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Geo-demographic and socioeconomic determinants of diagnosed hypertension among urban dwellers in Ibadan, Nigeria: a community-based study

Lookup NU author(s): Dr Rufus Akinyemi, Professor Richard Walker

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND).


Abstract

© The Author(s) 2024. Background: The relationship between diagnosed high blood pressure (HBP) and proximity to health facilities and noise sources is poorly understood. We investigated the associations between the number of persons diagnosed with HBP at different distance corridors of noise-generating sources (churches, mosques, bus stops, and road networks), and blood pressure monitoring outlets (healthcare facilities and pharmaceutical shops) in Ibadan, Nigeria. In addition, we investigated the likelihood of being diagnosed with HBP using distance from noise-generating sources, distance to blood pressure monitoring outlets, socio-demographic and clinical status of the participants. 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 100 m intervals, and coordinates of persons diagnosed with HBP were overlaid on the buffered features. The number of persons with diagnosed HBP living at every 100 m 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 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.


Publication metadata

Author(s): Taiwo OJ, Akinyemi JO, Adebayo A, Popoola OA, Akinyemi RO, Akpa OM, Olowoyo P, Okekunle AP, Uvere EO, Nwimo C, Ajala OT, Adebajo O, Ayodele AE, Salami A, Arulogun OS, Olaniyan O, Walker RW, Jenkins C, Ovbiagele B, Owolabi M

Publication type: Article

Publication status: Published

Journal: Journal of Health, Population and Nutrition

Year: 2025

Volume: 44

Online publication date: 28/02/2025

Acceptance date: 19/11/2024

Date deposited: 17/03/2025

ISSN (print): 1606-0997

ISSN (electronic): 2072-1315

Publisher: BioMed Central Ltd

URL: https://doi.org/10.1186/s41043-024-00704-2

DOI: 10.1186/s41043-024-00704-2

Data Access Statement: No datasets were generated or analysed during the current study.


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Funding

Funder referenceFunder name
National Institutes of Health

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