scholarly journals Smokeless tobacco use: its prevalence and relationships with dental symptoms, nutritional status and blood pressure among rural women in Burkina Faso

2020 ◽  
Author(s):  
Jeoffray Diendéré ◽  
Augustin Nawidimbasba Zeba ◽  
Leon Nikiéma ◽  
Ahmed Kaboré ◽  
Paul Windinpsidi Savadogo ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Burkina Faso ◽  
Smokeless Tobacco ◽  
Rural Women ◽  
Significant Risk ◽  
Density Lipoprotein ◽  
Significant Risk Factor ◽  
African Countries ◽  
Nationally Representative ◽  
Sub Saharan

Abstract Background: Sub-Saharan women use smokeless tobacco (SLT) more than smoked tobacco. Among Western African countries, the estimated weighted prevalence of SLT use in rural women was found to be the highest in Burkina Faso (after Sierra Leone). This study aimed to assess the prevalence of SLT use and its associated factors among rural women in Burkina Faso by using nationally representative data.Methods: We used data from the 2013 STEPwise approach to Surveillance (STEPS) study, which provided sociodemographic, clinical (anthropometric, systolic blood pressure [SBP], diastolic blood pressure [DBP] and dental symptoms), biological (total and high-density lipoprotein cholesterol and fasting blood sugar), and tobacco and alcohol consumption data. Data for 1730 rural women were used, and we performed Student’s chi-squared and logistic regression analyses.Results: The prevalence of current SLT use was 13.8% (95% CI: 12.2-15.5). Significant risks for SLT use were the presence of dental symptoms (adjusted odds ratio [aOR] = 2.59; p<0.001), undernourishment (aOR = 1.78; p<0.01), decreased waist circumference (aOR = 0.98; p<0.05), decreased DBP (aOR = 0.97; p<0.01), increased SBP (aOR = 1.01; p<0.05), and increased differential blood pressure (aOR = 1.01; p<0.05). The co-use of alcohol was also a significant risk factor (aOR = 2.80; p<0.001).Conclusion: The prevalence of current SLT use was high among rural women in Burkina Faso, and significant concerns for users included alcohol co-use, the occurrence of dental symptoms, undernourishment, and an increase in differential blood pressure. National Public Health interventions are needed to reduce SLT use and its health-related concerns.

scholarly journals Smokeless tobacco use: its prevalence and relationships with dental symptoms, nutritional status and blood pressure among rural women in Burkina Faso

2019 ◽  
Author(s):  
Jeoffray Diendéré ◽  
N. Augustin Zeba ◽  
Leon Nikiéma ◽  
Ahmed Kaboré ◽  
W. Paul Sawadogo ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Burkina Faso ◽  
Smokeless Tobacco ◽  
Rural Women ◽  
Significant Risk ◽  
Density Lipoprotein ◽  
Significant Risk Factor ◽  
Western Africa ◽  
Nationally Representative ◽  
Sub Saharan

Abstract Introduction: Sub-Saharan women use smokeless tobacco (SLT) more than smoked tobacco. Among Western Africa countries, the estimated weighted prevalence of SLT use in rural women was the highest in Burkina Faso (after Sierra Leone). This study aimed to assess the prevalence of SLT use and its associated factors among rural women in Burkina Faso by using nationally representative data. Methods: We used data from the 2013 STEPwise approach to Surveillance (STEPS) study, which provided sociodemographic, clinical (anthropometric, systolic blood pressure [SBP], diastolic blood pressure [DBP], dental symptoms), biological (total and high-density lipoprotein cholesterol and fasting blood sugar), and tobacco and alcohol consumption data. Data for 1730 rural women were used, and we performed Student’s, chi-squared, and Fisher’s exact tests and logistic regression. Results: The prevalence of current SLT use was 13.8% (95% CI: 12.2-15.5). Significant risks for SLT use were the presence of dental symptoms (adjusted odds ratio [aOR] = 2.59; p = 0.0001), undernourishment (aOR = 1.78; p = 0.002), a decrease in waist circumference (aOR = 0.98; p = 0.023), a decrease in DBP (aOR = 0.97; p = 0.006), increase in the unit of SBP (aOR = 1.01; p = 0.017), and an increase in differential blood pressure (aOR = 1.01; p = 0.041). The co-use of alcohol was also a significant risk factor (aOR = 2.80; p = 0.0001). Conclusion: The prevalence of current SLT use was high among rural women in Burkina Faso, and significant concerns for users included alcohol co-use, the occurrence of dental symptoms, undernourishment, and an increase in differential blood pressure. National Public Health interventions are needed to reduce SLT use and its health-related concerns.

