Sociodemographic and lifestyle determinants of blood pressure in adult Nigerians.

IF 2.3 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Health Pub Date : 2025-05-02 DOI:10.1093/inthealth/ihaf048

Oluseyi Adegoke, Ifedayo A Odeniyi, Oluwadamilola O Ojo, Obianuju B Ozoh, Ayesha O Akinkugbe, Njideka U Okubadejo

{"title":"Sociodemographic and lifestyle determinants of blood pressure in adult Nigerians.","authors":"Oluseyi Adegoke, Ifedayo A Odeniyi, Oluwadamilola O Ojo, Obianuju B Ozoh, Ayesha O Akinkugbe, Njideka U Okubadejo","doi":"10.1093/inthealth/ihaf048","DOIUrl":null,"url":null,"abstract":"Background: Blood pressure (BP) trends are influenced by genetic, sociodemographic and lifestyle factors, with notable population-specific variations. This study assessed the impact of these determinants on BP in urban Nigerians to identify high-risk subgroups and inform targeted interventions.Methods: We conducted a cross-sectional study of 5076 adults ages 18-92 y (51.1% female) from Lagos, Nigeria. Data were collected using a modified World Health Organization STEPS protocol, including standardized BP measurements. Multiple linear regression models evaluated the effects of sociodemographic (age, sex, education, marital status and occupation) and lifestyle factors (tobacco/alcohol use, physical activity and fruit/vegetable consumption) on systolic BP (SBP) and diastolic BP (DBP) trends.Results: Age and marital status (married/cohabiting) significantly predicted higher SBP and DBP. Male sex, previously married, low physical activity and current tobacco use independently predicted elevated SBP, while alcohol consumption and employment type (salaried and self-employment) predicted higher DBP. The impacts of these factors on SBP and DBP ranged from β=0.03 to 0.28. Low fruit/vegetable consumption was not a significant independent predictor.Conclusions: Sociodemographic and lifestyle factors exhibit unique patterns in influencing BP among urban Nigerians. Tailored public health strategies, including alcohol/tobacco risk awareness, access to health screening and socio-economic/marital support, are essential for effective hypertension prevention in this population.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/inthealth/ihaf048","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Blood pressure (BP) trends are influenced by genetic, sociodemographic and lifestyle factors, with notable population-specific variations. This study assessed the impact of these determinants on BP in urban Nigerians to identify high-risk subgroups and inform targeted interventions.

Methods: We conducted a cross-sectional study of 5076 adults ages 18-92 y (51.1% female) from Lagos, Nigeria. Data were collected using a modified World Health Organization STEPS protocol, including standardized BP measurements. Multiple linear regression models evaluated the effects of sociodemographic (age, sex, education, marital status and occupation) and lifestyle factors (tobacco/alcohol use, physical activity and fruit/vegetable consumption) on systolic BP (SBP) and diastolic BP (DBP) trends.

Results: Age and marital status (married/cohabiting) significantly predicted higher SBP and DBP. Male sex, previously married, low physical activity and current tobacco use independently predicted elevated SBP, while alcohol consumption and employment type (salaried and self-employment) predicted higher DBP. The impacts of these factors on SBP and DBP ranged from β=0.03 to 0.28. Low fruit/vegetable consumption was not a significant independent predictor.

Conclusions: Sociodemographic and lifestyle factors exhibit unique patterns in influencing BP among urban Nigerians. Tailored public health strategies, including alcohol/tobacco risk awareness, access to health screening and socio-economic/marital support, are essential for effective hypertension prevention in this population.

查看原文本刊更多论文

尼日利亚成年人血压的社会人口统计学和生活方式决定因素。

背景：血压（BP）趋势受遗传、社会人口学和生活方式因素的影响，具有显著的人群特异性差异。本研究评估了这些因素对尼日利亚城市人群中BP的影响，以确定高危亚群，并为有针对性的干预措施提供信息。方法：我们对来自尼日利亚拉各斯的5076名18-92岁的成年人（51.1%为女性）进行了横断面研究。采用改良的世界卫生组织STEPS方案收集数据，包括标准化血压测量。多元线性回归模型评估了社会人口统计学（年龄、性别、教育、婚姻状况和职业）和生活方式因素（吸烟/饮酒、体育活动和水果/蔬菜消费）对收缩压（SBP）和舒张压（DBP）趋势的影响。结果：年龄和婚姻状况（已婚/同居）显著预测收缩压和舒张压升高。男性、已婚史、低体力活动和当前吸烟独立预测收缩压升高，而饮酒和就业类型（受薪和自营职业）预测舒张压升高。这些因素对收缩压和舒张压的影响范围为β=0.03 ~ 0.28。低水果/蔬菜摄入量不是显著的独立预测因子。结论：社会人口和生活方式因素在影响尼日利亚城市人群的血压方面表现出独特的模式。量身定制的公共卫生战略，包括对酒精/烟草风险的认识、获得健康检查和社会经济/婚姻支持，对于有效预防这一人群的高血压至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.50

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： International Health is an official journal of the Royal Society of Tropical Medicine and Hygiene. It publishes original, peer-reviewed articles and reviews on all aspects of global health including the social and economic aspects of communicable and non-communicable diseases, health systems research, policy and implementation, and the evaluation of disease control programmes and healthcare delivery solutions. It aims to stimulate scientific and policy debate and provide a forum for analysis and opinion sharing for individuals and organisations engaged in all areas of global health.