10.6084/M9.FIGSHARE.C.6299896
Peter Austin Morton Ntenda
Peter Austin Morton
Ntenda
0000-0002-2548-3163
University of Malawi
Walaa Mamdouh Reyad El-Meidany
Walaa Mamdouh Reyad
El-Meidany
0000-0001-5526-4466
Alexandria University
Fentanesh Nibret Tiruneh
Fentanesh Nibret
Tiruneh
0000-0001-6513-4833
Bahir Dar University
Mfundi President Sebenele Motsa
Mfundi President Sebenele
Motsa
0000-0003-0331-4737
Taipei Medical University
Joyce Nyirongo
Joyce
Nyirongo
0000-0002-0753-609X
University of Malawi
Gowokani Chijere Chirwa
Gowokani Chijere
Chirwa
0000-0003-0199-779X
University of Malawi
Arnold Kapachika
Arnold
Kapachika
0000-0001-8287-9415
Ministry of Health
Owen Nkoka
Owen
Nkoka
0000-0001-6984-2247
University of Glasgow
Determinants of self-reported hypertension among women in South Africa: evidence from the population-based survey
Abstract Background Hypertension (HTN), characterized by an elevation of blood pressure, is a serious public health chronic condition that significantly raises the risks of heart, brain, kidney, and other diseases. In South Africa, the prevalence of HTN (measured objectively) was reported at 46.0% in females, nonetheless little is known regarding the prevalence and risks factors of self-reported HTN among the same population. Therefore, the aim of this study was to examine determinants of self-reported HTN among women in South Africa. Methods The study used data obtained from the 2016 South African Demographic and Health Survey. In total, 6,027 women aged ≥ 20 years were analyzed in this study. Self-reported HTN was defined as a case in which an individual has not been clinically diagnosed with this chronic condition by a medical doctor, nurse, or health worker. Multiple logistic regression models were employed to examine the independent factors of self-reported HTN while considering the complex survey design. Results Overall, self-reported HTN was reported in 23.6% (95% confidence interval [CI], 23.1–24.1) of South African women. Being younger (adjusted odds ratio [aOR], 0.04; 95% CI, 0.03–0.06), never married (aOR, 0.69; 95% CI, 0.56–0.85), and not covered by health insurance (aOR, 0.74; 95% CI, 0.58–0.95) reduced the odds of self-reported HTN. On the other hand, being black/African (aOR, 1.73; 95% CI, 1.17–2.54), perception of being overweight (aOR, 1.72; 95% CI, 1.40–2.11), and perception of having poor health status (aOR, 3.53; 95% CI, 2.53–5.21) and the presence of other comorbidities (aOR, 7.92; 95% CI, 3.63–17.29) increased the odds of self-reported HTN. Conclusions Self-reported HTN was largely associated with multiple sociodemographic, health, and lifestyle factors and the presence of other chronic conditions. Health promotion and services aiming at reducing the burden of HTN in South Africa should consider the associated factors reported in this study to ensure healthy aging and quality of life among women.
Medicine
Biotechnology
Science Policy
Sociology
Cancer
Science Policy
111714 Mental Health
110309 Infectious Diseases
figshare
2022
2022-11-15
2022-11-15
Collection
10.1186/s40885-022-00222-5
CC BY 4.0