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Published in: Globalization and Health 1/2015

Open Access 01-12-2015 | Research

Profile of people with hypertension in Nairobi’s slums: a descriptive study

Authors: Annelieke Hulzebosch, Steven van de Vijver, Samuel O. Oti, Thaddaeus Egondi, Catherine Kyobutungi

Published in: Globalization and Health | Issue 1/2015

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Abstract

Background

Cardiovascular disease (CVD) is a rising health burden among the world’s poor with hypertension as the main risk factor. In sub-Saharan Africa, hypertension is increasingly affecting the urban population of which a substantial part lives in slums. This study aims to give insight into the profile of patients with hypertension living in slums of Nairobi, Kenya.

Methods

Sociodemographic and anthropometric data as well as clinical measurements including BP from 440 adults with hypertension aged 35 years and above living in Korogocho, a slum on the eastern side of Nairobi, Kenya, will be collected at baseline and at the first clinic visit.

Conclusion

The study population showed high prevalence of overweight and abdominal obesity as well as behavioral risk factors such as smoking, alcohol and a low vegetable and fruit intake. Furthermore, the majority of hypertensive patients do not take anti-hypertensive medication and the ones who do show little adherence.

Trial registration

Current controlled trials ISRCTN84424579.
Literature
1.
go back to reference Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, He J. Global burden of hypertension: analysis of worldwide data. Lancet. 2005;365:217–23.PubMedCrossRef Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, He J. Global burden of hypertension: analysis of worldwide data. Lancet. 2005;365:217–23.PubMedCrossRef
2.
go back to reference Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL, et al. Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Hypertension. 2003;42:1206–52.PubMedCrossRef Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL, et al. Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Hypertension. 2003;42:1206–52.PubMedCrossRef
3.
go back to reference Lopez AD, Mathers CD, Ezzati M, Jamison DT, Murray CJ. Global and regional burden of disease and risk factors, 2001: systematic analysis of population health data. Lancet. 2006;367:1747–57.PubMedCrossRef Lopez AD, Mathers CD, Ezzati M, Jamison DT, Murray CJ. Global and regional burden of disease and risk factors, 2001: systematic analysis of population health data. Lancet. 2006;367:1747–57.PubMedCrossRef
5.
go back to reference Gaziano TA, Opie LH, Weinstein MC. Cardiovascular disease prevention with a multidrug regimen in the developing world: a cost-effectiveness analysis. Lancet. 2006;368:679–86.PubMedCentralPubMedCrossRef Gaziano TA, Opie LH, Weinstein MC. Cardiovascular disease prevention with a multidrug regimen in the developing world: a cost-effectiveness analysis. Lancet. 2006;368:679–86.PubMedCentralPubMedCrossRef
6.
go back to reference Godfrey R, Julien M. Urbanisation and health. Clin Med J R Coll Phys. 2005;5:137–41. Godfrey R, Julien M. Urbanisation and health. Clin Med J R Coll Phys. 2005;5:137–41.
9.
go back to reference Fuentes R, Ilmaniemi N, Laurikainen E, Tuomilehto J, Nissinen A. Hypertension in developing economies: a review of population-based studies carried out from 1980 to 1998. J Hypertens. 2000;18:521–9.PubMedCrossRef Fuentes R, Ilmaniemi N, Laurikainen E, Tuomilehto J, Nissinen A. Hypertension in developing economies: a review of population-based studies carried out from 1980 to 1998. J Hypertens. 2000;18:521–9.PubMedCrossRef
10.
go back to reference United Nations. World Urbanization Prospects The 2007 Revision Highlights. New York: ESA/P/WP/2; 2007. p. 883. United Nations. World Urbanization Prospects The 2007 Revision Highlights. New York: ESA/P/WP/2; 2007. p. 883.
