Skip Navigation Links.
Collapse <span class="m110 colortj mt20 fontw700">Volume 12 (2024)</span>Volume 12 (2024)
Collapse <span class="m110 colortj mt20 fontw700">Volume 11 (2023)</span>Volume 11 (2023)
Collapse <span class="m110 colortj mt20 fontw700">Volume 10 (2022)</span>Volume 10 (2022)
Collapse <span class="m110 colortj mt20 fontw700">Volume 9 (2021)</span>Volume 9 (2021)
Collapse <span class="m110 colortj mt20 fontw700">Volume 8 (2020)</span>Volume 8 (2020)
Collapse <span class="m110 colortj mt20 fontw700">Volume 7 (2019)</span>Volume 7 (2019)
Collapse <span class="m110 colortj mt20 fontw700">Volume 6 (2018)</span>Volume 6 (2018)
Collapse <span class="m110 colortj mt20 fontw700">Volume 5 (2017)</span>Volume 5 (2017)
Collapse <span class="m110 colortj mt20 fontw700">Volume 4 (2016)</span>Volume 4 (2016)
Collapse <span class="m110 colortj mt20 fontw700">Volume 3 (2015)</span>Volume 3 (2015)
Collapse <span class="m110 colortj mt20 fontw700">Volume 2 (2014)</span>Volume 2 (2014)
Collapse <span class="m110 colortj mt20 fontw700">Volume 1 (2013)</span>Volume 1 (2013)
American Journal of Public Health Research. 2020, 8(2), 41-46
DOI: 10.12691/AJPHR-8-2-1
Original Research

Prevalence and Correlates of Hypertension among Healthcare Professionals in Nigeria: Lessons from a Tertiary Hospital in South-South Nigeria

Irikefe P. Obiebi1, Nnamdi S. Moeteke1, , Godson U. Eze1 and Ibiyemi J. Umuago1

1Department of Community Medicine, Delta State University Teaching Hospital, P.M.B. 07, Oghara, Delta State, Nigeria

Pub. Date: March 01, 2020

Cite this paper

Irikefe P. Obiebi, Nnamdi S. Moeteke, Godson U. Eze and Ibiyemi J. Umuago. Prevalence and Correlates of Hypertension among Healthcare Professionals in Nigeria: Lessons from a Tertiary Hospital in South-South Nigeria. American Journal of Public Health Research. 2020; 8(2):41-46. doi: 10.12691/AJPHR-8-2-1

Abstract

The prevalence of hypertension and its complications are increasing in Sub-Saharan Africa. The disease is largely undiagnosed. Among the public health implications of the consequent morbidity and mortality are the effects of its toll on health workers; reports of sudden death among this crucial group have not been infrequent. Maintaining their health is imperative in the light of massive brain drain in the sector. There is limited information on the risk-factors among these professionals. The goal of this study was to ascertain the prevalence and correlates of hypertension among health workers with a view to guiding health promotion intervention in the sector. A cross-sectional study was conducted among the various cadres of health workers, using stratified sampling, in a tertiary health facility in South-South Nigeria. A pretested questionnaire was used, and measurements of blood pressure, weight, height, waist circumference, and hip circumference were taken using standardised equipment and procedures. SSPSS version 22 was used for analysis. Hypotheses were tested with chi-square and student t-test (level of significance set at less than 0.05). Magnitude of associations was determined by odds ratios. The prevalence of hypertension was 36.2%. Being overweight/obese was associated with hypertension, OR 2.13 (CI 1.20 - 3.80), as were increasing age, obesity, and lack of exercise, though the last factor was not statistically significant. Although almost three-quarters of hypertensive subjects had a family history of hypertension, there was no significant association. The high prevalence of hypertension in this study indicates a need for health promotion strategies among this group. The prominence of a few of the known risk factors of hypertension among the health workers would suggest areas of policy thrust by the Nigerian health system Managers. Interventions could be more efficient by targeting fitness and weight loss while paying closer attention to health workers as they age.

Keywords

hypertension, healthcare professionals, prevalence, correlates, health promotion, Nigeria

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]  Thomas, S. J. et al., “Cumulative Incidence of Hypertension by 55 Years of Age in Blacks and Whites: The CARDIA Study,” Journal of the American Heart Association, 7 (14). e007988. Jul. 2018.
 
[2]  Ogah, O. S. and Rayner B. L., “Recent Advances in Hypertension in Sub-Saharan Africa,” Heart, 0.1-8. May 2013.
 
[3]  Roth, G. A. et al., “Global, Regional, and National Burden of Cardiovascular Diseases for 10 Causes, 1990 to 2015,” Journal of the American College of Cardiology, 70 (1). 1-25. May 2017.
 
[4]  Akintunde, A., “Epidemiology of Conventional Cardiovascular Risk Factors among Hypertensive Subjects with Normal and Impaired Fasting Glucose,” South African Medical Journal, 100 (9). 594-597. Sept. 2010.
 
