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The prevalence of hypertension in seven populations of west African origin.
Open accessAbstract
OBJECTIVES: This study was undertaken to describe the distribution of blood pressures, hypertension prevalence, and associated risk factors among seven populations of West African origin. METHODS: The rates of hypertension in West Africa (Nigeria and Cameroon), the Caribbean (Jamaica, St. Lucia, Barbados), and the United States (metropolitan Chicago, Illinois) were compared on the basis of a highly standardized collaborative protocol. After researchers were given central training in survey methods, population-based samples of 800 to 2500 adults over the age of 25 were examined in seven sites, yielding a total sample of 10014. RESULTS: A consistent gradient of hypertension prevalence was observed, rising from 16% in West Africa to 26% in the Caribbean and 33% in the United States. Mean blood pressures were similar among persons aged 25 to 34, while the increase in hypertension prevalence with age was twice as steep in the United States as in Africa. Environmental factors, most notably obesity and the intake of sodium and potassium, varied consistently with disease prevalence across regions. CONCLUSION: The findings demonstrate the determining role of social conditions in the evolution of hypertension risk in these populations.
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Cited by
U.S. Disparities in Health: Descriptions, Causes, and Mechanisms
Adler, N. E., & Rehkopf, D. H. (2008) · Annual Review of Public Health · doi:10.1146/annurev.publhealth.29.020907.090852 · Cited by 1,212
Salt intakes around the world: implications for public health
Brown, I. J., Tzoulaki, I., Candeias, V., & Elliott, P. (2009) · International Journal of Epidemiology · doi:10.1093/ije/dyp139 · Cited by 1,173
Understanding associations among race, socioeconomic status, and health: Patterns and prospects.
Williams, D. R., Priest, N., & Anderson, N. B. (2016) · Health Psychology · doi:10.1037/hea0000242 · Cited by 1,147
Estimating African American Admixture Proportions by Use of Population-Specific Alleles
Parra, E. J., Marcini, A., Akey, J., Martinson, J., Batzer, M. A., Cooper, R., Forrester, T., Allison, D. B., Deka, R., Ferrell, R. E., et al. (1998) · The American Journal of Human Genetics · doi:10.1086/302148 · Cited by 771
“The samples from Maywood (Illinois), Jamaica, and Nigeria-2 (from a traditional Yoruba community in the city of Ibadan, in southwestern Nigeria) were collected as healthy random subjects in an ongoing study of hypertension (see Ataman et al. 1996 and Cooper et al. 1997).”
BackgroundSelf-citationRACE AND ETHNICITY IN PUBLIC HEALTH RESEARCH: Models to Explain Health Disparities
Dressler, W. W., Oths, K. S., & Gravlee, C. C. (2005) · Annual Review of Anthropology · doi:10.1146/annurev.anthro.34.081804.120505 · Cited by 541
Metadata
- Authors
- Cooper, R., Rotimi, C., Ataman, S., McGee, D., Osotimehin, B., Kadiri, S., Muna, W., Kingue, S., Fraser, H., Forrester, T., Bennett, F., & Wilks, R.
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 1997-02
- Volume
- 87
- Issue
- 2
- Pages
- 160-168
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- OpenAlex
- W2015529304
- Cited by
- 679
- References
- 0
- FWCI
- 14.88
- Type
- journal article
- Language
- en
- Open access
- green
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- Cooper, R., Rotimi, C., Ataman, S., McGee, D., Osotimehin, B., Kadiri, S., Muna, W., Kingue, S., Fraser, H., Forrester, T., Bennett, F., & Wilks, R. (1997). The prevalence of hypertension in seven populations of west African origin. American Journal of Public Health. https://doi.org/10.2105/ajph.87.2.160
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