From: Determinants of systemic hypertension in older adults in Africa: a systematic review
No. | Country | Reference | Age | Sex | Residence | Education | Wealth | Occupation |
---|---|---|---|---|---|---|---|---|
1 | Nigeria | Abegunde 2013 [24] |  | Compared with males: Females OR = 1.551; (1.01–2.39; P = 0.046) |  |  | Decreasing monthly income: OR = 0.798; 95%CI = 0.677–0.940; P = 0.007 |  |
2 | Ghana | Boateng 2017 [21] |  | Compared with males: Female sex RR 1.33 (1.04, 1.69) p ≤ 0.05 (Stage 1 SHTN); RR = 1.66 (1.28, 2.15) p ≤ 0.001 (Stage 2 SHTN). | Compared with urban residents: rural RR = 0.86 (0.65, 1.13), NS (Stage 1 SHTN); RR = 0.79 (0.59, 1.05), NS (Stage 2 SHTN). |  | Compared with the poorest adults: the next poor quintile group 2, RR 1.47 (1.02, 2.09) p ≤ 0.05 (Stage 1 SHTN); all other quintile groups NS for stage 1 or stage 2 SHTN |  |
3 | Ghana | Boateng 2017 [21] |  | Compared with males: Female sex RR 0.91 (0.69, 1.19) NS (Stage 1 DHTN); RR = 0.79 (0.61, 1.01) NS (Stage 2 DHTN). | Compared with urban residents: rural RR = 0.91 (0.69, 1.19), NS (Stage 1 DHTN); RR = 0.79 (0.61, 1.02), NS (Stage 2 DHTN). |  | Compared with the poorest adults: the next poor quintile group 2, RR 1.47 (1.03, 2.13) p ≤ 0.05 (Stage 1 DHTN); all other quintile groups NS for stage 1 or stage 2 DHTN |  |
4 | Tanzania | Dewhurst 2013 [25] | Compared with 70–74-year age group: ≥85y OR = 1.53 (1.13–2.08); 75–79 years OR 1.13 (0.89–1.44); 80–84 years OR 1.18 (0.88–1.58) | Compared with males: female, OR 1.80 (1.48–2.20) | Compared with lowland village dwelling: upland dwelling, OR = 1.52 (1.21–1.92) |  |  |  |
5 | Tunisia | Hammami 2011 [26] | NS | NS | NS | NS | Â | Â |
6 | Ghana | Lloyd-Sherlock 2014 [18] | 50–54 (ref.): 55–59 years, OR 1.12 (0.91–1.38); 60–64 years, OR 1.24(0.99–1.56); 65–69 years, OR 1.53 (1.21–1.95); 70–74 years, OR 1.32 (1.04–1.67); 75+ years, OR 1.28 (1.02–1.61) | Female, OR 1.16 (1.00–1.35) | Urban (ref.): rural OR 0.73 (0.63–0.85) | Primary (ref.): None, OR 0.82 (0.69–0.98); Secondary, OR 0.76 (0.53–1.10); Higher, OR 0.96 (0.78–1.18) | Poorest wealth quintile (ref.): Q2, OR 1.11 (0.90–1.38); Q3, OR 1.77 (0.95–1.45); Q4, OR 1.77 (0.94–1.47); Richest, OR 1.16 (0.91–1.48) |  |
7 | South Africa | Lloyd-Sherlock 2014 [18] | 50–54 (ref.): 55–59 years, OR 1.31 (1.13–2.07); 60–64 years, OR 1.53 (0.99–1.56); 65–69 years, OR 1.50 (1.07–2.09); 70–74 years, OR 1.53 (1.02–2.29); 75+ years, OR 1.83 (1.25–2.68) | Female, OR 1.29 (1.05–1.59) | Urban (ref.): rural OR 1.04 (0.83–1.31) | Primary (ref.): None, OR 1.11 (0.85–1.43); Secondary, OR 0.77 (0.57–1.04); Higher, OR 0.67 (0.48–0.93) | Poorest wealth quintile (ref.): Q2, OR 0.87 (0.64–1.17); Q3, OR 1.03 (0.75–1.42); Q4, OR 1.26 (0.90–1.78); Richest, OR 1.26 (0.88–1.80) |  |
8 | Ghana | Lloyd-Sherlock 2017 [19] | 50–54 (ref.): 55–59 years, OR 1.08 (0.85–1.38); 60–64 years, OR 1.19 (0.91–1.54); 65–69 years, OR 1.36 (1.04–1.78); 70–74 years, OR 1.20 (0.92–1.58); 75+ years, OR 1.09 (0.84–1.40) | Female, OR 1.31 (1.12–1.54) | Urban (ref.): rural OR 0.64 (0.52–0.79) | Primary (ref.): None, OR 0.80 (0.66–0.98); Secondary, OR 0.77 (0.51–1.16); Higher, OR 0.94 (0.74–1.19) | Poorest wealth quintile (ref.): Q2, OR 1.20 (0.99–1.46); Q3, OR 1.36 (1.06–1.74); Q4, OR 1.55 (1.19–2.01); Richest, OR 1.68 (1.28–2.21) |  |
