Rural-urban variation in hypertension among women in Ghana: insights from a national survey

Abstract Background Hypertension is one of the leading causes of cardiovascular morbidities in Ghana and represents a major public health concern. There is dearth of information on the rural-urban disparity in hypertension among women in Ghana. Therefore, this study aimed at examining the rural-urba...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Francis Appiah, Edward Kwabena Ameyaw, Joseph Kojo Oduro, Linus Baatiema, Francis Sambah, Abdul-Aziz Seidu, Bright Opoku Ahinkorah, Eugene Budu
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Ghana Hypertension Rural Urban Women DHS Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/7d164a3d440c4f55b70c5ec56aaac2c3
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:7d164a3d440c4f55b70c5ec56aaac2c3
record_format	dspace
spelling	oai:doaj.org-article:7d164a3d440c4f55b70c5ec56aaac2c32021-11-28T12:12:51ZRural-urban variation in hypertension among women in Ghana: insights from a national survey10.1186/s12889-021-12204-71471-2458https://doaj.org/article/7d164a3d440c4f55b70c5ec56aaac2c32021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12204-7https://doaj.org/toc/1471-2458Abstract Background Hypertension is one of the leading causes of cardiovascular morbidities in Ghana and represents a major public health concern. There is dearth of information on the rural-urban disparity in hypertension among women in Ghana. Therefore, this study aimed at examining the rural-urban variation in hypertension among women in Ghana. Methods We extracted data from the women’s file of the 2014 Ghana Demographic and Health Survey. The sample included 9333 women aged 15–49 with complete data on hypertension. The analysis was done using Pearson Chi-square and binary logistic regression at 95% confidence interval. The results of the binary logistic regression were presented as Odds Ratios (ORs) and Adjusted Odds Ratios (AORs). Statistical significance was set at p < 0.05. Results Hypertension prevalence among urban and rural residents were 9.5% and 5.1% respectively. Rural women had lower odds of hypertension [OR = 0.59; 95% CI = 0.52, 0.67] compared to urban women, however, this was insignificant in the adjusted model [aOR = 0.84; 95% CI = 0.70, 1.00]. The propensity to be hypertensive was lower for women aged 15–19 [aOR = 0.07; 95% CI = 0.05, 0.11]. The poorest were less likely to be hypertensive [aOR = 0.63; 95% CI = 0.45, 0.89]. Single women were also less probable to have hypertension [aOR = 0.66; 95% CI = 0.46, 0.97]. Conclusions Women from urban and rural areas shed similar chance to be hypertensive in Ghana. Therefore, the health sector needs to target women from both areas of residence (rural/urban) when designing their programmes that are intended to modify women’s lifestyle in order to reduce their risks of hypertension. Other categories of women that need to be prioritised to avert hypertension are those who are heading towards the end of their reproductive age, richest women and the divorced.Francis AppiahEdward Kwabena AmeyawJoseph Kojo OduroLinus BaatiemaFrancis SambahAbdul-Aziz SeiduBright Opoku AhinkorahEugene BuduBMCarticleGhanaHypertensionRuralUrbanWomenDHSPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ghana Hypertension Rural Urban Women DHS Public aspects of medicine RA1-1270
spellingShingle	Ghana Hypertension Rural Urban Women DHS Public aspects of medicine RA1-1270 Francis Appiah Edward Kwabena Ameyaw Joseph Kojo Oduro Linus Baatiema Francis Sambah Abdul-Aziz Seidu Bright Opoku Ahinkorah Eugene Budu Rural-urban variation in hypertension among women in Ghana: insights from a national survey
description	Abstract Background Hypertension is one of the leading causes of cardiovascular morbidities in Ghana and represents a major public health concern. There is dearth of information on the rural-urban disparity in hypertension among women in Ghana. Therefore, this study aimed at examining the rural-urban variation in hypertension among women in Ghana. Methods We extracted data from the women’s file of the 2014 Ghana Demographic and Health Survey. The sample included 9333 women aged 15–49 with complete data on hypertension. The analysis was done using Pearson Chi-square and binary logistic regression at 95% confidence interval. The results of the binary logistic regression were presented as Odds Ratios (ORs) and Adjusted Odds Ratios (AORs). Statistical significance was set at p < 0.05. Results Hypertension prevalence among urban and rural residents were 9.5% and 5.1% respectively. Rural women had lower odds of hypertension [OR = 0.59; 95% CI = 0.52, 0.67] compared to urban women, however, this was insignificant in the adjusted model [aOR = 0.84; 95% CI = 0.70, 1.00]. The propensity to be hypertensive was lower for women aged 15–19 [aOR = 0.07; 95% CI = 0.05, 0.11]. The poorest were less likely to be hypertensive [aOR = 0.63; 95% CI = 0.45, 0.89]. Single women were also less probable to have hypertension [aOR = 0.66; 95% CI = 0.46, 0.97]. Conclusions Women from urban and rural areas shed similar chance to be hypertensive in Ghana. Therefore, the health sector needs to target women from both areas of residence (rural/urban) when designing their programmes that are intended to modify women’s lifestyle in order to reduce their risks of hypertension. Other categories of women that need to be prioritised to avert hypertension are those who are heading towards the end of their reproductive age, richest women and the divorced.
format	article
author	Francis Appiah Edward Kwabena Ameyaw Joseph Kojo Oduro Linus Baatiema Francis Sambah Abdul-Aziz Seidu Bright Opoku Ahinkorah Eugene Budu
author_facet	Francis Appiah Edward Kwabena Ameyaw Joseph Kojo Oduro Linus Baatiema Francis Sambah Abdul-Aziz Seidu Bright Opoku Ahinkorah Eugene Budu
author_sort	Francis Appiah
title	Rural-urban variation in hypertension among women in Ghana: insights from a national survey
title_short	Rural-urban variation in hypertension among women in Ghana: insights from a national survey
title_full	Rural-urban variation in hypertension among women in Ghana: insights from a national survey
title_fullStr	Rural-urban variation in hypertension among women in Ghana: insights from a national survey
title_full_unstemmed	Rural-urban variation in hypertension among women in Ghana: insights from a national survey
title_sort	rural-urban variation in hypertension among women in ghana: insights from a national survey
publisher	BMC
publishDate	2021
url	https://doaj.org/article/7d164a3d440c4f55b70c5ec56aaac2c3
work_keys_str_mv	AT francisappiah ruralurbanvariationinhypertensionamongwomeninghanainsightsfromanationalsurvey AT edwardkwabenaameyaw ruralurbanvariationinhypertensionamongwomeninghanainsightsfromanationalsurvey AT josephkojooduro ruralurbanvariationinhypertensionamongwomeninghanainsightsfromanationalsurvey AT linusbaatiema ruralurbanvariationinhypertensionamongwomeninghanainsightsfromanationalsurvey AT francissambah ruralurbanvariationinhypertensionamongwomeninghanainsightsfromanationalsurvey AT abdulazizseidu ruralurbanvariationinhypertensionamongwomeninghanainsightsfromanationalsurvey AT brightopokuahinkorah ruralurbanvariationinhypertensionamongwomeninghanainsightsfromanationalsurvey AT eugenebudu ruralurbanvariationinhypertensionamongwomeninghanainsightsfromanationalsurvey
_version_	1718408148518174720

Rural-urban variation in hypertension among women in Ghana: insights from a national survey

Ejemplares similares