ARTERIAL HYPERTENSION IN THE MUNICIPALITY OF HUAMBO: PREVALENCE, RISK FACTORS AND CONTROL IN HEALTH UNITS (JANUARY TO APRIL 2025)
DOI:
https://doi.org/10.47820/recima21.v6i10.6752Keywords:
Arterial hypertension; Risk factors; Prevalence; Treatment adherenceAbstract
Hypertension is the main risk factor for cardiovascular diseases and is associated with high overall mortality, especially in low- and middle-income countries. It is estimated that more than 1.3 billion people live with hypertension, most of them in resource-limited settings where diagnosis, treatment, and control remain insufficient. In Angola, the prevalence is between 33% and 38%, but there are still few studies that delve into the factors associated with the control of the disease. This study aimed to determine the prevalence of hypertension and analyze sociodemographic, behavioral and clinical factors associated with its control in health units in the Municipality of Huambo, between January and April 2025. This is an observational, cross-sectional, quantitative study, carried out in three health units with 1,725 adult participants. Data collection involved a structured questionnaire and blood pressure measurement. Statistical analysis, processed in SPSS 27.0, included descriptive statistics, Pearson's correlation, chi-square and binary logistic regression, adopting p<0.05. The results showed a prevalence of hypertension of 48%, with 56% of patients not having adequate blood pressure control. Age and adherence to treatment were identified as factors associated with control, while schooling showed a significant relationship with treatment adherence. In addition, habits such as high salt consumption, smoking, alcohol use, and sedentary lifestyle were frequent and strongly related to the disease. It is concluded that educational interventions and lifestyle changes, combined with drug treatment, are essential to improve hypertension control.
Downloads
References
1. Paquissi FC, Cuvinje ABP, Cuvinje AB, Paquissi AM. Hypertension among outpatients at a general hospital in South Angola: prevalence, awareness, treatment, and control. Clin Med Insights Cardiol. 2016 jul 3;10:111-6. Disponível em: https://doi.org/10.4137/CMC.S39561
2. Zhou B, Carrillo-Larco RM, Danaei G, Riley LM, Paciorek CJ, Stevens GA, et al. Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: a pooled analysis of 1201 population-representative studies with 104 million participants. Lancet. 2021 set 11;398(10304):957-80. Disponível em: https://doi.org/10.1016/S0140-6736(21)01330-1 DOI: https://doi.org/10.1016/S0140-6736(21)01330-1
3. Monakali S, Goon DT, Seekoe E, Owolabi EO. Prevalence, awareness, control and determinants of hypertension among primary health care professional nurses in Eastern Cape, South Africa. Afr J Prim Health Care Fam Med. 2018 nov 22;10(1):5. Disponível em: https://doi.org/10.4102/phcfm.v10i1.1758 DOI: https://doi.org/10.4102/phcfm.v10i1.1758
4. Solela G, Arega B, Tewabe E, Ambachew R, Kassahun S, Legese S. Prevalence of newly diagnosed hypertension and its associated factors in an opportunistic screening program in Addis Ababa, Ethiopia: an institution-based cross-sectional study. BMC Cardiovasc Disord. 2024 set 14;24(1):492. Disponível em: https://doi.org/10.1186/s12872-024-04171-9 DOI: https://doi.org/10.1186/s12872-024-04171-9
5. Bento T, Landeiro R, Marques AC, Paz R, Miranda M. Hipertensão arterial – vigilância e rastreio de lesão de órgão-alvo. Rev Port Hipertens Risco Cardiovasc. 2025 jan 27;(105):8-12. Disponível em: https://doi.org/10.58043/rphrc.153
6. Addo J, Smeeth L, Leon DA. Hypertension in sub-Saharan Africa. Hypertension. 2007 dez;50(6):1012-8. Disponível em: https://doi.org/10.1161/HYPERTENSIONAHA.107.093336 DOI: https://doi.org/10.1161/HYPERTENSIONAHA.107.093336
7. Lulebo AM, Mapatano MA, Kayembe PK, Mafuta EM, Mutombo PB, Coppieters Y. Assessment of hypertension management in primary health care settings in Kinshasa, Democratic Republic of Congo. BMC Health Serv Res. 2015 dez 24;15(1):573. Disponível em: https://doi.org/10.1186/s12913-015-1236-y DOI: https://doi.org/10.1186/s12913-015-1236-y
8. Paquissi FC, Cuvinje ABP, Cuvinje AB, Paquissi AM. Hypertension among outpatients at a general hospital in South Angola: prevalence, awareness, treatment, and control. Clin Med Insights Cardiol. 2016 jul 3;10:111-6. Disponível em: https://doi.org/10.4137/CMC.S39561 DOI: https://doi.org/10.4137/CMC.S39561
9. Nunes J. Estudo sobre a hipertensão realizado em seis províncias de Angola aponta uma prevalência da doença entre os 33 e 38%. Hoje é dia mundial da hipertensão [Internet]. 2024 [citado 2025 jul 15]. Disponível em: https://rna.ao/rna.ao
10. Gafane-Matemane LF, Craig A, Kruger R, Alaofin OS, Ware LJ, Jones ESW, et al. Hypertension in sub-Saharan Africa: the current profile, recent advances, gaps, and priorities. J Hum Hypertens. 2025;39(2):95-110. Disponível em: https://doi.org/10.1038/s41371-024-00913-6
