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  • Determinants of Mean BP and HTN in WA IJH 2016

    Rights statement: Copyright © 2016 William K. Bosu. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Determinants of mean blood pressure and hypertension among workers in West Africa

Research output: Contribution to journalJournal articlepeer-review

Article number3192149
<mark>Journal publication date</mark>01/2016
<mark>Journal</mark>International Journal of Hypertension
Number of pages19
Publication StatusPublished
<mark>Original language</mark>English


Background. This review was undertaken to estimate the mean blood pressure and evaluate its determinants as well as the determinants of hypertension among workers in West Africa. Methods. In a follow-up to an earlier study, a systematic search for articles published between 1980 and August 2015 was undertaken using major databases. Results. A total of 55 articles involving 34,919 different cadres of workers from six countries were retrieved. The mean systolic blood pressure (BP) ranged from 116.6 +-1.3 mmHg to 15137 +- 13.6  mmHg while the mean diastolic BP ranged from 69.9 +- 11.0  mmHg to 97.1 +-  9.1 mmHg. Population-wide prehypertension was -common. The major determinants of mean BP and hypertension were similar and included male sex, older age group, higher socioeconomic status, obesity, alcohol consumption, plasma glucose, and sodium excretion. Ethnicity and educational level were inconsistently associated with hypertension. Workers at higher risk of cardiovascular event did not perceive themselves as such. Conclusion. The prevailing mean prehypertensive BP, low perception of risk, and clustering of risk factors call for interventions such as healthy diets, improved physical activity, and a favourable work environment. Successful models for improving the cardiovascular health of sedentary informal sector workers in Africa are urgently needed.