13.
go back to reference United Nations Human Settlements Programme (UN-HABITAT). Nairobi urban sector profile. Nairobi: UN-HABITAT; 2006. United Nations Human Settlements Programme (UN-HABITAT). Nairobi urban sector profile. Nairobi: UN-HABITAT; 2006.
14.
go back to reference Lamba D. The forgotten half; environmental health in Nairobi’s poverty areas. Environ Urban. 1994;6(1):164–73.CrossRef Lamba D. The forgotten half; environmental health in Nairobi’s poverty areas. Environ Urban. 1994;6(1):164–73.CrossRef
15.
go back to reference Van de Vijver SJM, Oti SO, Agyemang C, Gomez GB, Kyobutungi C. Prevalence, awareness, treatment and control of hypertension among slum dwellers in Nairobi Kenya. J Hypertens. 2013;31(5):1018–24.PubMedCrossRef Van de Vijver SJM, Oti SO, Agyemang C, Gomez GB, Kyobutungi C. Prevalence, awareness, treatment and control of hypertension among slum dwellers in Nairobi Kenya. J Hypertens. 2013;31(5):1018–24.PubMedCrossRef
16.
go back to reference Popkin BM, Gordon-Larsen P. The nutrition transition: worldwide obesity dynamics and their determinants. Int J Obes Relat Metab Disord. 2004;28(3):S2–9.PubMedCrossRef Popkin BM, Gordon-Larsen P. The nutrition transition: worldwide obesity dynamics and their determinants. Int J Obes Relat Metab Disord. 2004;28(3):S2–9.PubMedCrossRef
17.
go back to reference Nyaruhucha CNM, Achen JH, Msuya JM, Shayo NB, Kulwa KBM. Prevalence and awareness of obesity among people of different age groups in educational institutions in Morogoro Tanzania. East Afr Med J. 2003;80:68–72.PubMed Nyaruhucha CNM, Achen JH, Msuya JM, Shayo NB, Kulwa KBM. Prevalence and awareness of obesity among people of different age groups in educational institutions in Morogoro Tanzania. East Afr Med J. 2003;80:68–72.PubMed
18.
go back to reference Emina J, Beguy D, Zulu EM, Ezeh AC, Muindi K, Elung’ata P, et al. Monitoring of health and demographic outcomes in poor urban settlements: evidence from the Nairobi Urban Health and Demographic Surveillance System. J Urban Health: Bull N Y Acad Med. 2011;88(2):S200–18.CrossRef Emina J, Beguy D, Zulu EM, Ezeh AC, Muindi K, Elung’ata P, et al. Monitoring of health and demographic outcomes in poor urban settlements: evidence from the Nairobi Urban Health and Demographic Surveillance System. J Urban Health: Bull N Y Acad Med. 2011;88(2):S200–18.CrossRef
19.
go back to reference Oti SO, van de Vijver SJM, Kyobutungi C, Gomez GB, Agyemang C, Van Charante EPM, et al. A community-based intervention for primary prevention of cardiovascular diseases in the slums of Nairobi: the SCALE UP study protocol for a prospective quasi-experimental community-based trial. Trials. 2013;14:409.PubMedCentralPubMedCrossRef Oti SO, van de Vijver SJM, Kyobutungi C, Gomez GB, Agyemang C, Van Charante EPM, et al. A community-based intervention for primary prevention of cardiovascular diseases in the slums of Nairobi: the SCALE UP study protocol for a prospective quasi-experimental community-based trial. Trials. 2013;14:409.PubMedCentralPubMedCrossRef
20.
go back to reference Lee CMY, Huxley RR, Wildman RP, Woodward M. Indices of abdominal obesity are better discriminators of cardiovascular risk factors than BMI: a meta-analysis. J Clin Epidemiol. 2008;61(7):646–53.PubMedCrossRef Lee CMY, Huxley RR, Wildman RP, Woodward M. Indices of abdominal obesity are better discriminators of cardiovascular risk factors than BMI: a meta-analysis. J Clin Epidemiol. 2008;61(7):646–53.PubMedCrossRef
27.
go back to reference Ettarh R, Van de Vijver S, Oti S, Kyobutungi C. Overweight, obesity, and perception of body image among slum residents in Nairobi, Kenya, 2008–2009. Prev Chronic Dis. 2013;10:E212.PubMedCentralPubMedCrossRef Ettarh R, Van de Vijver S, Oti S, Kyobutungi C. Overweight, obesity, and perception of body image among slum residents in Nairobi, Kenya, 2008–2009. Prev Chronic Dis. 2013;10:E212.PubMedCentralPubMedCrossRef
