Author(s)

Mohamed Lamine Dramé^1*, Corine Houehanou², Paulin Sogbohossou³, René Paré³, Armand Ekambi³, Carmelle Mizéhoun-Adissoda², Dismand Houinato², Karel Gyselinck³, Michael Marx⁴, Maria Rosáttrio Oliveira Martins¹, Paulo Ferrinho¹

¹GHTM, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Lisbon, Portugal.
²Faculty of Health Sciences, Laboratory of epidemiology of Chronic and Neurological Diseases (LEMACEN), Abomey-Calavi University, Cotonou, Benin.
³Belgium Technical Cooperation—BTC, Cotonou, Benin.
⁴Heidelberg University, Heidelberg, Germany.

Objective: The aim of this work was to determine the prevalence, associated factors and quality of high blood pressure (HBP) management in three regions of Benin in 2015. Methodology: This was a cross-sectional study, with two components. The first component included adults aged from 18 to 69 years, selected using a three-stage random sampling within the households. Data were collected thanks to the French version of the WHO STEPS instrument. Anthropometric data, including blood pressure, capillary fasting glucose and total cholesterol were measured according to standard procedures. The second component included Public Health Centers (PHC) selected by a random stratified multi-stage sampling. Data were collected on the structures and the processes of HBP management using the standardized tool for assessing the capacities of management of non-communicable diseases in peripheral health centers provided by the World Health Organization. Results: A total of 4816 participants were included in the first component. The mean age was 35.8 ± 12.7 years. The weighted prevalence of HBP was 27.9% (95% Confidence Interval (CI) [25.6 - 30.2]). It was higher in the 60 - 69 years compared to the lower age groups (Adjusted Odd-ratio (ORa) = 5; 95% CI [3.9 - 6.5)]). HBP was positively associated with urban residence (ORa = 1.26; 95% CI [1.24 - 1.28]), obesity (ORa = 1.46; 95% CI [1.43 - 1.50]), hyperglycemia (ORa = 1.13; 95% CI [1.10 - 1.15)]) and hypercholesterolemia (ORa = 1.64; 95% CI [1.59 - 1.70)]). A total of 27 PHC were included in the second component. Taking blood pressure and other anthropometric measurements was not routine in PHC. Several essential medicines were not available in the PHC. A low level of community involvement in the management of HBP was noted. Conclusion: This study confirms the high prevalence of HBP and shows inadequacies in its management in the targeted PHC. More appropriate prevention and control measures for HBP should be implemented.

High Blood Pressure, Determinants, Management, Benin

Dramé, M. , Houehanou, C. , Sogbohossou, P. , Paré, R. , Ekambi, A. , Mizéhoun-Adissoda, C. , Houinato, D. , Gyselinck, K. , Marx, M. , Martins, M. and Ferrinho, P. (2018) Determinants of High Blood Pressure and Quality of Management in Three Regions of Benin. Open Journal of Epidemiology, 8, 14-28. doi: 10.4236/ojepi.2018.81002.