Research Article

Epidemiology of Hypertension Stages in Two Countries in Sub-Sahara Africa: Factors Associated with Hypertension Stages

Table 2

Association between sociodemographic, health behavior, and biological variables with stages of hypertension (pre-HTN, stage 1, and stage 2) compared to normal blood pressure: bivariate multinomial analysis.

Ghana ()South Africa ()
Pre-HTNStage 1Stage 2Pre-HTNStage 1Stage 2
OR (95% CI)OR (95% CI)OR (95% CI)OR (95% CI)OR (95% CI)OR (95% CI)

Age groups (years)
 18–49111111
 50–591 (0.78–1.29)1.93 (1.47–2.54)2.12 (1.59–2.83)2.06 (1.04–4.09)4.77 (2.13–10.67)5.88 (3.01–11.48)
 60–691.15 (0.86–1.54)1.71 (1.25–2.33)2.72 (2.02–3.67)2.66 (1.34–5.28)7.19 (3.38–15.28)7.57 (3.87–14.82)
 70–741.25 (0.94–1.66)1.78 (1.26–2.51)2.51 (1.8–3.51)1.4 (0.57–3.44)6.02 (2.61–13.88)5.25 (2.39–11.5)
 80+1.25 (0.8–1.97)1.77 (1.1–2.84)2.29 (1.47–3.57)3.17 (1.19–8.43)8.95 (3.5–22.89)9.09 (3.77–21.93)
Sex
 Male111111
 Female1.11 (0.78–0.58)1.1 (0.75–1.61)0.82 (0.56–1.21)0.39 (0.14–1.09)0.52 (0.19–0.44)0.43 (0.17–1.06)
Living place
 Urban111111
 Rural0.86 (0.6–1.24)0.69 (0.47–1.03)0.8 (0.51–1.25)2.12 (0.82–5.49)1.92 (0.75–4.88)2.76 (1.14–6.68)
Marital status
 Married111111
 Single1.1 (0.71–1.72)0.85 (0.55–1.3)0.91 (0.59–1.4)1.46 (0.49–4.34)1.32 (0.46–3.77)2.1 (0.8–5.52)
Educational level
 No school111111
 <6 yrs0.82 (0.45–1.49)0.8 (0.44–1.44)0.45 (0.25–0.8)1.58 (0.38–6.53)1.39 (0.44–4.34)1.4 (0.47–4.15)
 Primary0.88 (0.52–1.49)0.93 (0.53–1.64)0.57 (0.33–0.98)1.03 (0.28–3.84)0.73 (0.2–2.66)0.58 (0.17–1.95)
 Secondary1.5 (0.77–2.9)0.95 (0.48–1.92)0.56 (0.26–1.2)0.27 (0.07–1.05)0.17 (0.05–0.61)0.09 (0.03–0.3)
 High school0.87 (0.52–1.45)0.61 (0.35–1.07)0.53 (0.3–0.92)0.18 (0.05–0.63)0.16 (0.04–0.7)0.09 (0.02–0.33)
 University0.62 (0.25–1.56)0.49 (0.18–1.34)0.34 (0.11–1.06)0.24 (0.05–1.13)0.09 (0.02–0.49)0.07 (0.02–0.35)
Occupation
 Public sector111111
 Private0.52 (0.17–1.57)0.97 (0.29–3.23)1.25 (0.38–4.09)2.18 (0.4–12.03)4.32 (1.06–17.55)1.93 (0.49–7.64)
 Self-employed0.89 (0.47–1.72)0.95 (0.49–1.85)0.95 (0.46–1.97)0.65 (0.06–7.18)0.6 (0.07–5.23))0.26 (0.03–2.33)
 Informal0.66 (0.27–1.62)0.64 (0.27–1.55)1.63 (0.6–4.39)0.45 (0.07–2.99)1.4 (0.22–8.72)0.74 (0.16–3.51)
Income
 Quintile 1 (poorest)111111
 Quintile 21.04 (0.6–1.79)0.79 (0.44–1.41)1.26 (0.74–2.14)0.56 (0.14–2.26)0.76 (0.17–3.43)0.62 (0.18–2.14)
 Quintile 31.9 (1.11–3.23)1.67 (0.94–2.96)2.95 (1.76–4.95)0.48 (0.1–2.37)0.6 (0.11–3.15)0.9 (0.2–4.12)
 Quintile 42.19 (1.3–3.68)2.03 (1.14–3.64)2.29 (1.32–3.97)1.13 (0.28–4.6)0.58 (0.15–2.29)1 (0.27–3.73)
 Quintile 5 (richest)1.24 (0.72–2.12)1.27 (0.74–2.21)1.33 (0.73–2.42)1.06 (0.25–4.43)0.7 (0.2–2.42)0.61 (0.18–2.06)
Biological  variables
BMI (kg/m2)
 Underweight111111
 Normal0.9 (0.51–1.6)1.39 (0.76–2.55)0.95 (0.53–1.71)0.59 (0.12–2.87)0.88 (0.16–4.68)0.27 (0.05–1.38)
 Overweight1.44 (0.76–2.74)2.23 (1.09–4.56)1.58 (0.77–3.26)0.39 (0.07–2.06)1.71 (0.28–10.53)0.47 (0.08–2.77)
 Obese2.64 (1.11–6.3)6.62 (2.79–15.69)3.37 (1.37–8.26)2.42 (0.53–11.03)11.72 (2.35–58.43)4.81 (0.98–23.54)
Waist circumference
 Normal111111
 Abnormal1.52 (0.97–2.38)1.79 (1.12–2.87)1.31 (0.8–2.13)0.96 (0.25–3.75)1.38 (0.38–5.04)1.66 (0.49–5.56)
Health related behaviors
Smoking
 No111111
 Yes0.87 (0.56–1.34)0.83 (0.51–1.36)1.33 (0.85–2.07)1 (0.33–3.04)1.83 (0.57–5.84)2.02 (0.69–5.95)
Current alcohol use
 No111111
 Yes1.27 (0.77–2.1)0.99 (0.6–1.65)1.08 (0.66–1.76)0.44 (0.1–1.93)0.98 (0.15–6.56)0.33 (0.08–1.42)
Work related physical activity
 High111111
 Moderate0.75 (0.49–1.15)1 (0.63–1.58)0.82 (0.5–1.33)1.66 (0.35–7.95)0.5 (0.08–2.93)0.83 (0.19–3.62)
 Low0.92 (0.57–1.5)1.29 (0.75–2.23)1.24 (0.72–2.16)4.14 (0.9–19.13)1.38 (0.26–7.42)2.24 (0.56–8.98)
Fruit intake/day
 0-1111111
 2–41.05 (0.72–1.53)0.76 (0.5–1.16)0.83 (0.55–1.25)0.81 (0.28–2.32)0.49 (0.17–1.38)0.3 (0.11–0.81)
 >=52.2 (1.06–4.56)1.94 (0.91–4.14)2.42 (1.29–4.54)0.17 (0.02–1.34)0.15 (0.02–1.03)0.59 (0.07–4.65)
Vegetable intake/day
 0-1111111
 2–41.67 (1.09–2.57)1.07 (0.69–1.68)1.28 (0.78–2.12)0.64 (0.24–1.68)0.3 (0.11–0.82)0.29 (0.11–0.72)
 >=52.07 (0.58–7.43)1.67 (0.36–7.63)0.78 (0.22–2.7)1.13 (0.19–6.74)2.46 (0.29–20.65)4.86 (0.66–35.82)

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