Prevalence of Hypertension and Its Associated Factors among Inmates in Nigerian Correctional Centres
Published: 2023-12-16
Page: 171-183
Issue: 2023 - Volume 5 [Issue 1]
F. U. Agu
Department of Physiology, College of Medicine and Health Sciences, Gregory University, Uturu, Abia State, Nigeria.
C. E. Ijioma
Department of Internal Medicine, Abia State Specialist Hospital and Diagnostic Centre, Umuahia, Nigeria.
U. Odom
Disease Control and Immunization Unit, Imo State Primary Health Care Development Agency, Owerri, Imo State, Nigeria.
M. U. Elendu
Department of Physiology, College of Medicine and Health Sciences, Imo State University, Owerri, Nigeria.
N. B. Zurmi
School of Public Health, Texila American University, Guyana.
F. U. Ogunnaya
Department of Internal Medicine, Newark Beth Israel Medical Centre, 201 Lyons Avenue, Newark NJ, USA.
I. O. Abali
Department of Surgery, Abia State University, Uturu, Nigeria.
O. Austin-Jemifor
Internal Medicine, Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham, NHS Foundation Trust, UK.
J. E. Odarah
Department of Surgery, Asaba Specialist Hospital, Asaba, Delta State, Nigeria.
U. J. Ogbonna
Clinical Class 3, Abia State University Teaching Hospital, Aba, Nigeria.
A. C. Amuta
Prince George’s County Health Department, 1701 McCormick Drive, USA.
J. E. Areh
Department of Emergency Medicine, Warrington and Halton Hospitals, NHS Foundation Trust, UK.
A. I. Airaodion *
Department of Biochemistry, Federal University of Technology, Owerri, Imo State, Nigeria.
*Author to whom correspondence should be addressed.
Abstract
Background: This cross-sectional survey aimed to determine the prevalence of hypertension among inmates in Nigerian correctional centres and explore associated risk factors.
Methods: The study included 270 adult inmates (20 years and above) from Owerri Correctional Facility and Onitsha Correctional Facility. Data was collected between August and October 2022 using an interviewer-administered questionnaire and measurements of anthropometric indices (e.g., BMI, waist circumference) and blood pressure (BP). Statistical analysis included descriptive statistics, chi-square tests, and a significance level of 0.05.
Results: The 270 questionnaires administered were all retrieved, cleansed and analyzed. The majority of participants were male (95.93%), of Igbo ethnicity (77.41%), and married (77.04%). The mean age was 41.49 years (SD = 11.29). The prevalence of hypertension was 73.70%, with 34.07% classified as stage 1 hypertension and 21.48% as stage 2 hypertension. None of the participants were aware of their hypertensive status, and none were on medication for hypertension. Factors significantly associated with hypertension included age (p = 0.027), level of education (p = 0.017), duration of incarceration (p = 0.011), conviction status (p = 0.000), occupation before incarceration (p = 0.000), alcohol consumption (p = 0.003), smoking history (p = 0.001), and prior awareness of hypertension (p = 0.001).
Conclusion: Hypertension is highly prevalent among inmates in Nigerian correctional centres, with the majority of affected individuals unaware of their condition. Various sociodemographic and lifestyle factors contributed to the increased risk of hypertension among this population. Early detection, management, and health education programs are essential to address this public health concern in correctional facilities.
Keywords: Hypertension, inmates, Nigerian correctional centres, prevalence, risk factors
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Airaodion AI, Ogbuagu EO. Ameliorative effect of Parkia biglobosa (African locust bean) against egg-yolk induced hypertension. International Journal of Bio-Science and Bio-Technology. 2020;12(5): 17-25.
Tade O. Hypertension in Nigerian Prisons: A case study. Journal of African Health Sciences. 2019;19(2):2301-2310.
Olawale O, Uzodimma D. Health challenges in Nigerian prisons: The prevalence of hypertension. Nigerian Journal of Clinical Practice. 2020;23(4): 567-574.
Adeoye AM. Health data in Nigerian correctional facilities: A critical review. International Journal of Prisoner Health. 2021;17(3):335-346.
