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Prevalence, Awareness, Treatment and Control of Hypertension in Nigeria: Data from a Nationwide Survey 2017 Cover

Prevalence, Awareness, Treatment and Control of Hypertension in Nigeria: Data from a Nationwide Survey 2017

Open Access
|Jul 2020

Figures & Tables

Table 1

Socio-Demographic Characteristics of Participants by Geopolitical Zone.

OverallN/CentralN/EastN/WestS/EastS/SouthS/West
Number of participants (%)4192 (100)653 (15.6)1070 (25.5)709 (16.9)489 (11.7)543 (13.0)728 (17.4)
Women2377 (63.9)292 (47.5)600 (57.4)360 (59.6)327 (69.1)303 (61.2)495 (69.7)
Work Status
Govt. Employed693 (15.2)110 (22.1)172 (16.2)156 (20.3)66 (10.1)91 (14.3)98 (13.9)
Non-govt. Employed315 (5.51)108 (14.0)47 (4.35)17 (1.93)73 (9.34)20 (2.08)50 (7.42)
Self-Employed2110 (55.2)308 (41.5)536 (50.2)214 (35.8)252 (57.1)324 (65.6)476 (63.6)
Non-Paid16 (0.29)4 (0.54)2 (0.20)1 (0.05)4 (0.33)2 (0.13)3 (0.49)
Unemployed1044 (23.8)122 (21.9)319 (41.9)123 (17.4)92 (23.1)103 (18.0)99 (14.6)
Educational Status
No formal Education661 (19.0)28 (6.90)250 (24.3)238 (45.4)24 (4.72)19 (3.54)102 (12.8)
Primary Education903 (25.5)84 (14.19)246 (22.6)85 (13.0)129 (35.4)189 (35.2)170 (22.9)
Secondary Education1157 (25.4)216 (33.8)286 (26.4)171 (20.4)154 (31.6)164 (30.5)166 (23.4)
Tertiary Education1432 (30.1)316 (45.1)287 (26.7)214 (21.2)175 (23.3)165 (30.7)275 (40.8)
Smoking165 (3.40)50 (5.59)31 (2.98)21 (3.20)18 (5.6)30 (4.81)15 (2.03)
Drinking Alcohol1451 (32.2)348 (47.0)364 (33.5)14 (1.79)230 (56.7)323 (58.0)172 (26.0)
Mean ± SE
Age, Years46.7 ± 0.138.0 ± 0.143.8 ± 1.740.9 ± 2.351.5 ± 2.147.0 ± 1.750.0 ± 3.2
SBP, mmHg129.3 ± 2.1118.9 ± 1.5120.8 ± 5.4123.9 ± 0.1136.9 ± 0.3135.1 ± 0.7131.5 ± 3.51
DBP, mmHg79.8 ± 0.975.5 ± 0.375.8 ± 2.075.1 ± 0.782.3 ± 0.283.3 ± 0.482.1 ± 0.1
BMI, kg/m224.4 ± 0.624.5 ± 0.524.3 ± 0.622.0 ± 0.126.5 ± 1.524.2 ± 0.224.9 ± 5.7

[i] Systolic and diastolic blood pressures were derived from the average of five consecutive auscultatory readings Govt-Employed = Government Employed; Non-Govt Employed = Non-Government Employed.

Table 2

Crude and age-standardized prevalence of hypertension according to sex and place of residence.

RegionSexSite
MenWomenRuralUrban
NnHTCrude
%
Adjusted*
%
NnHTCrude
%
Adjusted
%
NnHTCrude
%
Adjusted
%
NnHTCrude
%
Adjusted
%
N/Central3618724.123.02925318.218.61963919.920.045710122.122.1
N/East47012025.524.360016828.029.978819224.425.02829634.034.2
N/West3496919.821.53609526.430.439810927.428.23115517.717.5
S/East1627143.838.032718155.459.51769151.753.131316151.452.2
S/South2409840.841.130313845.546.832114444.945.12229241.441.6
S/West2338938.237.549521543.444.129512943.744.443317540.441.1
Overall181554329.431.8237785035.841.8217470432.437.5201868033.739.2

[i] N = Number in group; nHT = Number of Hypertensive subjects. * Standardized to the 2006 National Population Census.

Table 3

Prevalence of Hypertension according to different age groups.

Region<30 Yrs30–39Yrs40–49Yrs50–59Yrs60–69Yrs>70Yrs
No in GroupHT (%)No in GroupHT (%)No in GroupHT (%)No in GroupHT (%)No in GroupHT (%)No in GroupHT (%)
N/Central1725 (4.12)21435 (14.9)15530 (18.4)7716 (24.7)263 (11.0)98 (81.2)
N/East2617 (2.78)24331 (12.9)20866 (32.1)13657 (42.5)12170 (57.8)10157 (58.1)
N/West26618 (6.28)16015 (8.24)11631 (27.1)8844 (45.2)4233 (81.5)3723 (63.5)
S/East456 (12.4)8417 (24.1)11961 (56.2)12887 (67.6)6748 (63.1)4633 (71.8)
S/South11916 (12.1)11435 (29.2)11658 (47.9)8553 (65.4)6745 (65.4)4229 (69.2)
S/West926 (6.56)10821 (20.8)14769 (46.5)15583 (54.9)12366 (53.6)10359 (58.2)
Rural45421 (6.29)43460 (15.9)410150 (40.5)333155 (51.8)281163 (61.0)262155 (62.1)
Urban50137 (7.74)48994 (21.7)451182 (43.3)336201 (61.0)165112 (59.9)7654 (65.7)
Overall95558 (6.84)923154 (18.1)861332 (41.7)669356 (55.5)446275 (60.6)338209 (63.0)

[i] Hypertension was systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg and/or use of antihypertensive medication.

