CARDIOVASCULAR JOURNAL OF AFRICA • Vol 23, No 5, June 2012
AFRICA
269
and this disease therefore constitutes a major public health
concern in the Senegalese capital. Detection could be considerably
improved given that only 50% of those suffering from high
blood pressure were aware of this problem. Nearly three-quarters
of the people informed on their condition reported being treated,
which is an encouraging statistic in a developing country.
However, compliance with these treatments appears particularly
problematic, given that fewer than 20% of individuals treated
had controlled hypertension. It is likely that the high cost of
pharmacological treatment when compared to income was
responsible for the low rate of compliance with these treatments.
One of the factors studied was associated with awareness,
treatment and control of hypertension: the frequency of doctor
visits. This result highlights the absolute necessity to improve
follow-up health checks of older adults to minimise the
consequences of hypertension in Dakar.
This research was supported by grants from the National Institute for Heath
Prevention and Education (INPES) and the Department of Research (ACI
‘Constructions, normes et écarts’ No. 045398). The manuscript was trans-
lated from French by Cynthia Schoch.
References
1.
Sani MU. Cardiovascular diseases in sub-Saharan Africa: an emerging
problem.
Ethn Dis
2007;
17
: 574–575.
2.
World Health Organisation. Death and DALY estimates for 2004 by
cause for WHO Member States.
statistics/bodgbddeathdalyestimates.xls. Accessed 2006.
3.
Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, He
J. Global burden of hypertension
:
analysis of worldwide data.
Lancet
2005;
365
: 217–223.
4.
Opie LH, Seedat YK. Hypertension in sub-Saharan African popula-
tions.
Circulation
2005;
112
: 3554–3561.
5.
Addo J, Smeeth L, Leon DA. Hypertension in sub-Saharan Africa: a
systematic review.
Hypertension
2007;
50
:1012–1018.
6.
Agyemang C. Rural and urban differences in blood pressure and hyper-
tension in Ghana, West Africa.
Publ Hlth
2006;
120
: 525–533.
7.
Amoah AG. Hypertension in Ghana: a cross-sectional community
prevalence in greater Accra.
Ethn Dis
2003;
13
: 310–315.
8.
Bovet P, Ross AG, Gervasoni JP,
et al
. Distribution of blood pressure,
body mass index and smoking in the urban population of Dar es Salaam,
Tanzania, and associations with socioeconomic status.
Int J Epidemiol
2002;
31
: 240–247.
9.
Damasceno A, Azevedo A, Silva-Matos C, Prista A, Diogo D,
Lunet N. Hypertension prevalence, awareness, treatment, and control
in Mozambic: urban/rural gap during epidemiological transition.
Hypertension
2009;
54
: 77–83.
10. Edwards R, Unwin N, Mugusi F,
et al
. Hypertension prevalence and
care in an urban and rural area of Tanzania.
J Hypertens
2000;
18
:
145–152.
11. Kadiri S, Walker O, Salako BL, Akinkugbe O. Blood pressure, hyper-
tension and correlates in urbanised workers in Ibandan, Nigeria: a
revisit.
J Hum Hypertens
1999;
13
: 23–27.
12. Mbanya JC, Minkoulou EM, Salah JN, Balkau B. The prevalence of
hypertension in urban and rural Cameroon.
Int J Epidemiol
1998;
27
:
181–185.
13. Steyn K, Gaziano TA, Bradshaw D, Laubscher R, Fourie J. South
African Demographic and Health Coordinating Team. Hypertension in
South African adults: results from the Demographic and Health Survey
1998.
J Hypertens
2001;
19
: 1717–1725.
14. Vorster HH. The emergence of cardiovascular disease during urbanisa-
tion of Africans.
Publ Hlth Nutr
2002;
5
: 239–243.
15. Duboz P, Macia E, Dia M, Gueye L. Prevalence and risk factors of
hypertension in Dakar’s department.
Dakar Médical
(in press).
16. Ong KL, Cheung BM, Man YB, Lau CP, Lam KS. Prevalence, aware-
ness, treatment, and control of hypertension among United-States adults
1999-2004.
Hypertension
2007;
49
: 69–75.