Nwagu EN. Mental health and stigma among Nigerian inmates: A look at the impact on hypertension. Journal of Correctional Health Care. 2022;28(1):44-51.
Airaodion AI, Ijioma CE, Ejikem PI, Abali IO, Aminu-Ayinde OE, Ogwu CI, Kalesanwo EA, Amuta AC, Areh JE, Odarah JE, Onyeukwu N, Nwokocha VC, Ogbonna UJ Ogor VE. Prevalence of erectile dysfunction in men with type 2 diabetes mellitus in Osun State, Nigeria. Direct Research Journal of Health and Pharmacology. 2023;10(6):45-52.
Ekeleme NC, Ijioma CE, Unachukwu NA, Ejikem PI, Areh JE, Ogwu CI, Jeffery EO, Esangbedo IJ, Amuta AC, Ojiri PC, Amoji NO, Aminu-Ayinde OE, Amadi ES, Onyeukwu N, Abali IO, Airaodion AI. Attitudes and practices of insecticide treated bed nets usage among rural dwellers in Oyo State, Nigeria. International Journal of Tropical Diseases and Health. 2023;44(15):43-58.
Ijioma CE, Uwalaka IW, Kamanu CO, Okeji IE, Aminu-Ayinde OE, Abali IO, Orji OJ, Omole OR, Madumere CWT, Airaodion AI. Impact of training programs on awareness and practice of lifestyle modifications among hypertensive patients attending outpatient clinic of the University College Hospital, Ibadan, Nigeria. Cardiology and Angiology: An International Journal. 2023;12(4):130–143.
Available:https://doi.org/10.9734/ca/2023/v12i4352.
Ayogu RNB, Ezeh MG, Okafor AM. Prevalence and predictors of different patterns of hypertension among adults aged 20–60 years in rural communities of Southeast Nigeria: A cross-sectional study. Arch Public Health. 2021;79:210.Available:https://doi.org/10.1186/s13690-021-00724-y
Whelton PK, Carey RM, Aronow WS, Casey Jr DE, Collins KJ, Dennison Himmelfarb C, Wright Jr JT. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Journal of the American College of Cardiology. 2018;71(19):e127-e248.
Reingle-Gonzalez JM, Jetelina KK, Olague S, Rowan ZR, Jennings WG. Prevalence and correlates of hypertension in a large cohort of felons: Implications for correctional healthcare. American Journal of Hypertension. 2019;32(12):1173-1181.
Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo Jr JL, Roccella EJ. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension. 2003; 42(6):1206-1252.
Mills KT, Bundy JD, Kelly TN, Reed JE, Kearney PM, Reynolds K, He J. Global disparities of hypertension prevalence and control: A systematic analysis of population-based studies from 90 countries. Circulation. 2016;134(6):441-450.
Binswanger IA. High prevalence of hypertension among inmates in the Colorado Department of Corrections. Journal of General Internal Medicine. 2009;24(9):956-961.
Egan BM, Li J, Qanungo S, Wolfman TE, Knapp D. The gap between recommended and actual blood pressure control: A tale of two countries. Hypertension. 2019;73(3): 602-609.
Binswanger IA, Krueger PM, Steiner JF. Prevalence of chronic medical conditions among jail and prison inmates in the USA compared with the general population. Journal of Epidemiology and Community Health. 2009;63(11):912-919.
Bilal U, Hessel P, Alazraqui M, Aburto TC, Acosta-Cazares B, Reverol C, Cooper R. Life expectancy and mortality in 363 cities of Latin America. Nature Medicine. 2017; 23(7):878-885.
Gupta R, Islam S, Mony P, Kutty VR, Mohan V, Kumar R, Mohan I. Socioeconomic factors and hypertension in Asian Indians: A population-based study. Journal of Human Hypertension. 2020; 34(2):129-137.
Airaodion AI, Ekenjoku JA, Megwas AU, Ngwogu KO, Ngwogu AC. Antihypertensive potential of Coconut (Cocos nucifera L.) water in Wistar rats. Asian Journal of Research in Cardiovascular Diseases. 2019; 1(1):8–15.
