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Stroke-Risk Factors Differ between Rural and Urban Communities: Population Survey in Central Uganda.
- Source :
-
Neuroepidemiology [Neuroepidemiology] 2015; Vol. 44 (3), pp. 156-65. Date of Electronic Publication: 2015 May 07. - Publication Year :
- 2015
-
Abstract
- Background: Socioeconomic transition is changing stroke risk factors in Sub-Saharan Africa. This study assessed stroke-risk factors and their associated characteristics in urban and rural Uganda.<br />Methods: We surveyed 5,420 urban and rural participants and assessed the stroke-risk factor prevalence and socio-behavioural characteristics associated with risk factors.<br />Results: Rural participants were older with higher proportions of men and fewer poor compared to urban areas. The most prevalent modifiable stroke-risk factors in all areas were hypertension (27.1% rural and 22.4% urban, p = 0.004), overweight and obesity (22.0% rural and 42% urban, p < 0.0001), and elevated waist hip ratio (25.8% rural and 24.1% urban, p = 0.045). Diabetes, smoking, physical inactivity, harmful alcohol consumption were found in ≤5%. Age, family history of hypertension, and waist hip ratio were associated with hypertension in all, while BMI, HIV were associated with hypertension only in urban dwellers. Sex and family history of hypertension were associated with BMI in all, while age, socio-economic status and diabetes were associated with BMI only in urban dwellers.<br />Conclusions: The prevalence of stroke-risk factors of diabetes, smoking, inactivity and harmful alcohol consumption was rare in Uganda. Rural dwellers belonging to a higher age group tended to be with hypertension and elevated waist hip ratio. Unlike high-income countries, higher socioeconomic status was associated with overweight and obesity.<br /> (© 2015 S. Karger AG, Basel.)
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Body Mass Index
Female
Humans
Hypertension complications
Male
Middle Aged
Obesity complications
Prevalence
Risk Factors
Rural Population
Smoking adverse effects
Socioeconomic Factors
Stroke etiology
Uganda
Urban Population
Waist-Hip Ratio
Young Adult
Hypertension epidemiology
Obesity epidemiology
Smoking epidemiology
Stroke epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1423-0208
- Volume :
- 44
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Neuroepidemiology
- Publication Type :
- Academic Journal
- Accession number :
- 25967045
- Full Text :
- https://doi.org/10.1159/000381453