Table 4

Prevalence of Hypertension according to different BMI categories.

<25 Kg/m225-29 Kg/m230-34 Kg/m235-39 Kg/m2≥40 Kg/m2
No in GroupHT (%)No in GroupHT (%)No in GroupHT (%)No in GroupHT (%)No in GroupHT (%)
N/Central36443 (10.3)19255 (29.7)7328 (45.3)1812 (70.7)62 (26.7)
N/East665136 (20.8)27486 (32.0)9142 (47.2)3118 (58.2)96 (68.2)
N/West54597 (21.5)12643 (41.7)2412 (47.8)97 (82.2)55 (100)
S/East15720 (10.6)16687 (54.5)10565 (65.3)4634 (73.9)1512 (85.2)
S/South320109 (36.7)14672 (48.6)5636 (63.5)1513 (95.5)66 (100)
S/West426154 (36.2)18583 (44.1)8044 (55.0)2616 (61.1)117 (66.3)
Rural1466384 (30.5)508206 (46.8)14373 (56.7)4634 (79.8)117 (76.2)
Urban1011209 (28.5)581220 (40.3)286154 (57.1)9966 (62.9)4131 (74.6)
Overall2477593 (29.9)1089426 (44.0)429227 (56.9)145100 (70.2)5238 (75.1)

[i] Hypertension was systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg and/or use of antihypertensive medication.

Table 5

Age Distribution and Prevalence of Prehypertension.

<30 Yrs30–39Yrs40–49Yrs50–59Yrs60–69Yrs>70YrsOverall
No in GroupPreHT (%)No in GroupPreHT (%)No in GroupPreHT (%)No in GroupPreHT (%)No in GroupPreHT (%)No in GroupPreHT (%)No in GroupPreHT (%)
N/Central17220 (13.6)21432 (17.0)15530 (18.4)7716 (24.7)263 (11.0)9653101 (16.8)
N/East26144 (17.3)24346 (19.4)20842 (19.6)13634 (24.7)12116 (13.2)1019 (8.35)1070191 (17.8)
N/West26640 (9.61)16033 (18.2)11618 (16.4)8812 (9.36)423 (5.84)378 (21.9)709114 (13.4)
S/East456 (9.05)8418 (19.1)11933 (23.5)12812 (8.08)676 (10.7)461 (0.54)48976 (12.1)
S/South11944 (39.2)11435 (29.6)11632 (27.9)8517 (18.0)6711 (19.6)426 (13.3)543145 (26.2)
S/West9228 (32.1)10836 (32.5)14737 (25.6)15529 (18.4)12324 (20.0)10322 (20.3)728176 (24.3)
Rural45472 (16.5)43481 (21.0)410150 (40.5)33362 (14.8)28137 (13.3)26236 (14.0)2174365 (37.5)
Urban501110 (29.2)489119 (29.2)451115 (27.6)33658 (17.6)16526 (21.1)7610 (15.5)2018438 (24.7)
Overall955182 (21.3)923200 (24.1)861192 (23.0)669120 (15.9)44663 (15.9)33846 (14.3)4192803 (19.7)

[i] Prehypertension is a systolic blood pressure between 130–139 mmHg and/or diastolic BP between 80–89 mmHg.

gh-15-1-848-g1.png
Figure 1

Awareness (vertical lines), treatment (solid) and control (dots) of hypertension across the six geopolitical zones and the overall population. Awareness includes subjects previously diagnosed of hypertension. Treatment includes hypertensives patients on antihypertensive medication and control includes hypertensive patients receiving treatment whose systolic and diastolic BP are less than 140 and 90 mmHg respectively.

gh-15-1-848-g2.png
Figure 2

Hypertension Care Continuum Cascade. All hypertensive subjects whether diagnosed or undiagnosed is represented as 100%. Of these, 14.2% have never been screened for hypertension, 34.9% has been screened but not diagnosed, 36.2% have been diagnosed but not receiving treatment and 65.4% were treated but their blood pressure was still uncontrolled.

DOI: https://doi.org/10.5334/gh.848 | Journal eISSN: 2211-8179
Language: English
Submitted on: Jun 16, 2020
|
Accepted on: Jun 16, 2020
|
Published on: Jul 10, 2020
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2020 Augustine N. Odili, Babangida S. Chori, Benjamin Danladi, Peter C. Nwakile, Innocent C. Okoye, Umar Abdullah, Maxwell N. Nwegbu, Kefas Zawaya, Ime Essien, Kabiru Sada, John O. Ogedengbe, Akinyemi Aje, Godsent C. Isiguzo, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.