Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Home Print this page Email this page
Users Online:: 203
ORIGINAL ARTICLE
Year : 2009  |  Volume : 12  |  Issue : 4  |  Page : 155-158

Gender disparity in antihypertensive utilization and blood pressure control


1 Department of Pharmacology, College of Health Sciences, Usmanu Danfodiyo University, Sokoto, Nigeria
2 Department of Medicine, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria

Correspondence Address:
S A Isezuo
Department of Medicine, Usmanu Danfodiyo Univerity Teaching Hospital, Sokoto
Nigeria
Login to access the Email id


Rights and Permissions

Background: Gender consideration is not factored into guidelines for management of hypertension. We determined whether there is gender disparity in drug treatment of hypertension in a poor resource setting hypertensive population. Methods: Two hundred and sixty indigenous Nigerians (females, n=191, males n=69) aged 50.7 ± 11.3 years who were being managed for hypertension in the outpatient unit of three health care institutions (one tertiary and 2 secondary) were selected by simple random sampling during their clinic visits. Demographic data, baseline blood pressures and antihypertensive treatment regimens were obtained from their case records. Patient's adherence to therapy was assessed using 30 days self reports. Anthropometric parameters including heights and weights, and blood pressure at last clinic visit were measured. Results: Males and females did not differ significantly in baseline blood pressures (P>0.2), Higher rates of blood pressure control (P=0.02) and adherence rate to antihypertensive therapy (P = 0.002) were observed among males compared to females. Females were more likely than men to receive a three - time daily regimen (P<0.001), and cite financial constraint as a reason for non-adherence (P=0.01). Angiotensin converting enzyme inhibitors and alpha methyldopa were more freguently prescribed in males (P=0.02) and females (P<0.001), respectively. Conclusion: Gender disparity occurs in the utilization of certain antihypertensives and blood pressure control in the study population. This may be related to biologic, cultural and economic factors.


[PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed319    
    Printed11    
    Emailed0    
    PDF Downloaded36    
    Comments [Add]    

Recommend this journal