol use (OR=2.28), present alcohol use (OR=1.64), being overweight (OR=1.95), obesity (OR=5.07), female sex (OR=1.44), tertiary education (OR=1.91), and older age (OR=1.42).
Conclusions:
- The prevalence of hypertension in this rural Ugandan district is notably high, underscoring its status as a major public health issue.
- Findings highlight the need for targeted interventions and further research into hypertension's distribution and determinants nationwide.
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