Incidence and Prevalence of Hypertension among Inmates in Three Correctional Facilities in Lusaka Province Zambia

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DOI: 10.21522/TIJPH.2013.09.04.Art013

Authors : Himwaaba Gift

Abstract:

Hypertension also known as high blood pressure is a global public health issue that has become very common worldwide and can lead to major health outcomes, such as myocardial infarction, stroke, renal failure, and ultimately death. The main objective of this study was to assess the incidences and the prevalence of hypertension among inmates. A correctional facilities based descriptive cross-sectional study was carried out to investigate the incidence and prevalence of hypertension among the inmates of Zambia’s Lusaka based three correctional facilities. A total of 311 inmates were included in this study of which 228 (73.3%) were males and 83 (26.7%) were females. Data was analyzed using STATA version 15.0 software package. Descriptive statistics, Chi-square tests, fisher’s exact test and Logistic regression were used to examine, demographic characteristics, prevalence rate, correlation, risk factors and association in relation to hypertension. Among the participants 54 (17.4%) were found to be hypertensive. The median blood pressure for the hypertensive was 157.8/102 mmHg and the median blood pressure for non-hypertensive was 116/75 mmHg. Incarceration variables correlated with hypertension were, duration of incarceration p= 0.0001, reasons for detention p= 0.0001, type of inmate p= 0.0150. Old age, unemployed, major crimes, history of hypertension, smoking and body mass index were the risk factors for hypertension found among inmates. The prevalence of hypertension in the three correctional facilities in Zambia was found to be at 17.4%, which was lower than the prevalence rate in most studies reviewed and even lower than the prevalence rate in the general population of some selected districts in Zambia.

Keywords: Correctional Facility, Hypertension, Incidence, Inmates, Lusaka, Prevalence.

References:

[1] World health organization. (2013). World health organization. A global brief on hypertension. Silent killer, Global Public Health Crisis. WHO/DCO/WHD/2013.2 www.int.who. communications@who.int.

[2] Khajedaluee, M., Hassannia, T., Rezaee, A., Ziadi, M., Dadgarmoghaddam, M. (2016). The prevalence of hypertension and its relationship with demographic factors, biochemical, and anthropometric indicators: A population-based study. Arya atherosclerosis, 12(6), 259–265. www.mui.ac.ir.

[3] Lacruz, M. E., Kluttig, A., Hartwig, S., Lo ¨er, M., Tiller, D., Greiser, K. H., Werdan, K., Haerting, J. (2015). Prevalence and Incidence of Hypertension in the General Adult Population Results of the Carla-Cohort Study. Ph.D. ISSN: 0025-7974 Volume 94, Number 22, Doi: 10.1097/MD.0000000000000952. June 2015 www.md-journal.com.

[4] Ramakrishnan, S., Zachariah, G., Gupta, K., Rao, J. S., Mohanan, P. P... (2019). Prevalence of hypertension among Indian adults: Results from the great India blood pressure survey. Indian Heart Journal. 2019 Jul-Aug; 71(4):309-313. Doi: 10.1016/j.ihj.2019.09.012 [40].

[5] Desormais, I., Amidou, S. A., Houehanou, Y. C., Houinato, S. D., Gbagouidi, G. N., Pierre Marie Preux, P. M., Aboyans, V., Lacroix, P. (2019). The Prevalence, Awareness, Management and control of Hypertension in Men and Women in Benin, West Africa. https://doi.org/10.1186/s12872-019-01273-7. BMC.

[6] Fryar, C. D., Ostchega, Y., Hales, C. M., M.D., Zhang, G., Kruszon-Moran, D. (2017). Hypertension Prevalence and Control among Adults: The United States, 2015–2016 NCHS.

[7] Meiqari, L., Essink, D., Wright, P., Scheele, F. (2019). Prevalence of Hypertension in Vietnam: A Systematic Review and Meta-Analysis. Asia Pacific Journal of Public Health, Vol. 31(2) 101112 Doi: 10.1177/1010539518824810 https://journals.sagepub.com/home/aph.

[8] Huang, Y., Guo, P., Karmacharya, B. M., Seeruttun, S. R., Xu, D. R., Hao, Y. (2019). Prevalence of hypertension and prehypertension in Nepal: a systematic review and meta-analysis. Global Health Institute (SGHI), School of Public Health and Institute of National Governance of Sun Yet-sen University. https://ghrp.biomedcentral.com/articles/10.1186/s41256-019-0102-6.

