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Published in: BMC Cardiovascular Disorders 1/2015

Open Access 01-12-2015 | Research article

Prevalence of hypertension among federal ministry civil servants in Addis Ababa, Ethiopia: a call for a workplace-screening program

Authors: Kassawmar Angaw, Abel Fekadu Dadi, Kefyalew Addis Alene

Published in: BMC Cardiovascular Disorders | Issue 1/2015

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Abstract

Background

The prevalence of hypertension (HTN) is increasing rapidly in Ethiopia, but data are limited on hypertension prevalence in specific workplaces. Therefore, the aim of this study was to assess the prevalence and associated factors of hypertension among federal ministry civil servants.

Methods

Institutional based cross sectional study was conducted from February to April 2014. Simple random sampling technique was used to select 655study participants. A standardized questionnaire adapted from The World Health Organization’s (WHO) STEP tool was used to collect the data. In this study, HTN was defined as mean systolic blood pressure (SBP) and diastolic blood pressure (DBP) of 140/90 mmHg and above, and patients on regular drug therapy for H. Data were entered into EPI-Info 3.5.2 and analyzed by SPSS version 20. Binary logistic regression model was used to identify associated factors. Odds ratio with 95 % CI was computed to assess the strength of the association and significant level.

Result

The prevalence of hypertension was found to be 27.3 % (95 % CI 23.3 – 31 %). Civil servants of age 48 years and above [AOR = 5.88, 95 % CI: 2.36-14.67], age 38-47 years [AOR = 2.80, 95 % CI: 1.18-6.60] and age 28-37 years [AOR = 2.35, 95 % CI: 1.00-5.56]) were more likely to be hypertensive. Similarly, ever cigarette smoking [AOR =2.34(1.31-4.17), family history of hypertension [AOR = 3.26, 95 % CI 1.96-5.40], self-reported Diabetes Mellitus (DM) [AOR = 13.56, 95 % CI: 6.91-26.6], and body mass index (BMI > 25 kg/m2) [AOR = 7.36, 95 % CI: 2.36-14.67] were found to be significantly associated with hypertension.

