PREVALENCE AND RISK FACTORS OF HYPERTENSION AMONG ADULT CIVIL SERVANTS IN YOBE STATE, NORTHEAST NIGERIA
Background: Hypertension is the third leading independent risk factor for global burden of diseases. Its prevalence and risk factors remain undocumented in parts of Nigeria. The objective of this study was to determine the prevalence of hypertension and its risk factors among adult civil servants in Yobe State, Nigeria.
Materials and Methods: An analytical cross sectional study was carried out using self-administered validated questionnaire. Weight was measured with a digital bathroom scale (TANITA model) and height was measured using SECA body meter. Blood pressure was measured using an Omron digital sphygmomanometer.
Result: The response rate was 89%. The Overall mean (±SD) systolic blood pressure and diastolic blood pressure were 122.5 mmHg ±15.9, 95% CI (121.0-124.0) and 77.7 mmHg ± 11.2, 95% CI (76.6-78.7) respectively. The overall prevalence of hypertension was 39.3%. It was more prevalent (41.4%) in females than males (38.2%) and increased with age (p<0.16). Respondents aged ≥50 were twice more likely to be hypertensive (OR= 1.72; 95%CI (0.98 – 3.00), p=0.057) than those less than 34 years of age. Similarly, there was more than two-fold chance of hypertension in respondents with positive family history OR= 2.25; 95%CI (1.53-3.33), p<0.001. Also, tobacco users were almost twice likely to be hypertensive OR= 1.83; 95%CI (1.48-4.90), p<0.001. Alcohol consumption increased the risk of hypertension more than two-folds OR= 2.69; 95%CI (1.48-4.90), p<0.001. Finally, low level of physical activity was associated with more than 3 times the likelihood of hypertension OR= 3.36; 95%CI (1.82-6.22), p< 0.001).
Conclusions: Hypertension is highly prevalent among civil servants in Yobe state. Early detection and further epidemiological studies are essential to understand the impact of hypertension at regional and national levels.Keyword: Hypertension, obesity, risk factors, prevalence, Nigeria