scholarly journals Smokeless tobacco use: its prevalence and relationships with dental symptoms, nutritional status and blood pressure among rural women in Burkina Faso

2020 ◽  
Author(s):  
Jeoffray Diendéré ◽  
Augustin Nawidimbasba Zeba ◽  
Leon Nikiéma ◽  
Ahmed Kaboré ◽  
Paul Windinpsidi Savadogo ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Burkina Faso ◽  
Smokeless Tobacco ◽  
Rural Women ◽  
Significant Risk ◽  
Density Lipoprotein ◽  
Significant Risk Factor ◽  
Western Africa ◽  
Nationally Representative ◽  
Sub Saharan

Abstract Background: Sub-Saharan women use smokeless tobacco (SLT) more than smoked tobacco. Among Western Africa countries, the estimated weighted prevalence of SLT use in rural women was the highest in Burkina Faso (after Sierra Leone). This study aimed to assess the prevalence of SLT use and its associated factors among rural women in Burkina Faso by using nationally representative data. Methods : We used data from the 2013 STEPwise approach to Surveillance (STEPS) study, which provided sociodemographic, clinical (anthropometric, systolic blood pressure [SBP], diastolic blood pressure [DBP], dental symptoms), biological (total and high-density lipoprotein cholesterol and fasting blood sugar), and tobacco and alcohol consumption data. Data for 1730 rural women were used, and we performed Student’s, chi-squared and logistic regression. Results : The prevalence of current SLT use was 13.8% (95% CI: 12.2-15.5). Significant risks for SLT use were the presence of dental symptoms (adjusted odds ratio [aOR] = 2.59; p<0.001), undernourishment (aOR = 1.78; p<0.01), a decrease in waist circumference (aOR = 0.98; p<0.05), a decrease in DBP (aOR = 0.97; p<0.01), increase in SBP (aOR = 1.01; p<0.05), and an increase in differential blood pressure (aOR = 1.01; p<0.05). The co-use of alcohol was also a significant risk factor (aOR = 2.80; p<0.001). Conclusion : The prevalence of current SLT use was high among rural women in Burkina Faso, and significant concerns for users included alcohol co-use, the occurrence of dental symptoms, undernourishment, and an increase in differential blood pressure. National Public Health interventions are needed to reduce SLT use and its health-related concerns.

scholarly journals Smokeless tobacco use: prevalence and relationships with dental symptoms, nutritional status and blood pressure among rural women in Burkina Faso

2019 ◽  
Author(s):  
Jeoffray Diendéré ◽  
N. Augustin Zeba ◽  
Leon Nikiéma ◽  
Ahmed Kaboré ◽  
W. Paul Sawadogo ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Burkina Faso ◽  
Smokeless Tobacco ◽  
Rural Women ◽  
Significant Risk ◽  
Density Lipoprotein ◽  
Chi Square ◽  
Western Africa ◽  
Nationally Representative ◽  
Sub Saharan

Abstract Introduction: Sub-Saharan women use smokeless tobacco (SLT) more than smoked tobacco. Among Western Africa countries, the weighted prevalence estimated that SLT use in rural women was the highest in Burkina Faso (after Sierra Leone). This study aimed to assess the prevalence of SLT use and associated factors among rural women in Burkina Faso by using nationally representative data. Methods: We used variables from the 2013 Stepwise approach to Surveillance study, which provided sociodemographic characteristics, clinical (anthropometric, systolic blood pressure [SBP], diastolic blood pressure [DBP], dental symptoms), biological (total and high-density lipoprotein cholesterol and fasting blood sugar), tobacco and alcohol consumption data. Data for 1730 rural women were operated and we performed student’s, chi-square, and Fisher’s exact tests and logistic regression. Results: The prevalence of current SLT use was 13.8% (95% CI: 12.2-15.5). Significant risks for SLT use were presence of dental symptoms (adjusted odd-ratio [aOR] = 2.59; p = 0.0001), undernourishment (aOR = 1.78; p = 0.002), decrease in the unit of waist circumference (aOR = 0.98; p = 0 .023), decrease in unit of DBP (aOR = 0.97; p = 0.006), increase in the unit of SBP (aOR = 1.01; p = 0.017), or the increase in the unit of differential blood pressure (aOR = 1.01; p = 0.041). Co-use of alcohol was also a significant risk (aOR = 2.80; p = 0.0001). Conclusion: Prevalence of current SLT use was high among rural women in Burkina Faso, and significant concerns for users included alcohol co-use, occurrence of dental symptoms, undernourishment, and the increase in differential blood pressure. National Public Health interventions are needed to reduce SLT use and its health-related concerns.

