Advertisement

Hypertension prevalence, awareness, treatment, and control in Surinamese living in Suriname and The Netherlands: the HELISUR and HELIUS studies

  • Frederieke Sophie Diemer
  • Marieke Brigitte Snijder
  • Charles Agyemang
  • Yentl Christina Haan
  • Fares Aziz Karamat
  • Gert Alexander van Montfrans
  • Glenn Paul Oehlers
  • Ronaldus Joannes Gerardus Peters
  • Lizzy Maritza Brewster
  • Karien StronksEmail author
IM - ORIGINAL
  • 11 Downloads

Abstract

We studied hypertension prevalence, awareness, treatment, and control among persons living in a middle-income country compared with those of similar ethnicity living in a high-income country. Data from the cross-sectional HELISUR and HELIUS studies were used among 1000 Surinamese and 6971 Surinamese migrants living in The Netherlands (18–70 years), respectively. Groups were formed based on country and self-defined ethnicity, and stratified by sex. Age-adjusted odds ratios (OR) with 95% confidence intervals (CI) were calculated for hypertension prevalence, awareness, treatment, and control. Subsequently, we focused on hypertension prevalence and adjusted for risk factors for hypertension: BMI and waist circumference (model 2), educational level, physical activity, and smoking (model 3). After adjustment for age, no significant differences in hypertension prevalence, awareness, treatment, and control between countries were seen in men. However, women in Suriname were more often hypertensive with lower levels of awareness and control than those in The Netherlands (African: OR 1.54 [95% CI 1.19, 2.00]; South-Asian: 1.90 [1.35, 2.67]; awareness: 0.62 [0.43, 0.88] in African women; control: 0.48 [0.28, 0.84] in South-Asian women). Higher hypertension prevalence was explained by differences in BMI and waist circumference in African women (adjusted OR 1.26 [0.96, 1.65]) and by education, physical activity, and smoking in South-Asian women (adjusted OR 1.29 [0.87, 1.89]). Particularly, women in Suriname bear a relatively high hypertension burden with lower levels of awareness and control. As the higher hypertension prevalence was mainly explained by lifestyle-related risk factors, health promotion interventions may reduce the hypertension burden in Suriname.

Keywords

Hypertension Prevalence Awareness Treatment Control Ethnicity 

Notes

Acknowledgements

The HELISUR study is conducted by the Academic Hospital Paramaribo with no external funding. The HELIUS study is conducted by the Academic Medical Center Amsterdam and the Public Health Service of Amsterdam. Both organizations provided core support for HELIUS. The HELIUS study is also funded by the Dutch Heart Foundation, The Netherlands Organization for Health Research and Development, the European Commission, and the European Fund for the Integration of non-EU immigrants (EIF). We are most grateful to the participants, research assistants, interviewers, and other staff who have taken part in gathering the data of these two studies.

Author contributions

FSD drafted the manuscript. MBS, KS, and LMB made substantial contributions in the interpretation of the data and in revising the manuscript. All authors critically reviewed the manuscript.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Statement of human and animal rights

The study protocols were approved by the respective ethic committees of both research institutes and in accordance with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

All participants gave written informed consent prior to the enrolment in the studies.

