Table 1.
Country | First Author (Year of publication) |
Sample size a | Age group (years) b | Prevalence of Hypertension (%) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
By age group | Midlife c | Total sample | |||||||||||||
Male | Female | Ratio M/F | 95% CI | Male | Female | Ratio M/F | 95% CI | Male | Female | Ratio M/F | 95% CI | ||||
Self-reported hypertension | |||||||||||||||
Egypt | Abolfotouh, M.A. (2008) [23] | 1800 | 18–24 | 0.7 | 2.1 | 0.33 | [0.04-2.59] | 16.6 | 31.6 | 0.53*** | [0.36-0.78] | 7.3 | 10.5 | 0.70 * | [0.51-0.94] |
25–44 | 4.2 | 7.6 | 0.55 * | [0.32-0.97] | |||||||||||
45–64 | 16.6 | 31.6 | 0.53*** | [0.36-0.78] | |||||||||||
> = 65 | 20.0 | 43.8 | 0.46 | [0.19-1.09] | |||||||||||
Jordan | Kulwicki, A. D. (2001) [25] | 209 | 17-34 | 2.3 | 1.6 | 1.44 e | e | 11.1 | 11.4 | 0.97 e | e | 7.1 | 9.6 | 0.74 | [0.29-1.91] |
35-54 | 11.1 | 11.4 | 0.97 e | ||||||||||||
55-93 | 14.3 | 35.3 | 0.41 e | ||||||||||||
Kuwait | Shah, N.M. (2010) [28] | 2487 | 50-59 | 30.7 | 32.0 | 0.96 | [0.77-1.20] | 30.7 | 32.0 | 0.96 | [0.77-1.20] | 52.3 | 49.5 | 1.06 | [0.98-1.14] |
60-69 | 50.8 | 55.1 | 0.92 | [0.81-1.05] | |||||||||||
> = 70 | 67.0 | 69.3 | 0.97 | [0.88-1.06] | |||||||||||
Lebanon | Tohme, R. A. (2005) [30] | 2010a | 30-40 | 5.7 | 5.8 | 0.98 | [0.52-1.86] | 22.0 | 23.1 | 0.95 | [0.75-1.21] | 22.1 | 24.4 | 0.91 | [0.78-1.09] |
41-50 | 13.7 | 15.5 | 0.88 | [0.58-1.34] | |||||||||||
51-60 | 31.3 | 32.6 | 0.96 | [0.73-1.26] | |||||||||||
61-70 | 41.0 | 60.6 | 0.68 ** | [0.53-0.87] | |||||||||||
>70 | 53.4 | 64.6 | 0.83 | [0.63-1.09] | |||||||||||
Diagnosed hypertension based on BP measurements d | |||||||||||||||
Algeria | Hamida, F. (2013) [21] | 722 | 40-49 | 21.1 | 20.6 | 1.02 | [0.59-1.77] | 29.2 | 33.3 | 0.88 | [0.63-1.21] | 51.3 | 49.7 | 1.03 | [0.90-1.21] |
50-59 | 40.8 | 48.1 | 0.85 | [0.58-1.24] | |||||||||||
60-69 | 71.4 | 67.6 | 1.06 | [0.85-1.32] | |||||||||||
> = 70 | 75.7 | 80.6 | 0.94 | [0.80-1.11] | |||||||||||
Jordan | Khader, Y. (2007) [24] | 1121 | 25-44 | 33.0 | 32.2 | 1.02 | [0.79-1.32] | g | 49.5 | 52.0 | 0.95 | [0.84-1.08] | |||
45-85 | 63.7 | 73.2 | 0.87 * | [0.77-0.98] | |||||||||||
KSA | Al-Daghri, N.M. (2011) [26] | 9149 | 18 - 45 | 16.8 | 12.2 | 1.38 *** | [1.18-1.61] | 41.6 | 39.9 | 1.04 | [0.93-1.17] | 31.5 | 23.8 | 1.32 *** | [1.21-1.42] |
46 - 60 | 41.6 | 39.9 | 1.04 | [0.93-1.17] | |||||||||||
61 - 80 | 57.2 | 61.1 | 0.94 | [0.84-1.04] | |||||||||||
Al-Nozha, M. M. (2007) [27] | 17230a | 30-39 | 14.1 | 10.4 | 1.36 *** | [1.18-1.57] | 28.6 | 29.6 | 0.97 | [0.90-1.03] | 28.6 | 23.9 | 1.20 *** | [ 1.14-1.26] | |
40-49 | 23.0 | 24.1 | 0.95 | [0.86-1.06] | |||||||||||
50-59 | 34.9 | 39.5 | 0.88 ** | [0.81-0.96] | |||||||||||
60-70 | 44.6 | 50.4 | 0.88 ** | [0.82-0.96] | |||||||||||
Lebanon | Matar, D. (2015) [29] | 1697 | 21-34 | 20.0 | 9.0 | 2.22*** | [1.43-3.39] | 49.9 | 37.4 | 1.33 *** | [1.14-1.56] | 42.7 | 29.5 | 1.45**f | [1.28-1.68] |
35-49 | 42.0 | 24.0 | 1.75 *** | [1.33-2.28] | |||||||||||
50-64 | 60.0 | 54.0 | 1.11 | [0.94-1.32] | |||||||||||
> = 65 | 76.0 | 68.0 | 1.12 | [0.92-1.37] | |||||||||||
Oman | Al-Riyami A. (2002) [31] | 6414a | 20-39 | 23.9 | 16.8 | 1.42 e | e | 46.5 | 50.7 | 0.92 | e | 35.3 | 31.3 | 1.13***f | [1.06-1.22] |
40-59 | 46.5 | 50.7 | 0.92 e | ||||||||||||
> = 60 | 60.9 | 68.1 | 0.89 e | ||||||||||||
Palestine | Khdour, M. R. (2013) [32] | 2077 | 25-44 | 17.0 | 16.7 | 1.02 | [0.75-1.38] | 34.3 | 27.6 | 1.24 * | [1.03-1.51] | 29.2 | 26.4 | 1.11** | [0.96-1.27] |
