Hypertension in a black population: prevalence and biosocial determinants of high blood pressure in a group of urban nigerians

ABSTRACT _Aims_: To define the prevalence of hypertension, a major cause of morbidity and mortality in blacks, and related biosocial factors in an urban African population group. _Methods_:

The setting was that of a civil service population in Ibadan, a major city in Southwestern Nigeria. Nine hundred and ninety-eight civil servants selected by multistage sampling participated

in the survey. Biosocial data including smoking history, alcohol use and level of physical activity; anthropometry, blood pressure and plasma glucose measurements were obtained. Diagnosis of

hypertension was based on blood pressure of ⩾160/95 mm Hg or known hypertensive on treatment. _Results_: The overall prevalence rate of hypertension was 10.3% (CI, 8.4%, 12.2%), rates of

13.9% and 5.3% were obtained in men and women respectively in spite of a much higher rate of generalised obesity in the latter. Hypertension was associated with higher salary grade level,

but there was no relationship found with regular exercise, smoking and alcohol. Obesity (body mass index (BMI) ⩾30 kg/m2) was associated with hypertension only in women. A two-sided _t_-test

demonstrated age, waist circumference, waist to hip ratio (WHR) and plasma glucose level as significant variables. In multivariate ANOVA models of systolic blood pressures, age, male sex

and BMI were highly significant factors (_P_ < 0.0001) and plasma glucose was also significant (_P_ < 0.016); the same variables (except plasma glucose) were associated with diastolic

blood pressures. in logistic regression models the variables which predicted hypertension were whr, plasma glucose, age, sex and family history of diabetes. _Conclusions_: Prevalence of

hypertension in the study was comparable to recently reported rates in urban Nigeria and similar populations in Africa. The biosocial determinants of hypertension in the urban black

population were age, male gender, higher socio-economic status, BMI, plasma glucose, generalised and central adiposity. Regional fat distribution was a stronger predictor of hypertension

than generalised obesity in the population. Access through your institution Buy or subscribe This is a preview of subscription content, access via your institution ACCESS OPTIONS Access

through your institution Subscribe to this journal Receive 12 digital issues and online access to articles $119.00 per year only $9.92 per issue Learn more Buy this article * Purchase on

SpringerLink * Instant access to full article PDF Buy now Prices may be subject to local taxes which are calculated during checkout ADDITIONAL ACCESS OPTIONS: * Log in * Learn about

institutional subscriptions * Read our FAQs * Contact customer support SIMILAR CONTENT BEING VIEWED BY OTHERS RISK FACTORS AND PREVALENCE OF HYPERTENSION IN OLDER ADULTS FROM SOUTH-EASTERN

POLAND: AN OBSERVATIONAL STUDY Article Open access 16 January 2024 PREVALENCE AND DETERMINANTS OF HYPERTENSION IN SOUTH-ASIAN URBAN COMMUNITIES: FINDINGS FROM DEMOGRAPHIC AND HEALTH SURVEYS

(DHS) DATA OF SOUTH ASIAN COUNTRIES Article 04 December 2023 SOCIO-DEMOGRAPHIC AND LIFESTYLE FACTORS ASSOCIATED WITH HYPERTENSION IN NIGERIA: RESULTS FROM A COUNTRY-WIDE SURVEY Article Open

access 24 March 2022 AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * University of Illinois at Chicago/PGM Medical Clinic, Chicago, 60605, IL, USA ST Olatunbosun * Formerly of the Department

of Medicine, University College Hospital, Ibadan, Nigeria ST Olatunbosun * Department of Epidemiology, University of North Carolina School of Public Health, Chapel Hill, 27599, NC, USA JS

Kaufman * Department of Preventive Medicine & Epidemiology, Loyola University Stritch School of Medicine, Maywood, 60153, IL, USA RS Cooper * Department of Medicine, University College

Hospital, Ibadan, Nigeria AF Bella Authors * ST Olatunbosun View author publications You can also search for this author inPubMed Google Scholar * JS Kaufman View author publications You can

also search for this author inPubMed Google Scholar * RS Cooper View author publications You can also search for this author inPubMed Google Scholar * AF Bella View author publications You

can also search for this author inPubMed Google Scholar RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Olatunbosun, S., Kaufman, J., Cooper, R. _et al._

Hypertension in a black population: prevalence and biosocial determinants of high blood pressure in a group of urban Nigerians. _J Hum Hypertens_ 14, 249–257 (2000).

https://doi.org/10.1038/sj.jhh.1000975 Download citation * Received: 09 September 1999 * Revised: 06 October 1999 * Accepted: 01 December 1999 * Published: 30 March 2000 * Issue Date: 01

April 2000 * DOI: https://doi.org/10.1038/sj.jhh.1000975 SHARE THIS ARTICLE Anyone you share the following link with will be able to read this content: Get shareable link Sorry, a shareable

link is not currently available for this article. Copy to clipboard Provided by the Springer Nature SharedIt content-sharing initiative KEYWORDS * epidemiology * urban blacks * biosocial

factors * anthropometry * plasma glucose