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Quantile regression analysis of modifiable and non-modifiable drivers' of blood pressure among urban and rural women in Ghana.

Authors :
Amugsi DA
Dimbuene ZT
Asiki G
Kyobutungi C
Source :
Scientific reports [Sci Rep] 2018 Jun 04; Vol. 8 (1), pp. 8515. Date of Electronic Publication: 2018 Jun 04.
Publication Year :
2018

Abstract

High blood pressure is an increasingly problematic public health concern in many developing countries due to the associated cardiovascular and renal complications. This study set out to investigate the drivers of blood pressure among urban and rural women using the 2014 Ghana Demographic and Health Survey data. Diastolic blood pressure (DBP) and systolic blood pressure (SBP) were the outcomes of interest. Our findings showed that body mass index (BMI) had a significant positive effect on DBP and SBP in both urban and rural settings, with the largest effect occurring among women in the 75 <superscript>th</superscript> quantile. Arm circumference also had a positive effect on DBP and SBP across all quantiles in both settings. Age had an increasing positive effect along the entire conditional DBP and SBP distribution in both settings. Women who were pregnant had lower DBP and SBP relative to those who were not pregnant in both settings. These results highlight the important drivers of DBP and SBP, and the differential effects of these drivers on blood pressure (BP) among women in urban and rural settings. To increase their effectiveness, interventions to address high BP should take into account these differential effects.

Details

Language :
English
ISSN :
2045-2322
Volume :
8
Issue :
1
Database :
MEDLINE
Journal :
Scientific reports
Publication Type :
Academic Journal
Accession number :
29867184
Full Text :
https://doi.org/10.1038/s41598-018-26991-4