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Hypertension in Zimbabwe: A meta-analysis to quantify its burden and policy implications

Hypertension in Zimbabwe: A meta-analysis to quantify its burden and policy implications
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摘要 AIM: To estimate the pooled prevalence of hypertension in Zimbabwe and describe its trend since independence in 1980 using secondary source data.METHODS: MEDLINE, EMBASE and Scopus databases from April 1980 to December 2013 were searched for population and community based studies on the prevalence of hypertension among adults(≥ 18 years) in Zimbabwe. The key words used were "prevalence", "epidemiologic studies", "hypertension" or "high blood pressure", based on the cut-off(≥ 140 mm Hg systolic blood pressure and/or ≥ 90 mm Hg diastolic blood pressure). We conducted a meta-analysis on the published studies, using the random-effects model to estimate the pooled prevalence.RESULTS: The search retrieved 87 publications, of which four studies met the selection criteria. The four studies had a total of 4829 study participants between 1997 and 2010 across 5 provinces in Zimbabwe. Two studies were in urban areas, while the other two had mixed study settings(urban and rural). The overall pooled prevalence of hypertension was 30%(95%CI: 19%, 42%, I2= 98%, χ2 = 164.15, P = 0.00).CONCLUSION: Our results show a high prevalence of hypertension in Zimbabwe, with urban areas having higher prevalence than rural areas. AIM: To estimate the pooled prevalence of hypertension in Zimbabwe and describe its trend since independence in 1980 using secondary source data.METHODS: MEDLINE, EMBASE and Scopus databases from April 1980 to December 2013 were searched for population and community based studies on the prevalence of hypertension among adults (≥ 18 years) in Zimbabwe. The key words used were “prevalence”, “epidemiologic studies”, “hypertension” or “high blood pressure”, based on the cut-off (≥ 140 mmHg systolic blood pressure and/or ≥ 90 mmHg diastolic blood pressure). We conducted a meta-analysis on the published studies, using the random-effects model to estimate the pooled prevalence.RESULTS: The search retrieved 87 publications, of which four studies met the selection criteria. The four studies had a total of 4829 study participants between 1997 and 2010 across 5 provinces in Zimbabwe. Two studies were in urban areas, while the other two had mixed study settings (urban and rural). The overall pooled prevalence of hypertension was 30% (95%CI: 19%, 42%, I^2= 98%, χ^2 = 164.15, P = 0.00).CONCLUSION: Our results show a high prevalence of hypertension in Zimbabwe, with urban areas having higher prevalence than rural areas.
出处 《World Journal of Meta-Analysis》 2015年第1期54-60,共7页 世界荟萃分析杂志
基金 An Australian Research Council Future Fellowship,No.FT110100345(to Renzaho A) The sponsor had no role in study design,data collection,analysis,interpretation,or writing of the report
关键词 HYPERTENSION High blood pressure PREVALENCE META-ANALYSIS Zimbabwe Hypertension High blood pressure Preva-lence Meta-analysis Zimbabwe
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