Conclusion

The prevalence of hypertension among federal ministry civil servants was found to be high; which is an indication for institution based hypertension-screening programs especially focusing on those aged 28 years and above, obese, DM patients and cigarette smokers.
Literature
1.
go back to reference Causes of Death for world population,Who,Geneva, Switzerland,: World Health Organization; 2011.Available at www.who.int (accessed on 02/02/2014) Causes of Death for world population,Who,Geneva, Switzerland,: World Health Organization; 2011.Available at www.​who.​int (accessed on 02/02/2014)
2.
go back to reference World health organization. A Global Brief on Hypertension. Avenue Appia, Geneva Switzerland: WHO; 2013. World health organization. A Global Brief on Hypertension. Avenue Appia, Geneva Switzerland: WHO; 2013.
3.
go back to reference Alwan A. Global status report on noncommunicable diseases. 20 Avenue Appia, 1211 Geneva 27, Switzerland: World Health Organization; 2010. Alwan A. Global status report on noncommunicable diseases. 20 Avenue Appia, 1211 Geneva 27, Switzerland: World Health Organization; 2010.
4.
go back to reference Addo J, Smeeth L, David A: Hypertension In Sub-Saharan Africa: A Systematic Review. American Heart Association; 2007. Addo J, Smeeth L, David A: Hypertension In Sub-Saharan Africa: A Systematic Review. American Heart Association; 2007.
5.
go back to reference Vijver SVD, Akinyi H, Oti S, Olajide A, Agyemang C, Aboderin I, Yobutungi C: status report on hyprtession in Africa. In- consultative review for the 6th session of the African Uninon Conference of Ministers of Health on NCD’s, Nairobi, Kenya, 2013. Vijver SVD, Akinyi H, Oti S, Olajide A, Agyemang C, Aboderin I, Yobutungi C: status report on hyprtession in Africa. In- consultative review for the 6th session of the African Uninon Conference of Ministers of Health on NCD’s, Nairobi, Kenya, 2013.
6.
go back to reference Dalal S, Beunza JJ, Volmink J, Adebamowo C, Bajunirwe F, Njelekela M, et al. Non-communicable diseases in sub-Saharan Africa: what we know now. Int J Epidemiol. 2011;40:885.CrossRefPubMed Dalal S, Beunza JJ, Volmink J, Adebamowo C, Bajunirwe F, Njelekela M, et al. Non-communicable diseases in sub-Saharan Africa: what we know now. Int J Epidemiol. 2011;40:885.CrossRefPubMed
7.
go back to reference World health organization. WHO Global Infobase indicators,Blood Pressure, Raised in Ethiopia. Geneva, Switzerland: World Health Organization; 2011. World health organization. WHO Global Infobase indicators,Blood Pressure, Raised in Ethiopia. Geneva, Switzerland: World Health Organization; 2011.
8.
go back to reference Tesfaye F, Peter B, Stig W. Population based prevalence of high blood pressure among adults in Addis Ababa: uncovering a silent epidemic. BMC Cardiovasc Disord. 2009;9:39.CrossRefPubMedPubMedCentral Tesfaye F, Peter B, Stig W. Population based prevalence of high blood pressure among adults in Addis Ababa: uncovering a silent epidemic. BMC Cardiovasc Disord. 2009;9:39.CrossRefPubMedPubMedCentral
9.
go back to reference Awoke A, Awoke T, Alemu S, Megabiaw B. Prevalence and associated factors of hypertension among adults in Gondar, Northwest Ethiopia: a community based cross-sectional study. BMC Cardiovasc Disord. 2012;12:113.CrossRefPubMedPubMedCentral Awoke A, Awoke T, Alemu S, Megabiaw B. Prevalence and associated factors of hypertension among adults in Gondar, Northwest Ethiopia: a community based cross-sectional study. BMC Cardiovasc Disord. 2012;12:113.CrossRefPubMedPubMedCentral
10.
go back to reference Alwan A: Global status report on noncommunicable diseases 2010. WHO Library Cataloguing-in-Publication Data; 2010 Alwan A: Global status report on noncommunicable diseases 2010. WHO Library Cataloguing-in-Publication Data; 2010
11.
go back to reference CSA. Summary and Statistical report of the 2007 Population and Housing Census. Addis Ababa, Ethiopia: Population and Housing Census Commission; 2008. p. 57–60. CSA. Summary and Statistical report of the 2007 Population and Housing Census. Addis Ababa, Ethiopia: Population and Housing Census Commission; 2008. p. 57–60.
12.
go back to reference World health organization: The WHO STEPwise approach to chronic disease risk factor surveillance (STEPS). Geneva 27, Switzerland; 2011 World health organization: The WHO STEPwise approach to chronic disease risk factor surveillance (STEPS). Geneva 27, Switzerland; 2011
13.
go back to reference Giuseppe M, Robert F, Krzysztof N, Josep R, Alberto Z, Michael B, et al: The Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). J Hypertens, Milano, Italy 2013. Giuseppe M, Robert F, Krzysztof N, Josep R, Alberto Z, Michael B, et al: The Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). J Hypertens, Milano, Italy 2013.
14.
go back to reference Wisconsin Heart Disease and Stroke Prevention Program. Blood Pressure Measurement Toolkit: Wisconsin Department of Health Services Division of Public Health; 2005. Wisconsin Heart Disease and Stroke Prevention Program. Blood Pressure Measurement Toolkit: Wisconsin Department of Health Services Division of Public Health; 2005.
15.
go back to reference Rampala L, Rampal S, Azharc M, Rahman AR. Prevalence, awareness, treatment and control of hypertension in Malaysia: A national study. J institute of public health Malaysia. 2008;122:11. Rampala L, Rampal S, Azharc M, Rahman AR. Prevalence, awareness, treatment and control of hypertension in Malaysia: A national study. J institute of public health Malaysia. 2008;122:11.
16.
