Geo-Demographic and Socioeconomic Determinants of Diagnosed Hypertension Among Urban Dwellers in Ibadan, Nigeria: A Community-based Study

Overview

Journal Res Sq

Date 2024 Jan 10

PMID 38196605

Authors

Mayowa Owolabi

Olalekan Taiwo

Joshua Akinyemi

Ayodeji Adebayo

Oluwafemi Popoola

Rufus Akinyemi

Onoja Akpa

Paul Olowoyo

Akinkunmi Okekunle

Ezinne Uvere

Chukwuemeka Nwimo

Omotolani Ajala

Olayinka Adebajo

Adewale Ayodele

Salami Ayodeji

Oyedunni Arulogun

Olanrewaju Olaniyan

Richard Walker

Carolyn Jenkins

Bruce Ovbiagele

Affiliations

Soon will be listed here.

Abstract

Background: The relationship between diagnosed high blood pressure (HBP) and proximity to health facilities and noise sources is poorly understood. We investigated the relationship between proximity to noise sources, sociodemographic and economic factors, and diagnosed HBP in Ibadan, Nigeria.

Methods: We investigated 13,531 adults from the African Rigorous Innovative Stroke Epidemiological Surveillance (ARISES) study in Ibadan. Using a Geographic Information System (GIS), the locations of healthcare facilities, pharmaceutical shops, bus stops, churches, and mosques were buffered at 100m intervals, and coordinates of persons diagnosed with HBP were overlaid on the buffered features. The number of persons with diagnosed HBP living at every 100m interval was estimated. Gender, occupation, marital status, educational status, type of housing, age, and income were used as predictor variables. Analysis was conducted using Spearman rank correlation and binary logistic regression at p<0.05.

Results: There was a significant inverse relationship between the number of persons diagnosed with HBP and distance from pharmaceutical shops (r=-0.818), churches (r=-0.818), mosques (r=-0.893) and major roads (r=-0.667). The odds of diagnosed HBP were higher among the unemployed (AOR=1.58, 95% CI: 1.11-2.24), currently married (AOR=1.45, CI: 1.11-1.89), and previously married (1.75, CI: 1.29-2.38). The odds of diagnosed HBP increased with educational level and age group.

Conclusion: Proximity to noise sources, being unemployed and educational level were associated with diagnosed HBP. Reduction in noise generation, transmission, and exposure could reduce the burden of hypertension in urban settings.

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