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Assessment of Hypertension-Induced Deaths in Ghana: A Nation-Wide Study from 2012 to 2016

Journal of Data Analysis and Information Processing 2020年第3期8卷 158-170页

作者： David Adedia Livingstone Asem Simon Kojo Appiah Salifu Nanga Yeboah Boateng Kwabena O. Duedu Lotsi Anani Department of Basic Sciences School of Basic & Biomedical Sciences University of Health and Allied Sciences Ho Ghana Department of Epidemiology & Biostatistics School of Public Health University of Health and Allied Sciences Ho Ghana Department of Statistics and Actuarial Science College of Science Kwame Nkrumah University of Science and Technology Kumasi Ghana Department of Biomedical Sciences School of Basic and Biomedical Sciences University of Health and Allied Sciences Ho Ghana Department of Statistics and Actuarial Science College of Basic and Applied Sciences University of Ghana Legon Ghana

Globally, hypertension is one of the leading causes of death. It can potentially lead to heart disease and stroke, among others, that could result to premature death. In Ghana, hypertension is considered as a disease that contributes to an increase in outpatients’ attendance. To assess the trend differentials of hypertension-induced deaths in Ghana, Chi-square test for equal proportions and marascuilo procedure for pairwise comparison were performed using surveillance data on reported number of deaths from 2012 to 2016 across the then ten regions. The results show that incidence of hypertension-induced mortality was significantly different for almost all the regions and over the years. The incidence of hypertension-induced mortality has significantly reduced from 2012 to 2016. However, Volta Region recorded the highest incidence of mortality cases (p-value less of 0.0001) than the other regions during the period under review, while the Upper East Region recorded continuous increase in incidence of mortality cases with the highest in 2016. The Eastern Region, Central Region, and Greater Accra Region recorded significantly (p-value less of 0.0001) higher incidence of hypertension-induced mortality than the Ashanti Region, Brong Ahafo Region, Northern Region, Western Region and Upper West Region. The Upper West Region and Western Region had the lowest incidence of mortality. The decline in trend of hypertension-induced mortality could be attributed to some healthcare interventions put in place during the period. One of these interventions was the introduction of health insurance in 2003, a development which has been shown to affect the health seeking behaviors of the people. It is, therefore, important to investigate factors affecting these spatial and temporal dynamics in order to determine appropriate ways to actively control the hypertension-induced deaths in the country. Public education on health should be intensified so as to totally curb hypert

关键词： Hypertension Hypertension-Induced Mortality Chi-Square test marascuilo test Incidence Rates Ghana

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