17. Hypertension study group. Prevalence, awareness, treatment and
control of hypertension among the elderly in Bangladesh and India: a
multicentre study.
Bull Wld Hlth Organ
2001;
79
: 490–500.
18. McDonald M, Hertz RP, Unger AN, Lustik MB. Prevalence, aware-
ness, and management of hypertension, dyslipidemia, diabetes among
United States adults aged 65 and older.
J Gerontol A Bio Sci Med Sci
2009;
64
: 256–263.
19. Van Rossum CTM, van de Mheen H, Witteman JCM, Hofman A,
Mackenbach JP, Grobbee DE. Prevalence, treatment, and control of
hypertension by sociodemographic factors among the Dutch elderly.
Hypertension
2000;
35
: 814–821.
20. Asmar R, Khabouth J, Topouchian J, El Feghali R, Mattar J. Validation
of three automatic devices for self-measurement of blood pressure
according to the International Protocol: the Omron M3 Intellisense
(HEM-7051-E), the Omron M2 Compact (HEM 7102-E), and the
Omron R3-I Plus (HEM 6022-E).
Blood Press Monit
2010;
15
: 49–54.
21. Chobanian AV, Bakris GL, Black HR,
et al.
Seventh report of the
Joint National Committee of Prevention, Detection, Evaluation, and
Treatment of High Blood Pressure.
Hypertension
2003;
42
: 1206–1252.
22. World Health Organisation.
Obesity: Preventing and Managing the
Global Epidemic.
Report of the WHO Consultation
.
WHO Technical
Report Series 894. WHO: Geneva, 2000.
23. Must A, Spadano J, Coakley EH, Field AE, Colditz G, Dietz WH. The
disease burden associated with overweight and obesity.
J Am Med Assoc
1999;
282
: 1593–1594.
24. Mufunda J, Mebrathu G, Usman A,
et al
. The prevalence of hyperten-
sion and its relationship with obesity: results from a national blood pres-
sure survey in Erytrea.
J Hum Hypertens
2006;
20
: 59–65.
25. Reddy KS, Yusuf S. Emerging epidemic of cardiovascular disease in
developing countries.
Circulation
1998;
97
: 596
–
601.
26. Marques-Vidal P, Tuomilehto J. Hypertension, awareness and control
in the community: is the “rule of halves” still valid?
J Hum Hypertens
1997;
11
: 213–220.
27. Fuentes R, Ilmaniemi N, Laurikainen E, Tuomilehto J, Nissinen A.
Hypertension in developing economies: a review of population-based
studies carried out from 1980 to 1998.
J Hypertens
2000;
18
: 521–529.
28. Macia E, Duboz P, Gueye L. Les dimensions de la qualité de vie subjec-
tive à Dakar.
Sciences Sociales et Santé
2010;
28
: 75–84.
29. Ndiaye S, Ayad M.
Enquête Démographique et de Santé au Sénégal
(EDS-IV) 2005.
Demographic and Health Surveys: Dakar, 2005.
30. Regidor E, Guttiérez-Fisac JL, Banegas JR, Dominguez V, Rodriguez-
Artalejo F. Association of adult socioeconomic position with hyperten-
sion in older people.
J Epidemiol Commun Hlth
2006;
60
: 74–80.
31. Ohene Buabeng K, Matowe L, Plange-Rhule J. Unaffordable drug
price: the major cause of non-compliance with hypertension medication
in Ghana.
J Pharm Pharm Sci
2004;
7
: 350–352.
32. Agence Nationale de la Statistique et de la Démographie (ANSD).
Enquête de suivi de la pauvreté au Sénégal – EPPS 2005-2006.
Rapport_ESPS.pdf. Accessed 2007.
33. Salem G.
La Santé dans la Vville. Géographie d’un Petit Espace Dense:
Pikine (Sénégal
). Paris: Karthala; 1998.
34. United Nations. Rapport de la deuxième assemblée mondiale sur le
vieillissement. Madrid, 8-12 avril 2002.
/
doc/UNDOC/GEN/N02/397/52/PDF/N0239752.pdf?OpenElement.
Accessed 2002.