[9] Nahimana, M., Alypio Nyandwi, A., Muhimpundu, M. A., Olu, O., Condo, J. U., Rusanganwa, A., Koama, J. B., Ngoc, C. T., Gasherebuka, J. B., Ota, M. O., and Okeibunor, J. C. (2018). A population-based national estimate of the prevalence and risk factors associated with hypertension in Rwanda: implications for prevention and control. BMC Public Health 18:2 DOI 10.1186/s12889-017-4536-9.

[10] Wei, Q., Sun, J., Huang, J., Zhou, H. Y., Ding, Y. M., Tao, Y. C., He, S. M., Liu, Y. L., Niu, J. Q. (2015). Prevalence of hypertension and associated risk factors in Dehui City of Jilin Province in China. Macmillan Publishers Limited Journal of Human Hypertension 64–6.

[11] World Health Organization. (2019). Hypertension. https://www.who.int/news-room/fact-sheets/detail/hypertension.

[12] Adeloye, D., Basquill, C. (2014). Estimating the Prevalence and Awareness Rates of Hypertension in Africa: A Systematic Analysis. Centre for Population Health Sciences, University of Edinburgh Medical School. 9(8): e104300. Doi: 10.1371/journal.pone.0104300. Plos One www.plosone.org. Volume 9, Issue 8 e104300.

[13] Ntulil, S. T., Maimela, E., Alberts, M., Choma, S., Dikotope, S. (2015). Prevalence and associated risk factors of hypertension amongst adults in a rural community of Limpopo Province, South Africa. Department of Public Health, University of Limpopo, Polokwane Campus, South Africa. http://www.phcfm.org.doi:10.4102/phcfm. v7i1.847.

[14] Guwatudde1, D., Nankya-Mutyoba, J., Kalyesubula, R., Laurence, C., Adebamowo, C., Ajayi, I. O., Bajunirwe, F., Njelekela, M., Chiwanga, F. S., Reid, T., Volmink, J., Adami, H., Michelle D. Holmes, M. D., Dalal, S. (2015). The burden of hypertension in sub-Saharan Africa: a four-country cross-sectional study. Makerere University College of Health Sci.

[15] Campbell, N. R. C., Lemogoum, D. (2015). Hypertension in sub-Saharan Africa: a massive and increasing health disaster are awaiting solution. Cardiovascular Journal of Africa. Volume 26, No 4, CDC Principles of Epidemiology in Public Health Practice, Third Edition. An Introduction to Applied Epidemiology and Biostatistics Lesson 3, Section 2: Morbidity Frequency Measures retrieved from, https://www.cdc.gov/csels//ss1978/lesson3/section2.html. On 26 May 2021 at 1735 hours.

[16] Addo, J., Smeeth, L., Leon, D. A. (2007). Hypertension in Sub-Saharan Africa: A Systematic Review. Doi:10.1161/Hypertensionaha.107.093336.

[17] Dzudie, A., Rayner, B., Ojji, D., Schutte, A. E., Twagirumukiza, M., Damasceno, A., Ba, S. A., Kane, A., (2017). Roadmap to Achieve 25% Hypertension Control in Africa by 2025 on behalf of the Pascar task force on hypertension. Cardiovascular Journal of Africa Volume 28, No 4, 262. Doi: 10.5830/CVJA-2017-040

[18] Mills, K. T., Bundy, J. D., Kelly, T. N., Reed, J. E., Kearney, P. M., Reynolds, K., Chen, J., He, J. (2016). Disparities of Hypertension Prevalence and Control: A Systematic Analysis of Population-based Studies from 90 Countries. Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine 134:441–450. DOI: 10.1161/Circulationaha.115.018912.

[19] Yan, L. D., Chi, B. H., Sindano, N., Bosomprah, S., Stringer, J. S. A., Chilengi, R. (2015). Prevalence of hypertension and its treatment among adults presenting to primary health clinics in rural Zambia: analysis of an observational database. BMC Public Health 15:933 DOI 10.1186/s12889-015-2258-4.