[5]  Usman, S. O. et al., “Cardiovascular Risk Factors in South-Western Nigeria: A WHO Step-Wise Approach,” Sokoto Journal of Medical Laboratory Science, 2 (1). 39-48. Mar. 2017.
 
[6]  Chobanian, A. V et al., “The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure,” JAMA, 289 (19). 2560-2572. May 2003.
 
[7]  Falase, A. O., Stewart, S. and Sliwa, K., “Blood Pressure, Prevalence of Hypertension and Hypertension-related Complications in Nigerian Africans: A review,” World Journal of Cardiology, 4 (12). 327-340. Dec. 2012.
 
[8]  Oguoma, V. M., Nwose, E. U., Skinner, T. C., Digban, K. A., Onyia, I. C. and Richards, R. S., “Prevalence of Cardiovascular Disease Risk Factors among a Nigerian Adult Population: Relationship with Income Level and Accessibility to CVD Risks screening,” BMC Public Health, 15 (1). 397-412. April 2015.
 
[9]  Onwubere, B. J., Ejim, E. C, Okafor, C. I., Emehel, A. and Mbah, A.U., “Pattern of Blood Pressure Indices among the Residents of a Rural Community in South-East Nigeria,” International Journal of Hypertension, 2011 (1). 18-24. Oct. 2011.
 
[10]  Asekun-Olarinmoye, E. et al., “Prevalence of Hypertension in the Rural Adult Population of Osun State, Southwestern Nigeria,” International Journal of General Medicine, 6 (1). 317-322. April 2013.
 
[11]  Kayima, J., Wanyenze, R., Katamba, A., Leontsini, E. and Nuwaha, F., “Hypertension Awareness, Treatment and Control in Africa: a Systematic Review,” BMC Cardiovasc Disord, 13 (1). 54-64. Aug. 2013.
 
[12]  Song, X. N. et al., “Sudden Deaths among Chinese Physicians,” Chinese Medical Journal, 128 (23). 3251-3253. Dec. 2015.
 
[13]  Deng, Z. et al., “Chinese Doctors are Under a High Risk of Sudden Death,” AME Medical Journal, 125-131. Aug. 2017.
 
[14]  Huang, J. and Lee, J. “Causes of Sudden Death of Young Anesthesiologists in China: Response to Zhang and Colleagues: Rising Sudden Death among Anaethesiologists in China,” British Journal of Anaesthesia, 119 (3). 548-549. Sept. 2017.
 
[15]  Willis-shattuck, M., Bidwell, P., Thomas, S., Wyness, L., Blaauw, D. and P. Ditlopo, “Motivation and Retention of Health Workers in Developing Countries: A Systematic Review,” BMC Health Services Research, 8 (1). 247-254. Dec. 2008.
 
[16]  Huang, C. L., Weng, S., Wang, J. and Wu, M., “Risks of Treated Insomnia, Anxiety, and Depression in Health Care-Seeking Physicians: a Nationwide Population-based Study,” Medicine, 94 (35). e1323. Sept. 2015.
 
[17]  Ajuluchukwu, J. N., “Survey of Blood Pressure Status and Knowledge of Risk Factors of Hypertension Amongst Non-Medical Workers of a Nigerian Tertiary Medical Institution,” NQJHM, 15 (3).146-149. 2005.
 
[18]  Ulasi, I. I., Ijoma, C. K., Onwubere, B. J. C., Arodiwe, E. Onodugo, O. and Okafor, C., “High Prevalence and Low Awareness of Hypertension in a Market Population in Enugu, Nigeria,” International Journal of Hypertension, 2011 (1). 1-5. Jan. 2011.
 
[19]  Sumaila, F. G., Shittu, A., Idris, A. S. and Abba, A. M., “Prevalence of Undiagnosed Hypertension and its Risk Factors among Health Care Workers of Some Selected Hospitals in Dutse, Jigawa State, North western,” Adv Sci Med, 1 (2). 19-23. 2016.
 
[20]  Owolabi, A. O., Owolabi, M. O., OlaOlorun, A. D. and Olofin, A., “Work-related Stress Perception and Hypertension amongst Health Workers of a Mission Hospital in Oyo,” Afr J Prm Health Care Fam Med, 4 (1). 307-313. April 2012.
 
[21]  Shailendra, K. B. H., Sathiyanarayanan, S., Sanjana, V., Akshaya, S., Ganeshkumar, P. and Balaji, R., “Prevalence of Diabetes , Hypertension and Obesity among Doctors and Nurses in a Medical College Hospital in Tamil Nadu, India,” National Journal of Research in Community Medicine, 4 (3). 235-239. July 2015.
 
[22]  Centers for Disease Control and Prevention, National Health and Nutrition Examination Survey (NHANES) III: Anthropometry Procedures Manual, Centers for Disease Control and Prevention, Atlanta, 2007.