Blood pressure and burden of hypertension in Cameroon, a microcosm of Africa: a systematic review and meta-analysis of population-based studies

被引：31

作者：

Defo, Barthelemy Kuate ^{[1
]}

Mbanya, Jean Claude ^{[2
,3
]}

Kingue, Samuel ^{[2
,4
]}

Tardif, Jean-Claude ^{[5
,6
]}

Choukem, Simeon Pierre ^{[7
]}

Perreault, Sylvie ^{[8
]}

Fournier, Pierre ^{[1
]}

Ekundayo, Olugbemiga ^{[9
]}

Potvin, Louise ^{[1
]}

D'Antono, Bianca ^{[5
,10
]}

Emami, Elham ^{[11
]}

Cote, Robert ^{[12
,13
,14
]}

Aubin, Marie-Josee ^{[15
]}

Bouchard, Maryse ^{[16
]}

Khairy, Paul ^{[5
,6
]}

Rey, Evelyne ^{[17
]}

Richard, Lucie ^{[18
]}

Zarowsky, Christina ^{[1
]}

Mampuya, Warner M. ^{[19
]}

Mbanya, Dora ^{[20
]}

Sauve, Sebastien ^{[21
]}

Ndom, Paul ^{[22
]}

da Silva, Roxane Borges ^{[18
]}

Assah, Felix ^{[2
]}

Roy, Isabelle ^{[23
]}

Dubois, Carl-Ardy ^{[24
]}

机构：

[1] Univ Montreal, Sch Publ Hlth, Dept Social & Prevent Med, CP 6128 Succursale Ctr Ville, Montreal, PQ H3C 3J7, Canada

[2] Univ Yaounde I, Fac Med & Biomed Sci, Dept Internal Med & Specialties, Yaounde, Cameroon

[3] Univ Yaounde I, Biotechnol Ctr, Lab Mol Med & Metab, Yaounde, Cameroon

[4] Minist Publ Hlth, Yaounde, Cameroon

[5] Univ Montreal, Fac Med, Montreal Heart Inst, Montreal, PQ, Canada

[6] Univ Montreal, Fac Med, Deparment Cardiol, Montreal, PQ, Canada

[7] Univ Dschang, Fac Med & Pharmaceut Sci, Dschang, Cameroon

[8] Univ Montreal, Fac Pharm, Montreal, PQ, Canada

[9] Northern Kentucky Univ, Dept Allied Hlth, Highland Hts, KY 41076 USA

[10] Univ Montreal, Dept Psychol, Montreal, PQ, Canada

[11] McGill Univ, Fac Dent, Montreal, PQ, Canada

[12] McGill Univ, Dept Neurol, Montreal, PQ, Canada

[13] McGill Univ, Dept Neurosurg, Montreal, PQ, Canada

[14] McGill Univ, Dept Med, Fac Med, Montreal, PQ, Canada

[15] Univ Montreal, Fac Med, Dept Ophthalmol, Montreal, PQ, Canada

[16] Univ Montreal, Sch Publ Hlth, Dept Environm Hlth, Montreal, PQ, Canada

[17] Univ Montreal, Fac Med, Dept Obstet & Gynecol, Montreal, PQ, Canada

[18] Univ Montreal, Sch Nursing, Montreal, PQ, Canada

[19] Univ Sherbrooke, Fac Med, Deparment Cardiol, Sherbrooke, PQ, Canada

[20] Univ Bamenda, Fac Hlth Sci, Bamenda, Cameroon

[21] Univ Montreal, Dept Chem, Montreal, PQ, Canada

[22] Univ Yaounde I, Fac Med & Biomed Sci, Dept Radiol & Radiat Oncol, Yaounde, Cameroon

[23] Univ Montreal, Sch Publ Hlth, PRONUSTIC Res Lab, Montreal, PQ, Canada

[24] Univ Montreal, Sch Publ Hlth, Dept Hlth Adm Evaluat & Policy, Montreal, PQ, Canada

来源：

JOURNAL OF HYPERTENSION | 2019年 / 37卷 / 11期

关键词：

Africa; ageing; blood pressure; Cameroon; epidemiology; hypertension; low-income and middle-income countries; noncommunicable disease; review; SUB-SAHARAN AFRICA; UNDIAGNOSED HYPERTENSION; RISK-FACTORS; PREVALENCE; AWARENESS; URBAN; MANAGEMENT; COMMUNITY; OBESITY; CARE;

D O I：

10.1097/HJH.0000000000002165

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

Objective: To estimate national and geography-based variations in blood pressure and burden of hypertension in Cameroon, generally called 'miniature Africa'. Methods: PubMed, Medline, EMBASE, CINHAL, Web of Science, Popline, Scopus and BDSP were searched through November 2018, for hypertension studies among Cameroonians aged at least 18 years. Hypertension was measured as SBP at least 140 mmHg or DBP at least 90 mmHg. Random-effects meta-analysis was used. Results: Twenty studies involving 46 491 participants met inclusion criteria. Overall hypertension prevalence was 30.9% [95% confidence interval (CI) 27.0-34.8]: 29.6% (24.1-35.1) and 32.1% (27.2-37.1) in 1994-2010 and 2011-2018, respectively. Of hypertensive participants, only 24.4% (18.9-30.0) - 31.6% (21.0-42.3) and 20.8% (14.0-27.7) in 1994-2010 and 2011-2018, respectively - were aware of their status, 15.1% (10.6-19.6) were taking antihypertensive medications and 8.8% (5.7-11.9) - 10.4% (7.5-13.3) and 8.3% (4.4-12.3) in 1994-2010 and 2011-2018, respectively - were controlled. Hypertension prevalence varied by sex: 34.3% (30.0-38.6) for men and 31.3% (26.5-36.1) for women; ethnicity: from 3.3% (0.4-6.2) among Pygmies to 56.6% (49.4-63.8) among Bamileke; urbanity: 25.4% (17.1-33.7) for rural and 31.4% (27.3-35.5) for urban dwellers; agroecological zone: from 35.1% (28.9-41.3) in Tropical highlands to 28% (20.1-35.9) in Guinea-Savannah; and subnational region: from 36.3% (27.8-44.9) in the West to 17.1% (9.9-44.2) in the South. Conclusion: Cameroon's hypertension prevalence is high and increasing whereas awareness, treatment and control are low and declining. Emerging patterns call urgently for effective campaigns to raise hypertension awareness alongside strategies for hypertension prevention and BP control.

引用

页码：2190 / 2199

页数：10

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