Imperial College London
Alternate

DrJamesBennett

Faculty of Medicine, School of Public Health

Statistical Manager
 
 
 
//

Contact

 

umahx99

 
 
//

Location

 

1120Sir Michael Uren HubWhite City Campus

//

Summary

 

Publications

Citation

BibTex format

@article{Clark:2021:10.1371/journal.pmed.1003850,
author = {Clark, SN and Bennett, JE and Arku, RE and Hill, AG and Fink, G and Adanu, RM and Biritwum, RB and Darko, R and Bawah, A and Duda, RB and Ezzati, M},
doi = {10.1371/journal.pmed.1003850},
journal = {PLoS Medicine},
title = {Small area variations and factors associated with blood pressure and body-mass index in adult women in Accra, Ghana: Bayesian spatial analysis of a representative population survey and census data},
url = {http://dx.doi.org/10.1371/journal.pmed.1003850},
volume = {18},
year = {2021}
}
Download

RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BackgroundBody-mass index (BMI) and blood pressure (BP) levels are rising in sub-Saharan African cities, particularly among women. However, there is very limited information on how much they vary within cities, which could inform targeted and equitable health policies. Our study aimed to analyse spatial variations in BMI and BP for adult women at the small area level in the city of Accra, Ghana.Methods and findingsWe combined a representative survey of adult women’s health in Accra, Ghana (2008 to 2009) with a 10% random sample of the national census (2010). We applied a hierarchical model with a spatial term to estimate the associations of BMI and systolic blood pressure (SBP) and diastolic blood pressure (DBP) with demographic, socioeconomic, behavioural, and environmental factors. We then used the model to estimate BMI and BP for all women in the census in Accra and calculated mean BMI, SBP, and DBP for each enumeration area (EA). BMI and/or BP were positively associated with age, ethnicity (Ga), being currently married, and religion (Muslim) as their 95% credible intervals (95% CrIs) did not include zero, while BP was also negatively associated with literacy and physical activity. BMI and BP had opposite associations with socioeconomic status (SES) and alcohol consumption. In 2010, 26% of women aged 18 and older had obesity (BMI ≥ 30 kg/m2), and 21% had uncontrolled hypertension (SBP ≥ 140 and/or DBP ≥ 90 mm Hg). The differences in mean BMI and BP between EAs at the 10th and 90th percentiles were 2.7 kg/m2 (BMI) and in BP 7.9 mm Hg (SBP) and 4.8 mm Hg (DBP). BMI was generally higher in the more affluent eastern parts of Accra, and BP was higher in the western part of the city. A limitation of our study was that the 2010 census dataset used for predicting small area variations is potentially outdated; the results should be updated when the next census data are available, to the contemporary population, and changes over time should be evaluated.Conc
AU  - Clark,SN
AU  - Bennett,JE
AU  - Arku,RE
AU  - Hill,AG
AU  - Fink,G
AU  - Adanu,RM
AU  - Biritwum,RB
AU  - Darko,R
AU  - Bawah,A
AU  - Duda,RB
AU  - Ezzati,M
DO  - 10.1371/journal.pmed.1003850
PY  - 2021///
SN  - 1549-1277
TI  - Small area variations and factors associated with blood pressure and body-mass index in adult women in Accra, Ghana: Bayesian spatial analysis of a representative population survey and census data
T2  - PLoS Medicine
UR  - http://dx.doi.org/10.1371/journal.pmed.1003850
UR  - https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1003850
UR  - http://hdl.handle.net/10044/1/106413
VL  - 18
ER  -
Download