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Patterns and determinants of hypertension in Botswana
Mpho Keetile1, Kannan Navaneetham1, Gobopamang Letamo1
1Department of Population Studies, University of Botswana, Private Bag, 00705 Gaborone, Botswana.
Zeitschrift Fur Gesundheitswissenschaften = Journal of Public Health
|September 29, 2015
Summary
Hypertension prevalence in Botswana is 16.9%, with women and older adults more affected. Reducing obesity through diet and exercise is key to lowering hypertension rates.
Area of Science:
- Public Health
- Epidemiology
- Cardiovascular Health
Background:
- Hypertension is a significant public health concern globally and in Botswana.
- Understanding the prevalence and determinants of hypertension is crucial for effective public health interventions.
Purpose of the Study:
- To examine the patterns and determinants of hypertension in Botswana.
- To provide data for targeted public health strategies to combat hypertension.
Main Methods:
- A cross-sectional survey using the World Health Organization's STEPS approach was conducted in 2007.
- Data included demographics, physical measurements (height, weight, blood pressure), and biochemical samples from 4003 individuals aged 25-64.
- Logistic regression analysis was used to identify determinants of hypertension.
Main Results:
- The national prevalence of hypertension was 16.9% (18.9% in females, 9.9% in males).
- Hypertension prevalence increased significantly with age and was higher in females (OR 1.9).
- Obesity was the only significant behavioral risk factor associated with hypertension; education and employment were not significant for women.
Conclusions:
- Reducing obesity through balanced diet and physical activity can significantly lower hypertension rates.
- Botswana's health system needs to enhance early hypertension detection and awareness programs for the public and health personnel.
- Integrated strategies focusing on lifestyle modifications and early detection are vital for hypertension control in Botswana.
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