go back to reference Agyemang C BM, Owusu-Dabo E: Factors associated with hypertension awareness, treatment, and control in Ghana, West Africa. J Human Hypertens; 2007. Agyemang C BM, Owusu-Dabo E: Factors associated with hypertension awareness, treatment, and control in Ghana, West Africa. J Human Hypertens; 2007.
17.
go back to reference Biliaminu S, Oghagbon E, Okesina A: Prevalence of hypertension and associated variables in paid workers in Ilorin, Nigeria, PubMed. 2008;11(4):342–6 Biliaminu S, Oghagbon E, Okesina A: Prevalence of hypertension and associated variables in paid workers in Ilorin, Nigeria, PubMed. 2008;11(4):342–6
18.
go back to reference Gudina EK, Michael Y, Assegid S. Prevalence of hypertension and its risk factors in southwest Ethiopia. Dave press Journal: Integr Blood Press Control. 2013;6:111. Gudina EK, Michael Y, Assegid S. Prevalence of hypertension and its risk factors in southwest Ethiopia. Dave press Journal: Integr Blood Press Control. 2013;6:111.
19.
go back to reference Daniel C, Pedro M. Prevalence of cardiovascular risk factors and socioeconomic level among public-sector workers in Angola. BMC Public Health. 2013;13:732.CrossRef Daniel C, Pedro M. Prevalence of cardiovascular risk factors and socioeconomic level among public-sector workers in Angola. BMC Public Health. 2013;13:732.CrossRef
20.
go back to reference Mengistu M. Pattern of blood pressure distribution and prevalence of hypertension and prehypertension among adults in Northern Ethiopia: disclosing the hidden burden. BMC Cardiovasc Disord. 2014;14:33.CrossRefPubMedPubMedCentral Mengistu M. Pattern of blood pressure distribution and prevalence of hypertension and prehypertension among adults in Northern Ethiopia: disclosing the hidden burden. BMC Cardiovasc Disord. 2014;14:33.CrossRefPubMedPubMedCentral
21.
go back to reference Pessinaba S, Mbaye A, Yabeta GA, Cheikh T, Harouna H, Dior D, et al. Prevalence and determinants of hypertension and associated cardiovascular risk factors: data from a population-based, cross-sectional survey in Saint Louis, Senegal. Cardiovasc J Afr. 2013;24:180.CrossRefPubMedPubMedCentral Pessinaba S, Mbaye A, Yabeta GA, Cheikh T, Harouna H, Dior D, et al. Prevalence and determinants of hypertension and associated cardiovascular risk factors: data from a population-based, cross-sectional survey in Saint Louis, Senegal. Cardiovasc J Afr. 2013;24:180.CrossRefPubMedPubMedCentral
22.
go back to reference Martin P: chronic non-communicable diseases in ethiopia– a hidden burden. Ethiop J Health Sci. 2012;22(2):1–2. Martin P: chronic non-communicable diseases in ethiopia– a hidden burden. Ethiop J Health Sci. 2012;22(2):1–2.
23.
go back to reference Okpechi IG, Chukwuonye II, Tiffin N, Madukwe OO, Onyeonoro UU, Umeizudike TI, et al. 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. 2013;8:e73403.CrossRefPubMedPubMedCentral Okpechi IG, Chukwuonye II, Tiffin N, Madukwe OO, Onyeonoro UU, Umeizudike TI, et al. 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. 2013;8:e73403.CrossRefPubMedPubMedCentral
24.
go back to reference Tesfaye F, Peter B, Berhane Y, Ruth B, Stig W: Association of Smoking and Khat (Catha edulis Forsk) Use With High Blood Pressure Among Adults in Addis Ababa, Ethiopia, . Centers for Disease Control and Prevention; 2008. Tesfaye F, Peter B, Berhane Y, Ruth B, Stig W: Association of Smoking and Khat (Catha edulis Forsk) Use With High Blood Pressure Among Adults in Addis Ababa, Ethiopia, . Centers for Disease Control and Prevention; 2008.
25.
go back to reference Sathya M, Attayuru S, Vivek B, Nagalla B, Mendu V, Kasturi SP. Association of Hypertension With Risk Factors & Hypertension Related Behaviour Among the Aboriginal Nicobarese Tribe Living in Car Nicobar Island, India. Port Blair, India: Regional Medical Research Centre,Indira Gandhi National Open University; 2011. Sathya M, Attayuru S, Vivek B, Nagalla B, Mendu V, Kasturi SP. Association of Hypertension With Risk Factors & Hypertension Related Behaviour Among the Aboriginal Nicobarese Tribe Living in Car Nicobar Island, India. Port Blair, India: Regional Medical Research Centre,Indira Gandhi National Open University; 2011.
26.
go back to reference Habiba R, Samir Ben A, Hajer S, Pierre T, Souha B, Bernard M, et al. Hypertension among Tunisian adults: results of the TAHINA project. Jap Soc Hypertens. 2012;35:341. Habiba R, Samir Ben A, Hajer S, Pierre T, Souha B, Bernard M, et al. Hypertension among Tunisian adults: results of the TAHINA project. Jap Soc Hypertens. 2012;35:341.
27.
go back to reference Tesfaye F, Nawi N, Van Minh H, Byass P, Berhane Y, Bonita R, et al. Association between body mass index and blood pressure across three populations in Africa and Asia. J Hum Hypertens. 2007;21:28.CrossRefPubMed Tesfaye F, Nawi N, Van Minh H, Byass P, Berhane Y, Bonita R, et al. Association between body mass index and blood pressure across three populations in Africa and Asia. J Hum Hypertens. 2007;21:28.CrossRefPubMed
28.
go back to reference Bayray A, Berhe H: Nutrition status and major risk factors of hypertension among adults in Tigray, North Ethiopia; a case control study. Int J Pharm Sci Res; 2012;3(11):4206–12. Bayray A, Berhe H: Nutrition status and major risk factors of hypertension among adults in Tigray, North Ethiopia; a case control study. Int J Pharm Sci Res; 2012;3(11):4206–12.
Metadata
Title
Prevalence of hypertension among federal ministry civil servants in Addis Ababa, Ethiopia: a call for a workplace-screening program
Authors
Kassawmar Angaw
Abel Fekadu Dadi
Kefyalew Addis Alene
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Cardiovascular Disorders / Issue 1/2015
Electronic ISSN: 1471-2261
DOI
https://doi.org/10.1186/s12872-015-0062-9

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