scholarly journals Smokeless tobacco use: its prevalence and relationships with dental symptoms, nutritional status and blood pressure among rural women in Burkina Faso

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Jeoffray Diendéré ◽  
Augustin Nawidimbasba Zeba ◽  
Léon Nikièma ◽  
Ahmed Kaboré ◽  
Paul Windinpsidi Savadogo ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Nutritional Status ◽  
Burkina Faso ◽  
Tobacco Use ◽  
Smokeless Tobacco ◽  
Rural Women ◽  
Smokeless Tobacco Use

P1586Research network in Africa (RNA): antihypertensive drugs strategies in 12 African countries

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
A Kane ◽  
P Cavagna ◽  
I B Diop ◽  
B Gaye ◽  
J B Mipinda ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Low Income ◽  
Democratic Republic ◽  
Antihypertensive Drugs ◽  
Sub Saharan Africa ◽  
Low Income Countries ◽  
African Countries ◽  
Middle Income ◽  
Middle Income Countries ◽  
Sub Saharan

Abstract Background High Blood Pressure is the worldwide leading global burden of disease risk factor. In Sub-Saharan Africa, the number of adults with raised blood pressure has alarmingly increased from 0.59 to 1.13 billion between 1975 and 2015. Blood pressure-lowering medicines are cornerstone of cardiovascular risk reduction. Data on management of anti-hypertensive drugs in sub-Saharan Africa are squarce. Purpose Our study aims to describe antihypertensive drugs strategies in Africa. Methods We conducted a cross-sectional survey in urban clinics during outpatient consultation specialized in hypertension cardiology departments of 29 medical centers from 17 cities across 12 African countries (Benin, Cameroon, Congo, Democratic Republic of Congo, Gabon, Guinea, Ivory Coast, Mauritania, Mozambic, Niger, Senegal, Togo). Data were collected on demographics, treatment and standardized BP measures were made among the hypertensive patients attending the clinics. Country income was retrieved from the World Bank database. All analyses were performed through scripts developed in the R software (3.4.1 (2017–06–30)). Results A total of 2198 hypertensive patients (58.4±11.8 years; 39.9% male) were included. Among whom 2123 (96.6%) had at least one antihypertensive drug. Overall, 30.8% (n=653) received monotherapy and calcium-channel blockers (49.6%) were the most common monotherapy prescribed follow by diuretics (18.7%). Two-drug strategies were prescribed for 927 patients (43.6%). Diuretics and Angiotensin-converting enzyme inhibitors was the combination most frequently prescribed (33.7%). Combination of three drugs or more was used in 25.6% (n=543) of patients. The proportion of drugs strategies differed significantly according to countries (p<0.001), monotherapy ranged from 12.7% in Niger to 47.1% in Democratic Republic of the Congo (figure). Furthermore we observed a significantly difference of strategies between low and middle income countries (55.3% and 44.7% of monotherapy respectively) (p<0.001). According to hypertension grades 1, 2 and 3, the proportion of three-drugs or more combination was 25%, 28% and 34% in middle-income and lower in low-income countries (18%, 19% and 25%). Furthermore, Grade 3 hypertension in low income countries was still treated with monotherapy (36%) instead of 19% in middle income countries (p<0.01). Antihypertensive strategies by country Conclusion Our study described antihypertensive drugs use across 12 sub-Saharan countries, and identified disparities specific to the income context. Inequity in access to drugs combination is a serious barrier to tackle the burden of hypertension in Africa.

scholarly journals The Costs of Implementing Vaccination With the RTS,S Malaria Vaccine in Five Sub-Saharan African Countries

2019 ◽  
Vol 4 (2) ◽  
pp. 238146831989628 ◽  
Author(s):  
Elisa Sicuri ◽  
Fadima Yaya Bocoum ◽  
Justice Nonvignon ◽  
Sergi Alonso ◽  
Bakar Fakih ◽  
...  
Keyword(s):  
Burkina Faso ◽  
Relevant Information ◽  
Candidate Vaccine ◽  
World Health ◽  
Future Price ◽  
African Countries ◽  
Fourth Dose ◽  
Sub Saharan ◽  
Expanded Program On Immunization ◽  
Health Organization