29.
go back to reference Njelekela MA, Mpembeni R, Muhihi A, Mligiliche NL, Spiegelman D, Hertzmark E, et al. Gender-related differences in the prevalence of cardiovascular disease risk factors and their correlates in urban Tanzania. BMC Cardiovasc Disord. 2009;9:30.PubMedCentralPubMedCrossRef Njelekela MA, Mpembeni R, Muhihi A, Mligiliche NL, Spiegelman D, Hertzmark E, et al. Gender-related differences in the prevalence of cardiovascular disease risk factors and their correlates in urban Tanzania. BMC Cardiovasc Disord. 2009;9:30.PubMedCentralPubMedCrossRef
30.
go back to reference Sobngwi E, Mbanya J-CN, Unwin NC, Kengne AP, Fezeu L, Minkoulou EM, et al. Physical activity and its relationship with obesity, hypertension and diabetes in urban and rural Cameroon. Int J Obes Relat Metab Disord. 2002;26:1009–16.PubMedCrossRef Sobngwi E, Mbanya J-CN, Unwin NC, Kengne AP, Fezeu L, Minkoulou EM, et al. Physical activity and its relationship with obesity, hypertension and diabetes in urban and rural Cameroon. Int J Obes Relat Metab Disord. 2002;26:1009–16.PubMedCrossRef
31.
go back to reference Ayah R, Joshi MD, Wanjiru R, Njau EK, Otieno CF, Njeru EK, et al. A population-based survey of prevalence of diabetes and correlates in an urban slum community in Nairobi Kenya. BMC Public Health. 2013;13:371.PubMedCentralPubMedCrossRef Ayah R, Joshi MD, Wanjiru R, Njau EK, Otieno CF, Njeru EK, et al. A population-based survey of prevalence of diabetes and correlates in an urban slum community in Nairobi Kenya. BMC Public Health. 2013;13:371.PubMedCentralPubMedCrossRef
32.
go back to reference Siervo M, Grey P, Nyan OA, Prentice AM. A pilot study on body image, attractiveness and body size in Gambians living in an urban community. Eat Weight Disord. 2006;11:100–9.PubMedCrossRef Siervo M, Grey P, Nyan OA, Prentice AM. A pilot study on body image, attractiveness and body size in Gambians living in an urban community. Eat Weight Disord. 2006;11:100–9.PubMedCrossRef
33.
go back to reference Mbanya JCN, Motala AA, Sobngwi E, Assah FK, Enoru ST. Diabetes in sub-Saharan Africa. Lancet. 2010;375(9733):2254–66.PubMedCrossRef Mbanya JCN, Motala AA, Sobngwi E, Assah FK, Enoru ST. Diabetes in sub-Saharan Africa. Lancet. 2010;375(9733):2254–66.PubMedCrossRef
34.
go back to reference Ogunleye OO, Ogundele SO, Akinyemi JO, Ogbera O. Clustering of hypertension, diabetes mellitus and dyslipidemia in a Nigerian population: a cross sectional study. Afr J Med Med Sci. 2012;41(2):191–5.PubMed Ogunleye OO, Ogundele SO, Akinyemi JO, Ogbera O. Clustering of hypertension, diabetes mellitus and dyslipidemia in a Nigerian population: a cross sectional study. Afr J Med Med Sci. 2012;41(2):191–5.PubMed
35.
go back to reference Hendriks ME, Wit FW, Akande TM, Kramer B, Osagbemi GK, Tanovic Z, et al. Effect of health insurance and facility quality improvement on blood pressure in adults with hypertension in Nigeria: a population-based study. JAMA Intern Med. 2014;174(4):555–63.PubMedCrossRef Hendriks ME, Wit FW, Akande TM, Kramer B, Osagbemi GK, Tanovic Z, et al. Effect of health insurance and facility quality improvement on blood pressure in adults with hypertension in Nigeria: a population-based study. JAMA Intern Med. 2014;174(4):555–63.PubMedCrossRef
Metadata
Title
Profile of people with hypertension in Nairobi’s slums: a descriptive study
Authors
Annelieke Hulzebosch
Steven van de Vijver
Samuel O. Oti
Thaddaeus Egondi
Catherine Kyobutungi
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Globalization and Health / Issue 1/2015
Electronic ISSN: 1744-8603
DOI
https://doi.org/10.1186/s12992-015-0112-1

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