11. Hu Y, Wang Z, Wang Y, Wang L, Han W, Tang Y, et al. Prevalence, awareness, treatment, and control of hypertension among Kazakhs with high salt intake in Xinjiang, China: a community-based cross-sectional study. Sci Rep. 2017 mar 30;7(1):45547. Disponível em: https://doi.org/10.1038/srep45547 DOI: https://doi.org/10.1038/srep45547
12. Aytenew TM, Kassaw A, Simegn A, Nibret Mihretie G, Asnakew S, Tesfahun Kassie Y, et al. Uncontrolled hypertension among hypertensive patients in sub-Saharan Africa: a systematic review and meta-analysis. PLoS One. 2024 jun 13;19(6):e0301547. Disponível em: https://doi.org/10.1371/journal.pone.0301547 DOI: https://doi.org/10.1371/journal.pone.0301547
13. Gafane-Matemane LF, Craig A, Kruger R, Alaofin OS, Ware LJ, Jones ESW, et al. Hypertension in sub-Saharan Africa: the current profile, recent advances, gaps, and priorities. J Hum Hypertens. 2025;39(2):95-110. Disponível em: https://doi.org/10.1038/s41371-024-00913-6 DOI: https://doi.org/10.1038/s41371-024-00913-6
14. Ferdinand KC. Uncontrolled hypertension in sub-Saharan Africa: now is the time to address a looming crisis. J Clin Hypertens. 2020 set 20;22(11):2111-3. Disponível em: https://doi.org/10.1111/jch.14046 DOI: https://doi.org/10.1111/jch.14046
15. Cappuccio FP, Kerry SM, Micah FB, Plange-Rhule J, Eastwood JB. A community programme to reduce salt intake and blood pressure in Ghana [ISRCTN88789643]. BMC Public Health. 2006 jan 24;6(1):13. Disponível em: https://doi.org/10.1186/1471-2458-6-13 DOI: https://doi.org/10.1186/1471-2458-6-13
16. Ewunie TM, Sisay D, Mekuriaw B, Kabthymer RH. Physical inactivity and its association with hypertension among adults in Ethiopia: a systematic review and meta-analysis. Heliyon. 2022 dez;8(12):e12023. Disponível em: https://doi.org/10.1016/j.heliyon.2022.e12023 DOI: https://doi.org/10.1016/j.heliyon.2022.e12023
17. Twinamasiko B, Lukenge E, Nabawanga S, Nansalire W, Kobusingye L, Ruzaaza G, et al. Sedentary lifestyle and hypertension in a periurban area of Mbarara, South Western Uganda: a population based cross-sectional survey. Int J Hypertens. 2018 maio 6;2018:8253948. Disponível em: https://doi.org/10.1155/2018/8253948 DOI: https://doi.org/10.1155/2018/8253948
18. Cecchini M, Filippini T, Whelton PK, Iamandii I, Di Federico S, Boriani G, et al. Alcohol intake and risk of hypertension: a systematic review and dose-response meta-analysis of nonexperimental cohort studies. Hypertension. 2024 ago;81(8):1701-15. Disponível em: https://doi.org/10.1161/HYPERTENSIONAHA.124.22703 DOI: https://doi.org/10.1161/HYPERTENSIONAHA.124.22703
19. The China PEACE Collaborative Group. Association of age and blood pressure among 3.3 million adults: insights from China PEACE million persons project. J Hypertens. 2021 jun 1;39(6):1143-54. Disponível em: https://doi.org/10.1097/HJH.0000000000002793 DOI: https://doi.org/10.1097/HJH.0000000000002793
20. Peng XM, Wan L, Yu B, Zhang J. The link between adherence to antihypertensive medications and mortality rates in patients with hypertension: a systematic review and meta-analysis of cohort studies. BMC Cardiovasc Disord [Internet]. 2025 [citado 2025 ago 3]; Disponível em: https://bmccardiovascdisord.biomedcentral.com/articles/10.1186/s12872-025-04538-6 DOI: https://doi.org/10.1186/s12872-025-04538-6
21. Guo A, Jin H, Mao J, Zhu W, Zhou Y, Ge X, et al. Impact of health literacy and social support on medication adherence in patients with hypertension: a cross-sectional community-based study. BMC Cardiovasc Disord. 2023 fev 19;23:93. Disponível em: https://doi.org/10.1186/s12872-023-03117-x DOI: https://doi.org/10.1186/s12872-023-03117-x
22. Delavar F, Pashaeypoor S, Negarandeh R. The effects of self-management education tailored to health literacy on medication adherence and blood pressure control among elderly people with primary hypertension: a randomized controlled trial. Patient Educ Couns. 2020 fev;103(2):336-42. Disponível em: https://doi.org/10.1016/j.pec.2019.08.028 DOI: https://doi.org/10.1016/j.pec.2019.08.028
23. Kimani S, Mirie W, Chege M, Okube OT, Muniu S. Association of lifestyle modification and pharmacological adherence on blood pressure control among patients with hypertension at Kenyatta National Hospital, Kenya: a cross-sectional study. BMJ Open. 2019 jan 17;9(1):e023995. Disponível em: https://doi.org/10.1136/bmjopen-2018-023995 DOI: https://doi.org/10.1136/bmjopen-2018-023995
Downloads
Published
License
Copyright (c) 2025 RECIMA21 - Revista Científica Multidisciplinar - ISSN 2675-6218

This work is licensed under a Creative Commons Attribution 4.0 International License.
Os direitos autorais dos artigos/resenhas/TCCs publicados pertecem à revista RECIMA21, e seguem o padrão Creative Commons (CC BY 4.0), permitindo a cópia ou reprodução, desde que cite a fonte e respeite os direitos dos autores e contenham menção aos mesmos nos créditos. Toda e qualquer obra publicada na revista, seu conteúdo é de responsabilidade dos autores, cabendo a RECIMA21 apenas ser o veículo de divulgação, seguindo os padrões nacionais e internacionais de publicação.