9 | South Africa | Lloyd-Sherlock 2017 [19] | 50–54 (ref.): 55–59 years, OR 1.36 (0.93–1.98); 60–64 years, OR 1.58 (0.99–2.54); 65–69 years, OR 1.52 (1.03–2.26); 70–74 years, OR 1.38 (0.79–2.41); 75+ years, OR 1.62 (1.09–2.40) | Female, OR 1.42 (1.09–1.85) | Urban (ref.): rural OR 1.42 (1.09–1.85) | Primary (ref.): None, OR 1.09 (0.81–1.48); Secondary, OR 0.86 (0.57–1.28); Higher, OR 0.59 (0.39–0.90) | Poorest wealth quintile (ref.): Q2, OR 1.00 (0.62–1.62); Q3, OR 1.24 (0.76–2.04); Q4, OR 1.43 (0.88–2.33); Richest, OR 1.80 (1.04–3.12) |  |
10 | Senegal | Macia 2012 [30] | 50–59 year age group (ref.): 60-69y, OR = 1.94 (1.22–3.07), p < 0.01; ≥70y, OR = 2.54 (1.45–4.44), p < 0.01 | Males (ref.): Females OR 1.01 (0.66–1.56) |  | Schooling ≥9 years (ref.): None, OR 1.28 (0.73–2.23);1–8 years, OR 1.23 (0.71–2.14) |  |  |
11 | Kenya | Mathenge 2010 [31] | Age adjusted | Sex adjusted | Urban (ref.): rural OR 0.77 (0.67–0.91) | SES adjusted | SES adjusted |  |
12 | Ghana | Minicuci 2014 [22] | 50–64 (ref.): 65–74 years, OR 1.28 (1.05–1.55); ≥75 years, OR 1.14 (0.90–1.45) | Males (ref.): Females OR 1.14 (0.94–1.38) | Urban (ref.): rural OR 0.77 (0.61–0.97) | None (ref.): Primary, OR 1.07 (0.89–1.30); Secondary, OR 0.90 (0.60–1.35); High school completed, OR 1.15 (0.90–1.46); Tertiary or higher, OR 0.67 (0.43–1.06) |  |  |
13 | Ghana | Nuertey 2017 [34] | Age adjusted | Sex adjusted | Region of residence adjusted | Education adjusted | Â | Social class adjusted |
14 | South Africa | Peltzer 2013 [23] | 50–59 (ref.): 60–69 years, OR 1.30 (0.94–1.79); ≥70 years, OR 1.19 (0.80–1.78) | Males (ref.): Females OR 1.18 (0.61–1.25) |  |  |  |  |
15 | CAR, Congo | Pilleron 2017 [36] | Age (continuous variable); OR = 1.02 (95% CI 1.01–1.04) | NS, OR = 0.98 (0.70–1.37); p = 0.924 | Urban (ref.): rural OR 0.92 (0.71–1.19), p value = 0.528. Living in Congo vs. CAR: OR 1.68 (1.31–2.16) p < 0.001 | Having primary education vs. not having it; OR = 1.09 (0.81–1.46); p = 0.566 |  | Compared with previous occupation as employee/government employee: craftsman/storekeeper OR 1.59 (1.10–2.31); Farmer/breeder/fisherman OR = 1.65 (1.13–2.41); Jobless OR = 1.83 (1.03–3.28). |
16 | Nigeria | Raji 2017 [37] | Age > 69 years, OR 1.16 (0.78–1.72), p value = 0.443 | Males (ref.): Females OR 0.62 (0.48–0.79), p value = 0.001; NS | Urban/semi-urban (ref.): Rural OR 0.53 (0.72–0.98); p = 0.04 | Non-high education (ref.): High educational level OR 2.55 (1.02–6.38), p value = 0.045 |  | High SES, OR 1.50 (0.80–2.86), NS |
17 | Uganda | Scholten 2011 [38] | 50–59 (ref.): 60–69 years, OR 1.13, NS; ≥70 years, OR 2.48; p = 0.01 | Males (ref.): Females OR 1.47; NS | Urban (ref.): Rural OR 0.57; p = 0.04 | Primary (ref.): None, OR 1.35, NS; Secondary or higher, OR 1.38; NS |  |  |
18 | Cameroon | Tianyi 2017 [39] | NS | NS |  | NS |  | Compared with low occupational level (unskilled workers): medium or high level occupational level: OR = 0.56 (0.23–1.32); P = 0.183 |
19 | Ghana | Tyrovolas 2015 [20] | Adjusted for age, sex and marital status | Adjusted for age, sex and marital status |  | Compared with ≤primary level: Secondary OR 1.11 (0.89–1.38), NS; ≥Tertiary, OR 0.66 (0.41–1.06), NS | Compared with middle wealth quintile: Poorest OR 0.83 (0.65–1.07), NS; Poorer, OR 1.02 (0.80–1.30); Richer, OR 1.10 (0.86–1.41); Richest, OR 1.15 (0.87–1.52) |  |
20 | South Africa | Tyrovolas 2015 [20] | Adjusted for age, sex and marital status | Adjusted for age, sex and marital status |  | Compared with ≤primary level: Secondary OR 0.66 (0.46–0.95), p < 0.05; ≥Tertiary, OR 0.66 (0.41–1.06), NS | Compared with middle wealth quintile: Poorest OR 0.85 (0.54–1.35), NS; Poorer, OR 0.78 (0.49–1.24); Richer, OR 0.87 (0.54–1.39); Richest, OR 1.14 (0.69–1.89) |  |