Search this journal:     Advanced search
Original Research

Hypertension in rural communities in Delta State, Nigeria: Prevalence, risk factors and barriers to health care

Mary I. Ofili, Busisiwe P. Ncama, Benn Sartorius

African Journal of Primary Health Care & Family Medicine; Vol 7, No 1 (2015), 7 pages. doi: 10.4102/phcfm.v7i1.875

Submitted: 01 May 2015
Published:  17 December 2015


Introduction: Hypertension is a global health challenge and its prevalence is increasing rapidly amongst adults in many African countries. Some studies on the prevalence and risk factors of hypertension have been conducted in Nigeria, but none within Delta State. We assessed the prevalence of hypertension and associated risk factors amongst adults in three villages in the Ibusa community in Delta State, Nigeria.

Method: Homesteads were randomly selected and all consenting adults (≥ 18 years of age) were recruited for this cross-sectional study (134 individuals: 48 men, 86 women). Sociodemographic data and anthropometric measurements (weight, height and abdominal circumference) were recorded. Diagnosis of hypertension was based on blood pressure≥ 140/90 mmHg.

Result: Hypertension prevalence in this rural community was 44%. Results from one village (Ogboli: 82%) and ethnic group (Ibo: 50%) were significantly higher than in others in the same variable category. Multivariate logistic regression analysis suggested increasing age, increasing body mass index and high salt intake as prominent risk factors for hypertension. Lack of funds and equipment shortage in clinics were most often reported as barriers to healthcare.

Conclusion: A nutritional education programme to promote low-cholesterol and low-salt diets is recommended to specifically target people in higher-risk areas and of higher-risk ethnicity. Local barriers to accessing health care need to be addressed.

Full Text:  |  HTML  |  EPUB  |  XML  |  PDF (940KB)

Author affiliations

Mary I. Ofili, Department of Nursing Science, Delta State University, Nigeria
Busisiwe P. Ncama, School of Nursing and Public Health, University of KwaZulu-Natal, South Africa
Benn Sartorius, School of Nursing and Public Health, University of KwaZulu-Natal, South Africa



Total abstract views: 1750
Total article views: 3763  


1. Knowledge of hypertension and its management among hypertensive patients on chronic medicines at primary health care public sector facilities in South Africa; findings and implications
Enos M Rampamba, Johanna C Meyer, Elvera Helberg, Brian Godman
Expert Review of Cardiovascular Therapy  vol: 15  issue: 8  first page: 639  year: 2017  
doi: 10.1080/14779072.2017.1356228

Comments on this article

Before posting your comment, please read our policy.
Post a Comment (Login required)

ISSN: 2071-2928 (print) | ISSN: 2071-2936 (online)

Connect on: Facebook, Twitter, Google+, LinkedIn and YouTube

Subscribe to our newsletter

All articles published in this journal are licensed under the Creative Commons Attribution 4.0 International (CC BY 4.0) license, unless otherwise stated.

Website design & content: ©2017 AOSIS (Pty) Ltd. All rights reserved. No unauthorised duplication allowed.

AOSIS Publishing | Empowering Africa through access to knowledge
Postnet Suite #110, Private Bag X19, Durbanville, South Africa, 7551
Tel: 086 1000 381 
Tel: +27 21 975 2602 
Fax: 086 5004 974

publishing(AT) replace (AT) with @

Please read the privacy statement.