45-64 | 34.3 | 27.6 | 1.24 * | [1.03-1.51] | |||||||||||
> = 65 | 52.3 | 48.3 | 1.08 | [0.86-1.37] | |||||||||||
Tunisia | Ben Romdhane, H. (2012) [34] | 8007a | 35-44 | 16.0 | 14.5 | 1.10 | [0.94-1.30] | 24.3 | 29.4 | 0.83*** | [0.76-0.89] | 27.3 | 33.1 | 0.82f | [0.77-0.88] |
45-54 | 26.3 | 33.6 | 0.78*** | [0.69-0.89] | |||||||||||
55-64 | 40.3 | 53.5 | 0.75*** | [0.67-0.85] | |||||||||||
65-74 | 51.1 | 66.0 | 0.77*** | [0.69-0.87] | |||||||||||
Ben Romdhane, H. (2005) [35] | 1837 | 40-49 | 21.4 | 30.4 | 0.70 e | e | g | 38.7 | 48.2 | 0.80*** | [0.72-0.90] | ||||
50-59 | 40.5 | 54.4 | 0.74 e | ||||||||||||
60-69 | 56.0 | 73.0 | 0.77 e | ||||||||||||
Bouguerra, R. (2006) [36] | 3857a | 20-29 | 31.3 | 22.2 | 1.41 ** | [1.10-1.82] | 41.3 | 52.6 | 0.79*** | [0.69-0.89] | 45.2 | 44.0 | 1.03 | [0.96-1.11] | |
30-39 | 28.9 | 29.5 | 0.98 | [0.78-1.22] | |||||||||||
40-49 | 34.4 | 45.5 | 0.76 ** | [0.62-0.91] | |||||||||||
50-59 | 52.4 | 63.1 | 0.83 * | [0.71-0.98] | |||||||||||
60-69 | 65.6 | 75.3 | 0.87 * | [0.78-0.97] | |||||||||||
> = 70 | 76.1 | 82.5 | 0.92 | [0.82-1.03] | |||||||||||
Elasmi, M. (2009) [37] | 2483 | 35-44 | 9.0 | 17.0 | 0.53*** | [0.39-0.75] | 22.9 | 33.0 | 0.69*** | [0.61-0.79] | 25.0 | 36.0 | 0.69*** | [0.62-0.78] | |
45-54 | 30.0 | 43.0 | 0.70*** | [0.59-0.84] | |||||||||||
55-64 | 37.0 | 63.0 | 0.59*** | [0.49-0.71] | |||||||||||
65-69 | 51.0 | 78.0 | 0.65*** | [0.51-0.81] | |||||||||||
UAE | Baynouna, L. M. (2008) [39] | 817 | 20-29 | 5.1 | 1.7 | 3.00 | [0.32-28.01] | 26.2 | 29.4 | 0.89 | [0.65-1.22] | 21.8 | 19.8 | 1.10 | [0.84-1.44] |
30-39 | 11.1 | 7.0 | 1.59 | [0.65-4.00] | |||||||||||
40-49 | 17.0 | 23.0 | 0.74 | [0.42-1.30] | |||||||||||
50-59 | 33.6 | 38.8 | 0.87 | [0.59-1.26] | |||||||||||
> = 60 | 36.8 | 36.7 | 1.00 | [0.57-1.76] |
BP blood pressure, CI Confidence interval, F Female, M Male, SBP systolic blood pressure, DBP diastolic blood pressure
*p <0.05 ** p ≤ 0.01; *** p ≤ 0.001: significant difference between genders. For the age groups and the midlife age categories, p-values were calculated based on chi-square tests assessing the significance of differences in sample proportion. For the total sample, p-values were presented either as reported in the original publications [21, 24, 26–32, 34–37], or calculated based on chi-square tests [23, 25, 39]
aNationally representative studies
bThe age groups that were selected for each study in order to generate midlife prevalence of hypertension are highlighted in bold.
cPrevalence of midlife hypertension by gender was compiled by selecting the age groups falling between 35 to 65 years in the original publications
dHypertension was assessed by actual BP measurements [26, 27, 39], or by either BP measurements or self-report of previous diagnosis [21, 24, 29, 31, 32, 34–37]. For BP measurements, hypertension was identified when SBP > =140 and/or DBP > =90 mmHg for all studies except for Khader et al., 2007 [24] and Bouguerra et al., 2006 [36], where the cut-offs used were SBP > =130 and/or DBP > =85 mmHg
eSignificance between genders and 95% confidence intervals could not be calculated due to insufficient data [25, 31, 35]
fThe significant difference between genders for the total sample, reported from the original publications, was adjusted in three studies [29, 31, 34]
gPrevalence of midlife hypertension could not be determined due to overlapping age ranges [24], or insufficient data to generate pooled prevalence [35]