Retrieved:https://journalijrrc.com/index.php/AJRCD/article/view/17
Richards LK, Swogger MT, Bubar KM, Pardini DA, Brooks Holliday S. Substance use, violence, and psychiatric symptoms following criminal justice detention in African American and White adults. Journal of Substance Abuse Treatment. 2018;94:36-42.
Wang EA, Redmond N, Dennison Himmelfarb CR. Cardiovascular disease in incarcerated populations. JAMA Cardiology. 2019;4(5):450-451.
Awodele O, Osuolale JA, Adewoye AA, Akintonwa A. Antioxidant, antinociceptive, and anti-inflammatory effects of the ethanolic extract of Dennettia tripetala fruits in laboratory animals. Journal of Traditional and Complementary Medicine. 2015;5(1):23-30.
Iroezindu MO, Isiguzo GC, Chima EI, Mbata GC, Onyedibe KI, Ohanu ME, Umeokonkwo CD. A case of ruptured thoracic aortic aneurysm in a Nigerian patient with long-standing uncontrolled systemic hypertension and associated morbidity: A call for action in Nigerian health care system. The Pan African Medical Journal. 2019;33:28.
Ard JD. Dietary quality and favorable cardiovascular risk factor profile in young adults: The Coronary Artery Risk Development in Young Adults (CARDIA) Study. Archives of Internal Medicine. 2009; 169(1):118-124.
Hu G. Central obesity and risk of cardiovascular disease in the Asia Pacific Region. Asia Pacific Journal of Clinical Nutrition. 2011;20(1):39-46.
Zhang Y. Central obesity and risks of pre- and postmenopausal breast cancer: A dose-response meta-analysis of prospective studies. Obesity Reviews. 2018;19(4):524-534.
Kouyoumdjian FG, Cheng SY, Fung K, Orkin AM. Cardiovascular disease prevalence and risk factors among humanitarian entrants in a Canadian province: A pilot study. Canadian Journal of Public Health. 2016;107(2):e179-e184.
Oladapo OO, Salako L, Sodiq O, Shoyinka K, Adedapo K. Blood pressure patterns in Nigeria: Another look at population data. Journal of Hypertension. 2018;36(6):1286-1292.
Akpoka AO, Agbadi P, Ampadu OA, et al. Prevalence and factors associated with hypertension among prison inmates in the Ashanti Region of Ghana. Journal of Hypertension Research. 2020;4(2):68-75.
Johnson D, Jones RS, Capron L, et al. The prevalence of hypertension in a county jail population: An opportunity for blood pressure control. Journal of Correctional Health Care. 2019;25(4):381-387.
Ogah OS, Okpechi I, Chukwuonye II, Akinyemi JO, Onwubere BJ, Falase AO, Sliwa K. Blood pressure, prevalence of hypertension and hypertension related complications in Nigerian Africans: A review. World Journal of Cardiology. 2015; 7(12):775-786.
Nwefoh E, Aguocha CM, Ryan G. Depression and experience of incarceration in North Central Nigeria: A situation analysis at Makurdi medium security prison. Int J Ment Health Syst. 2020;14:76.
Available:https://doi.org/10.1186/s13033-020-00408-0
Erem C, Hacihasanoglu A, Kocak M, Deger O. Prevalence of prehypertension and hypertension and associated risk factors among Turkish adults: Trabzon hypertension study. Journal of Public Health. 2019;27(6):727-735.
Nwankwo T, Ani C, Ikeh V. Hypertension in Nigeria: A comprehensive review of prevalence studies from inception till 2018. The Nigerian Journal of Clinical Practice. 2018;21(8):1017-1023.
Schoenthaler A, Blum RM, Cuffee Y, Ogedegbe G, Allegrante JP. Self-report versus electronic medical record recorded healthcare utilization among older hypertensive adults. Journal of the American Society of Hypertension. 2019; 13(6):384-391.
Virdis A, Giannarelli C, Neves MF, Taddei S, Ghiadoni L. Cigarette smoking and hypertension. Current Pharmaceutical Design. 2015;21(25):1745-1751.