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Profile of people with hypertension in Nairobi's slums: a descriptive study

Annelieke Hulzebosch1, Steven van de Vijver2,3, Samuel O Oti4

  • 1Utrecht University, Ameland 195 3524 AN, Utrecht, Netherlands. anneliekehulzebosch@gmail.com.

Globalization and Health
|June 28, 2015
PubMed

Insights

Hypertension is a growing concern in Nairobi slums, with patients exhibiting high rates of obesity and unhealthy behaviors. Many do not adhere to medication, highlighting a critical gap in cardiovascular disease management.

Area of Science:

  • Public Health
  • Cardiology
  • Epidemiology

Background:

  • Cardiovascular disease (CVD) poses a significant health challenge, particularly among impoverished populations globally.
  • Hypertension is a primary risk factor for CVD, disproportionately affecting urban populations in sub-Saharan Africa, including those residing in slum areas.
  • This research focuses on understanding the characteristics of hypertensive patients in Nairobi, Kenya's slums.

Purpose of the Study:

  • To investigate the demographic, anthropometric, and clinical profile of adults diagnosed with hypertension living in Korogocho slum, Nairobi.
  • To identify prevalent behavioral risk factors associated with hypertension in this specific urban slum population.

Main Methods:

  • A cohort of 440 adults aged 35 years and above with hypertension residing in Korogocho, Nairobi, were enrolled.
  • Data collection included sociodemographic information, anthropometric measurements, and clinical assessments, including blood pressure (BP) readings.
  • Data were gathered at baseline and during the initial clinic visit.

Main Results:

  • The study population exhibited a high prevalence of overweight and abdominal obesity.
  • Behavioral risk factors such as smoking, alcohol consumption, and low intake of fruits and vegetables were common.
  • A significant majority of hypertensive patients were not on anti-hypertensive medication, and those who were showed poor adherence.

Conclusions:

  • Hypertensive individuals in Nairobi's slums present with significant obesity and lifestyle-related risk factors.
  • There is a substantial unmet need for effective hypertension management, evidenced by low medication use and adherence.
  • Interventions targeting weight management, lifestyle modifications, and medication adherence are crucial for this population.
Abstract

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