Background. The World Health Organization has recommended pilot implementation of a candidate vaccine against malaria (RTS,S/AS01) in selected sub-Saharan African countries. This exploratory study aimed to estimate the costs of implementing RTS,S in Burkina Faso, Ghana, Kenya, Mozambique, and Tanzania. Methods. Key informants of the expanded program on immunization at all levels in each country were interviewed on the resources required for implementing RTS,S for routine vaccination. Unit prices were derived from the same sources or from international price lists. Incremental costs in 2015 US dollars were aggregated per fully vaccinated child (FVC). It was assumed the four vaccine doses were either all delivered at health facilities or the fourth dose was delivered in an outreach setting. Results. The costs per FVC ranged from US$25 (Burkina Faso) to US$37 (Kenya) assuming a vaccine price of US$5 per dose. Across countries, recurrent costs represented the largest share dominated by vaccines (including wastage) and supply costs. Non-recurrent costs varied substantially across countries, mainly because of differences in needs for hiring personnel, in wages, in cold-room space, and equipment. Recent vaccine introductions in the countries may have had an impact on resource availability for a new vaccine implementation. Delivering the fourth dose in outreach settings raised the costs, mostly fuel, per FVC by less than US$1 regardless of the country. Conclusions. This study provides relevant information for donors and decision makers about the cost of implementing RTS,S. Variations within and across countries are important and the unknown future price per dose and wastage rate for this candidate vaccine adds substantially to the uncertainty about the actual costs of implementation.

scholarly journals Composite Index of Inclusive Growth in Sub-Saharan Africa: The Inclusion of the Informal Sector

2020 ◽  
pp. 1-16
Author(s):  
Omang Ombolo Messono ◽  
Nsoga Nsoga Mermoz Homère III
Keyword(s):  
Burkina Faso ◽  
Informal Sector ◽  
Composite Index ◽  
Principal Component ◽  
Sub Saharan Africa ◽  
Inclusive Growth ◽  
African Countries ◽  
Positive Growth ◽  
Sub Saharan ◽  
Growth Changes

This paper aims to provide a composite index of inclusive growth in 32 sub-Saharan African countries between 1995 and 2014 by taking into account the importance of the informal sector. Following the principal component analysis methods, we find specifically that except for countries such as Djibouti, Burkina Faso, Mauritius, Nigeria and Zimbabwe, inclusive growth has trended upward over the study period. This trend is non-linear and is characterized by two sub periods. From 1995 to 2005, the composite index of inclusive growth is essentially negative. On the other hand, positive growth in value is recorded over the second sub-period from 2005 to 2014. Overall and on average, these countries have experienced inclusive growth. Moreover, we also note that in countries such as Burkina Faso, Mauritius and Nigeria, on the side-lines of the informal sector inclusive growth has a negative trend. However, when we integrate the informal sector, the trend of inclusive growth changes sign and becomes positive.

scholarly journals The different risk factors for isolated diastolic hypertension and isolated systolic hypertension: a national survey

2021 ◽  
Author(s):  
Kun Xie ◽  
Xiufang Gao ◽  
Liwen Bao ◽  
Ying Shan ◽  
Haiming Shi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Systolic Hypertension ◽  
Young Patients ◽  
Significant Risk ◽  
Significant Risk Factor ◽  
Isolated Systolic Hypertension ◽  
Logistic Analysis ◽  
Diastolic Hypertension ◽  
Convenience Sampling

Abstract Background Hypertension is highly prevalent and is one of the modifiable risk factors for cardiovascular outcomes. Isolated diastolic hypertension (IDH), however, tend to be ignored due to insufficient recognition. We sought to depict the clinical manifestation of IDH and isolated systolic hypertension (ISH) in order to find a more efficient way to improve the management. Methods Patients with primary hypertension aged over 18 years were investigated from all over the country using convenience sampling during 2017–2019. IDH was defined as systolic blood pressure (SBP) < 140 mmHg and diastolic blood pressure (DBP) ≥ 90 mmHg. ISH was defined as SBP ≥ 140 mmHg and DBP < 90 mmHg. Results Totally 8548 patients were screened and 8475 participants were included. The average age was 63.67 ± 12.78 years and male accounted for 54.4%. Among them, 361 (4.3%) had IDH and 2096 had ISH (24.7%). Patients with IDH (54.84 ± 13.21 years) was much younger. Aging turned out to be negatively associated with IDH but positively associated with ISH. Logistic analysis showed BMI was a significant risk factor for IDH (OR 1.30, 95%CI 1.05–1.61, p = 0.018), but not for ISH (OR 1.05, 95%CI 0.95–1.16, p = 0.358). Moreover, smoking was significantly associated with IDH (OR 1.36, 95%CI 1.04–1.78, p = 0.026) but not with ISH (OR 1.04, 95%CI 0.90–1.21, p = 0.653). Conclusions Patients with IDH were much younger and the prevalence decreased with aging. BMI and smoking were remarkably associated with IDH rather than ISH. Keeping fit and giving up smoking might be particularly efficient in the management of young patients with IDH. Trial registration: NCT03862183, retrospectively registered on March 5, 2019