[20] Goma, F. M., Mwewa, B., Tembo, G. K., Kachamba, M., Syatalimi, C. (2019). May Measurement Month 2017: Blood pressure screening results from Zambia—Sub-Saharan Africa. https://academic.oup.com/eurheartjsupp/article-abstract/21/Supplement.

[21] Rush, K. L., Goma, F. M., Barker, J. A., Olivier, R. A., Ferrier, M. S., Singini, D. (2018). Hypertension prevalence and risk factors in rural and urban Zambian adults in the western province: a cross-sectional study. The Pan African Medical Journal – ISSN: 1937- 8688 www.panafrican-med-journal.com.

[22] Oelke, N., Rush, K., Goma, F., Barker, J., Marck, P., Pedersen, C. (2015). Understanding Perceptions and Practices for Zambian Adults in Western Province at Risk for Hypertension: An Exploratory Descriptive Study. VL - 8. DO - 10.5539/gjhs. v8n2p248 - 259. Global journal of health science.

[23] Mulenga, D., Siziya, S., Rudatsikira, E., Mukonka, V. M., Babaniyi, O., Songolo, P., Muula, A. (2013).  District specific correlates for hypertension in Kaoma and Kasama rural districts of Zambia. Rural and Remote Health 2013; 13: 2345. https://doi.org/10.22605/RRH2345.

[24] Arries, E. J., Maposa, S. (2013). Cardiovascular Risk Factors Among Prisoners: An Integrative Review Volume 9. www.journalforensinursing.com.

[25] Porter, L. C. (2014). Incarceration and Post-release Health Behavior. Journal of Health and Social Behavior Doi: 10.1177/0022146514531438 2014 55 Department of Sociology Kent State University Kent, https://www.researchgate.net/publication/262695433.

[26] Houle, B. (2014). The Effect of Incarceration on Adult Male BMI Trajectories, United States, 1981–2006. March; 1(1): 21–28. Doi: 10.1007/s40615-013-0003-1. NIH-P. Institute of Behavioral Science, University of Colorado.

[27] Mokoko, P. (2018). Health Literacy for Hypertension in the Inmate Population. Walden Dissertations and Doctoral Studies Walden University. Doctoral Studies Collection. https://scholarworks.waldenu.edu/cgi/viewcontent.cgi?article=6253&context=dissertati.

[28] Han, H., Chan, K., Song, H., Nguyen, T., Lee, J., T. Kim, M. T. (2011). Development and Evaluation of a Hypertension Knowledge Test for Korean Hypertensive Patients. J Clin Hypertens (Greenwich). 2011; 13(10):750-757. doi:10.1111/j.1751-7176.2011.00497. x.

[29] Timnou, A. T., Boombhi, J., Njonnou, S. R. S., Jingi, A. M., Efon, K. N., Bâ, H., Mfeukeu-Kuate, L., Nganou-Ngnindjo, C. N., Amougou, S. N., Essomba, M. N., Kebiwo, O. K., Ndjonya, S. T., Mayap, V. P., Menanga, A. P., Kingue, S. (2019). Prevalence of hypertension and associated risk factors among a group of prisoners in Yaoundé Central Prison: a cross-sectional study. Journal of Xiangya Medicine.  University of Yaoundé http://dx.doi.org/10.21037/jxym.2019.05.01.

[30] Gambhir, S. (2018). Prevalence of Hypertension among Incarcerated Males of Jhumka Regional Prison, Eastern Nepal.  Journal of Hypertension: Volume 36 - Issue - p e345 doi: 10.1097/01.hjh.0000549409.97583.00.

[31]  Yamane, Taro. (1967). Statistics: An Introductory Analysis, 2nd Edition, New York: Harper and Row.

[32] Umbach, R., Raine, A., Leonard, N. R. (2017). Cognitive Decline as a Result of incarceration and the
effects of a CBT/MT intervention. A Cluster-Randomized Controlled trial. Criminal Justice and Behavior, 2018, Vol. 45, No. 1, January 2018, 31 –55. DOI: 10.1177/0093854817736345. 2017 International Association for Correctional and Forensic Psychology.

[33] Sanne, S., Muntner, P., Kawasaki, L., Hyre, A., Desalvo, K. B. 2008. Hypertension    Knowledge among Patients from an Urban Clinic. Ethnicity & Disease, Volume 18. Ethn Dis. 2008; 18(1):42-47. https://pubmed.ncbi.nlm.nih.gov/18447098.