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Publication Type
Journal Article
Author, Analytic
Cruickshank, J. Kennedy; Mbanya, J. C. ; Wilks, Rainford J.; Balkau, B. ; Forrester, Terrence E.; Anderson, S. G.; Mennen, L. I.; Forhan, A.; Riste, Lisa K.; McFarlane-Anderson, Norma
Author Affiliation, Ana.
Tropical Medicine Research Institute
Article Title
Hypertension in four African-origin populations: Current 'Rule of Halves', quality of blood pressure control and attributable risk of cardiovascular disease
Medium Designator
n/a
Connective Phrase
n/a
Journal Title
Journal of Hypertension
Translated Title
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Reprint Status
n/a
Date of Publication
2001
Volume ID
19
Issue ID
1
Page(s)
41-6
Language
eng
Connective Phrase
n/a
Location/URL
n/a
ISSN
0263-6352
Notes
n/a
Abstract
Aimed to assess the public health burden from high blood pressure and the current status of its detection and management in four African- origin populations at emerging or high cardiovascular risk. Cross-site comparison using standardized measurement and techniques were done in rural and urban Cameroon; Jamaica; Manchester, Britain among representative population samples in each setting. African- Caribbeans (80% of Jamaican origin) and a local European sample in Manchester. Among 1,587 men and 2,087 women, age-adjusted rates of blood pressure > or =160 or 95 mmHg or its treatment rose from 5% in rural to 17% in urban Cameroon, despite young mean ages, to 21% in Jamaica and 29% in Caribbeans in Britain. Treatment rates reached 34% in urban Cameroon, and 69% in Jamaican- and British-Caribbean-origin women. Sub-optimal blood pressure control (> 140 and 90 mmHg) on treatment reached 88% in European women. Population attributable risks (or fractions) indicated that up to 22% of premature all-cause, and 45% of stroke mortality could be reduced by appropriate detection and treatment. Additional benefit on just strokes occurring on treatment could be up to 47% (e.g. in both urban Cameroon men and European women) from tighter blood pressure control on therapy. Cheap, effective therapy is available. With mortality risk now higher from non-communicable than communicable diseases in sub-Saharan Africa and elsewhere, systematic measurement, detection and genuine control of hypertension once treated can go hand-in-hand with other adult health programmes in primary care. Cost implications are not great. The data from this collaborative study suggest that such efforts should be well rewarded.....
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