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The prevalence of hypertension in seven populations of West African origin

Author

Listed:
  • Cooper, R.
  • Rotimi, C.
  • Ataman, S.
  • McGee, D.
  • Osotimehin, B.
  • Kadiri, S.
  • Muna, W.
  • Kingue, S.
  • Fraser, H.
  • Forrester, T.
  • Bennett, F.
  • Wilks, R.
Abstract
Objectives. This study was undertaken to describe the distribution of blood pressures, hypertension prevalence, and associated risk factors among seven populations of West African origin. Methods. The rates of hypertension in West Africa (Nigeria and Cameroon), the Caribbean (Jamaica, St. Lucia, Barbados), and the United States (metropolitan Chicago, Illinois) were compared on the basis of a highly standardized collaborative protocol. After researchers were given central training in survey methods, population-based samples of 800 to 2500 adults over the age of 25 were examined in seven sites, yielding a total sample of 10 014. Results. A consistent gradient of hypertension prevalence was observed, rising from 16% in West Africa to 26% in the Caribbean and 33% in the United States. Mean blood pressures were similar among persons aged 25 to 34, while the increase in hypertension prevalence with age was twice as steep in the United States as in Africa. Environmental factors, most notably obesity and the intake of sodium and potassium, varied consistently with disease prevalence across regions. Conclusion. The findings demonstrate the determining role of social conditions in the evolution of hypertension risk in these populations.

Suggested Citation

  • Cooper, R. & Rotimi, C. & Ataman, S. & McGee, D. & Osotimehin, B. & Kadiri, S. & Muna, W. & Kingue, S. & Fraser, H. & Forrester, T. & Bennett, F. & Wilks, R., 1997. "The prevalence of hypertension in seven populations of West African origin," American Journal of Public Health, American Public Health Association, vol. 87(2), pages 160-168.
    • Handle: RePEc:aph:ajpbhl:1997:87:2:160-168_8
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    Cited by:

    1. Danielle Mensah & Oluwabunmi Ogungbe & Ruth-Alma N. Turkson-Ocran & Chioma Onuoha & Samuel Byiringiro & Nwakaego A. Nmezi & Ivy Mannoh & Elisheva Wecker & Ednah N. Madu & Yvonne Commodore-Mensah, 2022. "The Cardiometabolic Health of African Immigrants in High-Income Countries: A Systematic Review," IJERPH, MDPI, vol. 19(13), pages 1-18, June.
    2. Justin Vinneau Palarino, 2021. "The Immigrant Health Advantage: An Examination of African-Origin Black Immigrants in the United States," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 40(5), pages 895-929, October.
    3. Ikechi Gareth Okpechi & Innocent Ijezie Chukwuonye & Nicki Tiffin & Okechukwu Ojoemelam Madukwe & Ugochukwu Uchenna Onyeonoro & Theophilus Ifeanyichukwu Umeizudike & Okechukwu Samuel Ogah, 2013. "Blood Pressure Gradients and Cardiovascular Risk Factors in Urban and Rural Populations in Abia State South Eastern Nigeria Using the WHO STEPwise Approach," PLOS ONE, Public Library of Science, vol. 8(9), pages 1-8, September.
    4. Richard G. Wamai & Jason L. Hirsch & Wim Van Damme & David Alnwick & Robert C. Bailey & Stephen Hodgins & Uzma Alam & Mamka Anyona, 2021. "What Could Explain the Lower COVID-19 Burden in Africa despite Considerable Circulation of the SARS-CoV-2 Virus?," IJERPH, MDPI, vol. 18(16), pages 1-18, August.
    5. Jyoti Rajan Sharma & Sihle E. Mabhida & Bronwyn Myers & Teke Apalata & Edward Nicol & Mongi Benjeddou & Christo Muller & Rabia Johnson, 2021. "Prevalence of Hypertension and Its Associated Risk Factors in a Rural Black Population of Mthatha Town, South Africa," IJERPH, MDPI, vol. 18(3), pages 1-17, January.

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