Page 240 - Special Topic Session (STS) - Volume 2
P. 240

STS489 Glory A. et al.
                  hypertension among the coloured population group was found in the age-
                  adjusted  prevalence  and  model-based  estimates  after  accounting  for  the
                  confounding  effects  of  other  factors.  Findings  by  Kandala  et  al,  2013  and
                  Peltzer  &  Phaswana-Mafuya  (2013)  were  consistent  with  our  findings  with
                  respect  to  geographic  variation  and  risk  factors  of  hypertension  in  South
                  African adult population.
                     In conclusion, we consider this study a critical data-driven evidence for
                  program  managers,  policy  makers,  and  international  stakeholders  to
                  understand the geography and determinants of hypertension among South
                  African adults over time. This will ensure that context-specific interventions
                  are provided in a cost-effective and efficient manner to optimize programme
                  outcome  and  impact.  Future  research  effort  will  evaluate  trends  and
                  determinants in the male and female adult populations at district level as well
                  as interaction between space and time in the risk of hypertension outcomes
                  at small area level. Study limitations include the use of a binary indicator for
                  smoking status and other known risk  factors of hypertension such as  salt
                  intake and air pollution which were not accounted for in geographic variation
                  of prevalent hypertension.

                  References
                  1.  Agyei-Mensah S, and Aikins A.(2010). Epidemiological transition and the
                      double burden of disease in Accra, Ghana. J Urban Health. 87(5): 879-
                      897
                  2.  Department of Health, South Africa. (2013). The South African National
                      strategic plan for the prevention of Non-Communicable diseases, 2013-
                      2017.
                  3.  Aikins A, Unwin N, Agyemang C, Allotey P, Campbell C, and Arhinful
                      D.(2010). Tackling Africa’s chronic disease burden: from the local to the
                      global. Globalization and Health.6:5
                  4.  Maimela E, Alberts M, Modjadji SEP, Choma SSR, Dikotope SA, Ntuli TS,
                      et al. (2016) The Prevalence and Determinants of Chronic Non-
                      Communicable Disease Risk Factors amongst Adults in the Dikgale
                      Health Demographic and Surveillance System (HDSS) Site, Limpopo
                      Province of South Africa. PLoS ONE 11(2): e0147926.
                  5.  Lloyd-Sherlock P, Beard J, Minicuci N, Ebrahim S, & Chatterji S.
                      Hypertension among older adults in low-and middle-income countries:
                      prevalence, awareness and control. International Journal of
                      Epidemiology. 2014; 43(1): 116-128
                  6.  Kandala N-B., Tigbe W., Manda S., & Stranges S. (2013) Geographic
                      Variation of Hypertension in Sub-Saharan Africa: A Case Study of South
                      Africa, American Journal of Hypertension;26(3): 382–391



                                                                     229 | I S I   W S C   2 0 1 9
   235   236   237   238   239   240   241   242   243   244   245