scholarly journals The different risk factors for isolated diastolic hypertension and isolated systolic hypertension: a national survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kun Xie ◽  
Xiufang Gao ◽  
Liwen Bao ◽  
Ying Shan ◽  
Haiming Shi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Systolic Hypertension ◽  
Young Patients ◽  
Significant Risk ◽  
Multivariate Logistic Regression Analysis ◽  
Significant Risk Factor ◽  
Isolated Systolic Hypertension ◽  
Diastolic Hypertension ◽  
Convenience Sampling

Abstract Background Hypertension is highly prevalent and is one of the modifiable risk factors for cardiovascular outcomes. Isolated diastolic hypertension (IDH), however, tends to be ignored due to insufficient recognition. We sought to depict the clinical manifestation of IDH and isolated systolic hypertension (ISH) to find a more efficient way to improve the management. Methods Patients with primary hypertension aged over 18 years were investigated from all over the country using convenience sampling during 2017–2019. IDH was defined as systolic blood pressure (SBP) < 140 mmHg and diastolic blood pressure (DBP) ≥90 mmHg. ISH was defined as SBP ≥ 140 mmHg and DBP < 90 mmHg. Results A total of 8548 patients were screened, and 8475 participants were included. The average age was 63.67 ± 12.78 years, and males accounted for 54.4%. Among them, 361 (4.3%) had IDH, and 2096 had ISH (24.7%). Patients with IDH (54.84 ± 13.21 years) were much younger. Aging turned out to be negatively associated with IDH but positively associated with ISH. Multivariate logistic regression analysis showed BMI was a significant risk factor for IDH (OR 1.30, 95%CI 1.05–1.61, p = 0.018), but not for ISH (OR 1.05, 95%CI 0.95–1.16, p = 0.358). Moreover, smoking was significantly associated with IDH (OR 1.36, 95%CI 1.04–1.78, p = 0.026) but not with ISH (OR 1.04, 95%CI 0.90–1.21, p = 0.653). Conclusions Patients with IDH were much younger, and the prevalence decreased with aging. BMI and smoking were remarkably associated with IDH rather than ISH. Keeping fit and giving up smoking might be particularly efficient in the management of young patients with IDH. Trial registration NCT03862183, retrospectively registered on March 5, 2019.

Women’s Autonomy on Healthcare Decision Making in Sub-Saharan African Countries: A Synthesis

2021 ◽  
Vol 43 (1-3) ◽  
Author(s):  
Nigatu Regassa Geda
Keyword(s):  
Decision Making ◽  
Well Being ◽  
Healthcare Decision ◽  
Economic Activities ◽  
African Countries ◽  
Women’S Autonomy ◽  
Women's Autonomy ◽  
Healthcare Decision Making ◽  
Nationally Representative ◽  
Sub Saharan

ABSTRACT Over the last few decades, despite progress made in improving female’s decision-making dependence, the challenges posed by female’s low status in Sub-Saharan African countries (SSA) are still influential research agenda. The aim of this scooping review is to assess the effects of women’s autonomy on healthcare decision-making. The researchers did the study based on 15 articles selected from PubMed and Google Scholar. The selection deliberated only those published in the last 15 years, primarily based on nationally representative findings from Sub-Saharan African countries. The selected studies focused on decision-making autonomy on healthcare parameters. All studies reported significant positive impacts of female’s decision-making autonomy on children’s health, and women’s well-being, such as improved children’s nutrition, maternal and children’s well-being, reduced mortality rate, and health service utilization. However, the impacts were more substantial or visible at the community level than at individual or household levels. The study recommended strengthening womens’ involvement in education, promoting peer education, improving husband-wife communication, promoting rural women’s participation in economic activities, and owning assets. More importantly, any intervention should focus more on community norms than only individual decision-making per se.

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