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Understanding and managing hypertension in an African sub-district: a multidisciplinary approach
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Thorogood, Margaret, Connor, Myles D., Lewando Hundt, Gillian and Tollman, Stephen (2007) Understanding and managing hypertension in an African sub-district: a multidisciplinary approach. Scandinavian Journal of Public Health, Vol.35 (Suppl.69). pp. 52-59. doi:10.1080/14034950701355411 ISSN 1403-4948.
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Official URL: http://dx.doi.org/10.1080/14034950701355411
Abstract
Aims: To use a multidisciplinary approach to describe the prevalence, lay beliefs, health impact, and treatment of hypertension in the Agincourt sub-district. Methods: A multidisciplinary team used a range of methods including a cross-sectional random sample survey of vascular risk factors in adults aged 35 years and older, and rapid ethnographic assessment. People who had suffered a stroke were identified by a screening questionnaire followed by a detailed history and examination by a clinician to confirm the likely diagnosis of stroke. Workshops were held for nurses working in the local clinics and an audit of blood pressure measuring devices was carried out. Results: Some 43% of the population 35 and over had hypertension. There was no relationship with gender but a strong positive relationship with age. Illnesses were classified by the population as being either African, with personal or social causes, or White/Western, with physical causes. The causes of hypertension were stated to be both physical and social. Main sources of treatment were the clinics and hospitals but people also sought help from churches and traditional healers. Some 84% of stroke survivors had evidence of hypertension. Few people received treatment for hypertension, although good levels of control were achieved in some. Barriers to providing effective treatment included unreliable drug supply and unreliable equipment to measure blood pressure. Conclusions: Hypertension is a major problem among older people in Agincourt. There is potential for effective secondary prevention. The potential for primary prevention is less clear. Further information on diet is required.
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine | ||||
| Divisions: | Faculty of Social Sciences > School of Health and Social Studies Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH) |
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| Journal or Publication Title: | Scandinavian Journal of Public Health | ||||
| Publisher: | Sage Publications Ltd. | ||||
| ISSN: | 1403-4948 | ||||
| Official Date: | August 2007 | ||||
| Dates: |
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| Volume: | Vol.35 | ||||
| Number: | Suppl.69 | ||||
| Number of Pages: | 8 | ||||
| Page Range: | pp. 52-59 | ||||
| DOI: | 10.1080/14034950701355411 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access |
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