Rural-urban variation in hypertension among women in Ghana: insights from a national survey

BMC Public Health

Abdul-Aziz Seidu¹  Francis Sambah²  Eugene Budu³  Joseph Kojo Oduro³  Francis Appiah⁴  Linus Baatiema⁵  Edward Kwabena Ameyaw⁶  Bright Opoku Ahinkorah⁶ 

[1] College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia;Department of Estate Management, Takoradi Technical University, Takoradi, Ghana;Centre For Gender and Advocacy, Takoradi Technical University, P. O. Box 256, Takoradi, Ghana;Department of Health, Physical Education and Recreation, University of Cape Coast, Cape Coast, Ghana;College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia;Department of Population and Health, Faculty of Social Sciences, University of Cape Coast, Cape Coast, Ghana;Department of Population and Health, Faculty of Social Sciences, University of Cape Coast, Cape Coast, Ghana;Department of Social Sciences, Berekum College of Education, Berekum, Bono Region, Ghana;Department of Population and Health, Faculty of Social Sciences, University of Cape Coast, Cape Coast, Ghana;Ghana Health Service, Upper West Regional Health Directorate, Wa, Ghana;School of Public Health, Faculty of Health, University of Technology Sydney, 2007, Sydney, NSW, Australia;

关键词: Ghana;    Hypertension;    Rural;    Urban;    Women;    DHS;   

DOI  :  10.1186/s12889-021-12204-7

来源: Springer

【 摘 要 】

BackgroundHypertension is one of the leading causes of cardiovascular morbidities in Ghana and represents a major public health concern. There is dearth of information on the rural-urban disparity in hypertension among women in Ghana. Therefore, this study aimed at examining the rural-urban variation in hypertension among women in Ghana.MethodsWe extracted data from the women’s file of the 2014 Ghana Demographic and Health Survey. The sample included 9333 women aged 15–49 with complete data on hypertension. The analysis was done using Pearson Chi-square and binary logistic regression at 95% confidence interval. The results of the binary logistic regression were presented as Odds Ratios (ORs) and Adjusted Odds Ratios (AORs). Statistical significance was set at p < 0.05.ResultsHypertension prevalence among urban and rural residents were 9.5% and 5.1% respectively. Rural women had lower odds of hypertension [OR = 0.59; 95% CI = 0.52, 0.67] compared to urban women, however, this was insignificant in the adjusted model [aOR = 0.84; 95% CI = 0.70, 1.00]. The propensity to be hypertensive was lower for women aged 15–19 [aOR = 0.07; 95% CI = 0.05, 0.11]. The poorest were less likely to be hypertensive [aOR = 0.63; 95% CI = 0.45, 0.89]. Single women were also less probable to have hypertension [aOR = 0.66; 95% CI = 0.46, 0.97].ConclusionsWomen from urban and rural areas shed similar chance to be hypertensive in Ghana. Therefore, the health sector needs to target women from both areas of residence (rural/urban) when designing their programmes that are intended to modify women’s lifestyle in order to reduce their risks of hypertension. Other categories of women that need to be prioritised to avert hypertension are those who are heading towards the end of their reproductive age, richest women and the divorced.

【 授权许可】

CC BY