References

  1. 1.
    Mancia G, Faqard R, Narkiewicz K, Redón J, Zanchetti A, Böhm M et al (2013) ESH/ESC guidelines for the management of arterial hypertension: the task force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). J Hypertens 31:1281–1357CrossRefGoogle Scholar
  2. 2.
    Chow C, Teo K, Rangarajan S, Islam S, Gupta R, Avezum A et al (2013) Prevalence, awareness, treatment, and control of hypertension in rural and urban communities in high-, middle-, and low-income countries. JAMA 310(9):959–968CrossRefGoogle Scholar
  3. 3.
    Mills K, Bundy J, Kelly T, Reed JE, Kearney PM, Reynolds K et al (2016) Global disparities of hypertension prevalence and control: a systematic analysis of population-based studies from 90 countries. Circulation 134(6):441–450CrossRefGoogle Scholar
  4. 4.
    The World Bank Group (2017) Suriname. https://data.worldbank.org/country/suriname
  5. 5.
    Algemeen Bureau voor de Statistiek (2012) Resultaten achtste (8e) volks-en woningtelling in Suriname: ressorten van de districten Paramaribo en Wanica naar etnische groep. https://www.statistics-suriname.org/index.php/statistieken/downloads/category/30-censusstatistieken-2012. Accessed 12 June 2019
  6. 6.
    Diemer F, Baldew S, Haan Y, Aartman JQ, Karamat FA, Nahar-van Venrooij LMW et al (2017) Hypertension and cardiovascular risk profile in a middle-income setting: the HELISUR study. Am J Hypertens 30(11):1133–1140CrossRefGoogle Scholar
  7. 7.
    Diemer F, Aartman J, Karamat F, Baldew SM, Jarbandhan AV, van Montfrans GA et al (2014) Exploring cardiovascular health: the healthy life in Suriname (HELISUR) study. A protocol of a cross-sectional study. BMJ Open 4:e006380CrossRefGoogle Scholar
  8. 8.
    Stronks K, Snijder M, Peters R, Prins M, Schene A, Zwinderman A (2013) Unravelling the impact of ethnicity on health in Europe: the HELIUS study. BMC Public Health 13:402CrossRefGoogle Scholar
  9. 9.
    Snijder M, Galenkamp H, Prins M, Derks EM, Peters RJG, Zwinderman AH et al (2017) Cohort profile: the healthy life in an urban setting (HELIUS) study. BMJ Open 7(12):e017873CrossRefGoogle Scholar
  10. 10.
    Stronks K, Kulu-Glasgow I, Agyemang C (2009) The utility of ‘country of birth’ for the classification of ethnic groups in health research: the Dutch experience. Ethn Health 14(3):255–269CrossRefGoogle Scholar
  11. 11.
    Blikman T, Stevens M, Bulstra S, van den Akker-Scheek I, Reininga I (2013) Reliability and validity of the Dutch version of the international physical activity questionnaire in patients after total hip arthroplasty or total knee arthroplasty. J Orthop Sports Phys Ther 43(9):650–659CrossRefGoogle Scholar
  12. 12.
    Wendel-Vos G, Schuit A, Saris W, Kromhout D (2003) Reproducibility and relative validity of the short questionnaire to assess health-enhancing physical activity. J Clin Epidemiol 56:1163–1169CrossRefGoogle Scholar
  13. 13.
    WHO Expert Consultation (2004) Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 363(9403):157–163CrossRefGoogle Scholar
  14. 14.
    National Institute for Health and Care Excellence (2013) Assessing body mass index and waist circumference thresholds for intervening to prevent ill health and premature death among adults from black, Asian and other minority ethnic groups in the UK. https://www.nice.org.uk/guidance/ph46. Accessed 12 June 2019
  15. 15.
    Stergiou G, Tzamouranis D, Protogerou A, Nasothimiou E, Kapralos C (2008) Validation of the microlife watch BP office professional device for office blood pressure measurement according to the international protocol. Blood Press Monit 13(5):299–303CrossRefGoogle Scholar
  16. 16.
    Agyemang C, Nyaaba G, Beune E, Meeks K, Owusu-Dabo E, Addo J et al (2018) Variations in hypertension awareness, treatment, and control among Ghanaian migrants living in Amsterdam, Berlin, London, and nonmigrant Ghanaians living in rural and urban Ghana—the RODAM study. J Hypertens 36(1):169–177CrossRefGoogle Scholar
  17. 17.
    World Health Organization (2014) Global status report on noncommunicable disease 2014. Geneva. https://apps.who.int/iris/bitstream/handle/10665/148114/9789241564854_eng.pdf;jsessionid=5B8584938446A5E07FE14C38E1204DE4?sequence=1. Accessed 12 June 2019
  18. 18.
    Filippi V, Ronsmans C, Campbell O, Graham WJ, Mills A, Borghi J et al (2006) Maternal health in poor countries: the broader context and a call for action. Lancet 368(9546):1535–1541CrossRefGoogle Scholar
  19. 19.
    Diemer F, Haan Y, Nannan Panday R, van Montfrans G, Oehlers G, Brewster L (2017) Health literacy in Suriname. Soc Work Health Care 56(4):283–293CrossRefGoogle Scholar
  20. 20.
    Donovan-Kicken E, Mackert M, Guinn T, Tollison A, Breckinridge B, Pont S (2012) Health literacy, self-efficacy, and patients’ assessment of medical disclosure and consent documentation. Health Commun 27(6):581–590CrossRefGoogle Scholar
  21. 21.
    McCarthy D, Waite K, Curtis L, Engel K, Baker D, Wolf M (2012) What did the doctor say? Health literacy and recall of medical instructions. Med Care 50(4):277–282CrossRefGoogle Scholar
  22. 22.
    Ngoh L (2009) Health literacy: a barrier to pharmacist-patient communication and medication adherence. J Am Pharm Assoc 49(5):e132–e146CrossRefGoogle Scholar
  23. 23.
    Beune E, Haafkens J, Agyemang C, Schuster J, Willems D (2008) How Ghanaian, African-Surinamese and Dutch patients perceive and manage antihypertensive drug treatment: a qualitative study. J Hypertens 26(4):648–656CrossRefGoogle Scholar

Copyright information

© Società Italiana di Medicina Interna (SIMI) 2020

Authors and Affiliations

  • Frederieke Sophie Diemer
    • 1
    • 2
  • Marieke Brigitte Snijder
    • 5
  • Charles Agyemang
    • 5
  • Yentl Christina Haan
    • 3
  • Fares Aziz Karamat
    • 3
  • Gert Alexander van Montfrans
    • 4
  • Glenn Paul Oehlers
    • 1
  • Ronaldus Joannes Gerardus Peters
    • 2
  • Lizzy Maritza Brewster
    • 6
    • 7
    • 8
  • Karien Stronks
    • 5
    Email author
  1. 1.Department of CardiologyAcademic Hospital ParamariboParamariboSuriname
  2. 2.Department of CardiologyAmsterdam UMC, Univ of AmsterdamAmsterdamThe Netherlands
  3. 3.Department of Vascular MedicineAmsterdam UMC, Univ of AmsterdamAmsterdamThe Netherlands
  4. 4.Department of Internal MedicineAmsterdam UMC, Univ of AmsterdamAmsterdamThe Netherlands
  5. 5.Department of Public Health, Public Health Research InstituteAmsterdam UMC, University of AmsterdamAmsterdamThe Netherlands
  6. 6.The Amsterdam Institute for Global Health and Development (AIGHD)AmsterdamThe Netherlands
  7. 7.Creatine Kinase FoundationAmsterdamThe Netherlands
  8. 8.Department of Public HealthAnton de Kom University of SurinameParamariboSuriname

Personalised recommendations