Magnitude, trend, and pattern of hypertension among adults aged 15 and above -Dire Dawa, Ethiopia.

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Abstract

Background Hypertension is a significant public health issue globally, recognized as a primary modifiable risk factor for cardiovascular, cerebrovascular, and end-stage renal diseases. However, there is limited knowledge regarding hypertension trends. This study aimed to analyze five years of secondary data to assess the magnitude, trend, and pattern of hypertension in Dire Dawa, Ehiopia. Method A descriptive cross-sectional study was conducted from November 25 to December 30, 2020. Data were sourced from Health Management Information System (HMIS) and District Health Information System 2 (DHIS2) reports covering the years 2015 to 2019. Completeness of data was ensured by reviewing all elements, while consistency was verified by comparing reports from health facilities with the regional health bureau database. Data were analyzed using Microsoft Excel 2013, with cleaning processes in place to correct errors and remove duplicates. Percentages, rates, and ratios were used to present the data in tables and graphs. Results A total of 30,623 cases of hypertension were reported between 2015 and 2019, indicating a prevalence of 3.7% among adults aged 15 years and older. Of these cases, 97.5% were urban residents. The prevalence among females was higher (359 per 10,000), compared to males (285 per 10,000). Notably, the prevalence trend increased from 2.2% in 2015 to 3.7% in 2019. The death-to-case ratio was recorded at 17 per 10,000. Conclusion The prevalence of hypertension in this report is notably low compared to previous studies. The data shows a higher prevalence among females and in urban areas. These findings underscore the need for enhanced screening and routine assessments in health facilities, alongside regular monitoring for hypertension. Promoting community interventions that encourage healthier eating and increased physical activity is essential for prevention. Finally, developing systems for early detection and comprehensive treatment of hypertension, especially targeting urban populations and women at higher risk, is vital for improving health outcomes.

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