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. 2016 May 5;11(5):e0154287.
doi: 10.1371/journal.pone.0154287. eCollection 2016.

Beliefs of Health Care Providers, Lay Health Care Providers and Lay Persons in Nigeria Regarding Hypertension. A Systematic Mixed Studies Review

James Tosin Akinlua  1 , Richard Meakin  1 , Philip Fadahunsi  2 , Nick Freemantle  1
Affiliations

Beliefs of Health Care Providers, Lay Health Care Providers and Lay Persons in Nigeria Regarding Hypertension. A Systematic Mixed Studies Review

James Tosin Akinlua et al. PLoS One. .

Abstract

Background: Hypertension is a major health risk factor for mortality globally, resulting in about 13% of deaths worldwide. In Nigeria, the high burden of hypertension remains an issue for urgent attention. The control of hypertension, among other factors, is strongly determined by personal beliefs about the illness and recommended treatment.

Objective: The aim of this review is to systematically synthesize available data from all types of studies on beliefs of the Nigerian populace about hypertension.

Methods: We searched the following electronic databases; Medline, EMBase, PsycInfo, AMED from their inception till date for all relevant articles. A modified Kleinman's explanatory model for hypertension was used as a framework for extraction of data on beliefs about hypertension.

Results: The search yielded a total of 3,794 hits from which 16 relevant studies (2 qualitative, 11 quantitative and 3 mixed methods studies) met the inclusion criteria for the review. Overall, most health care providers (HCPs) believe that stress is a major cause of hypertension. Furthermore, reported cut-off point for uncomplicated hypertension differed widely among HCPs. Lay Health Care Providers such as Patent Medicine Vendors' beliefs about hypertension seem to be relatively similar to health care professionals in areas of risk factors for hypertension, course of hypertension and methods of treatment. Among Lay persons, misconception about hypertension was quite high. Although some Nigerians believed that life style habits such as alcohol intake, exercise levels, cigarette smoking were risk factors for developing hypertension, there was discordance between belief and practice of control of risk factors. However, beliefs across numerous ethnic groups and settings (urban/rural) in Nigeria have not been explored.

Conclusion: In order to achieve control of hypertension in Nigeria, interventions should be informed, among other factors, by adequate knowledge of beliefs regarding hypertension across the numerous ethnic groups in Nigeria, settings (rural/urban), age and sex.

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Conflict of interest statement

Competing Interests: The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. Flow diagram of included studies.
See this image and copyright information in PMC

References

    1. World Health Organization. Global health risks: Mortality and burden of disease attributable to selected major risks Geneva: World Health Organization; 2009.
    1. Kearney P.M. Global burden of hypertension: analysis of worldwide data. Lancet, 2005; 365(9455):217–223. - PubMed
    1. Akinlua J.T., Meakin R., Umar A.M., Freemantle N. Current Prevalence Pattern of Hypertension in Nigeria: A Systematic Review. PLoS ONE, 2015; 10(10): e0140021 10.1371/journal.pone.0140021 - DOI - PMC - PubMed
    1. Chobanian A.V., Bakris G.L., Black H.R, Cushman W.C., Green L.A., et al. The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure: The JNC 7 report. JAMA, 2003; 289(19):256–72. - PubMed
    1. BeLue R., et al. An overview of cardiovascular risk factor burden in sub-Saharan African countries: a sociocultural perspective. Globalization and health, 2009; 5(1) 10.1186/1744-8603-5-10 - DOI - PMC - PubMed

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