Urbanization and Socioeconomic Disparities in Hypertension among Older Adult Women in Sudan

Background: Evidence from the developed world associates higher prevalence of hypertension with lower socioeconomic status (SES). However, patterns of association are not as clear in Africa and other developing countries, with varying levels of socioeconomic development and epidemiological transitio...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Shahd Osman, Christy Costanian, Nur Beyhan Annan, Fouad M. Fouad, Miran Jaffa, Abla M. Sibai
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2019
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/6471790aab9a4d70986c34218a3469e1
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:6471790aab9a4d70986c34218a3469e1
record_format	dspace
spelling	oai:doaj.org-article:6471790aab9a4d70986c34218a3469e12021-12-02T11:08:37ZUrbanization and Socioeconomic Disparities in Hypertension among Older Adult Women in Sudan2214-999610.5334/aogh.2404https://doaj.org/article/6471790aab9a4d70986c34218a3469e12019-03-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2404https://doaj.org/toc/2214-9996Background: Evidence from the developed world associates higher prevalence of hypertension with lower socioeconomic status (SES). However, patterns of association are not as clear in Africa and other developing countries, with varying levels of socioeconomic development and epidemiological transition. Using wealth and education as indicators, we investigated association between SES and hypertension among older adult women in Sudan and examined whether urbanicity mediates the relationship. Methods: The sample included women aged 50 years and over participating in the nationally representative population-based second Sudan Health Household Survey (SHHS) conducted in 2010. Principal components analysis was used to assign each household with a wealth score based on assets owned. The score was categorized into quintiles from lowest (poorest) to highest (richest). Findings: The sample included a total of 5218 women, median and mean age 55 and 59 years, respectively, with the majority not have any schooling (81.6%). The overall prevalence of reported hypertension was found to be 10.5%. After adjustment for age, marital status, work status and urban/rural location, better wealth and higher education were independently and positively associated with hypertension prevalence rates. However, when stratified by urbanicity, the relationship between wealth and hypertension lost its significance for women in urban areas but maintained it in rural areas, increasing significantly and consistently with each increase in quintile index (adjusted odds ratio, aOR1 = 1.95 95% CI = 1.08–3.52; aOR2 = 5.25, 95% CI = 3.01–9.15; aOR3 = 8.27, 95% CI = 4.78–14.3; and aOR4 = and 11.4, 95% CI = 6.45–20.0; respectively). By contrast, education played a greater role in increasing the odds of hypertension among women in urban locations but not in rural locations (aOR = 2.14, 95% CI = 1.25–7.90 vs. aOR = 0.79, 95% CI = 0.27–2.30, respectively). Conclusions: Our findings of a socioeconomic gradient in the prevalence of hypertension among women, mediated by urbanization, call for targeted interventions from early stages of economic development in Sudan and similar settings of transitioning countries.Shahd OsmanChristy CostanianNur Beyhan AnnanFouad M. FouadMiran JaffaAbla M. SibaiUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 85, Iss 1 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Shahd Osman Christy Costanian Nur Beyhan Annan Fouad M. Fouad Miran Jaffa Abla M. Sibai Urbanization and Socioeconomic Disparities in Hypertension among Older Adult Women in Sudan
description	Background: Evidence from the developed world associates higher prevalence of hypertension with lower socioeconomic status (SES). However, patterns of association are not as clear in Africa and other developing countries, with varying levels of socioeconomic development and epidemiological transition. Using wealth and education as indicators, we investigated association between SES and hypertension among older adult women in Sudan and examined whether urbanicity mediates the relationship. Methods: The sample included women aged 50 years and over participating in the nationally representative population-based second Sudan Health Household Survey (SHHS) conducted in 2010. Principal components analysis was used to assign each household with a wealth score based on assets owned. The score was categorized into quintiles from lowest (poorest) to highest (richest). Findings: The sample included a total of 5218 women, median and mean age 55 and 59 years, respectively, with the majority not have any schooling (81.6%). The overall prevalence of reported hypertension was found to be 10.5%. After adjustment for age, marital status, work status and urban/rural location, better wealth and higher education were independently and positively associated with hypertension prevalence rates. However, when stratified by urbanicity, the relationship between wealth and hypertension lost its significance for women in urban areas but maintained it in rural areas, increasing significantly and consistently with each increase in quintile index (adjusted odds ratio, aOR1 = 1.95 95% CI = 1.08–3.52; aOR2 = 5.25, 95% CI = 3.01–9.15; aOR3 = 8.27, 95% CI = 4.78–14.3; and aOR4 = and 11.4, 95% CI = 6.45–20.0; respectively). By contrast, education played a greater role in increasing the odds of hypertension among women in urban locations but not in rural locations (aOR = 2.14, 95% CI = 1.25–7.90 vs. aOR = 0.79, 95% CI = 0.27–2.30, respectively). Conclusions: Our findings of a socioeconomic gradient in the prevalence of hypertension among women, mediated by urbanization, call for targeted interventions from early stages of economic development in Sudan and similar settings of transitioning countries.
format	article
author	Shahd Osman Christy Costanian Nur Beyhan Annan Fouad M. Fouad Miran Jaffa Abla M. Sibai
author_facet	Shahd Osman Christy Costanian Nur Beyhan Annan Fouad M. Fouad Miran Jaffa Abla M. Sibai
author_sort	Shahd Osman
title	Urbanization and Socioeconomic Disparities in Hypertension among Older Adult Women in Sudan
title_short	Urbanization and Socioeconomic Disparities in Hypertension among Older Adult Women in Sudan
title_full	Urbanization and Socioeconomic Disparities in Hypertension among Older Adult Women in Sudan
title_fullStr	Urbanization and Socioeconomic Disparities in Hypertension among Older Adult Women in Sudan
title_full_unstemmed	Urbanization and Socioeconomic Disparities in Hypertension among Older Adult Women in Sudan
title_sort	urbanization and socioeconomic disparities in hypertension among older adult women in sudan
publisher	Ubiquity Press
publishDate	2019
url	https://doaj.org/article/6471790aab9a4d70986c34218a3469e1
work_keys_str_mv	AT shahdosman urbanizationandsocioeconomicdisparitiesinhypertensionamongolderadultwomeninsudan AT christycostanian urbanizationandsocioeconomicdisparitiesinhypertensionamongolderadultwomeninsudan AT nurbeyhanannan urbanizationandsocioeconomicdisparitiesinhypertensionamongolderadultwomeninsudan AT fouadmfouad urbanizationandsocioeconomicdisparitiesinhypertensionamongolderadultwomeninsudan AT miranjaffa urbanizationandsocioeconomicdisparitiesinhypertensionamongolderadultwomeninsudan AT ablamsibai urbanizationandsocioeconomicdisparitiesinhypertensionamongolderadultwomeninsudan
_version_	1718396226958786560

Urbanization and Socioeconomic Disparities in Hypertension among Older Adult Women in Sudan

Ejemplares similares