Mediating effects of hypertension in association between household wealth disparities and diabetes among women of reproductive age: analysis of eight countries in sub-Saharan Africa
2024

Hypertension's Role in Diabetes and Wealth Disparities Among Women in Africa

Sample size: 71577 publication 10 minutes Evidence: high

Author Information

Author(s): Nyarko Samuel H, Addo Isaac Y, Ayebeng Castro, Dickson Kwamena S, Acquah Evelyn

Primary Institution: University of South Carolina

Hypothesis

Hypertension status will mediate the association between household wealth and diabetes status in the selected eight countries in SSA.

Conclusion

Hypertension status partly contributes to the associations between household wealth disparities and diabetes status among women in the selected countries.

Supporting Evidence

  • 1.1% of women reported being diagnosed with diabetes.
  • Women with diabetes were more likely to have hypertension (54.9% vs 9.9%).
  • Hypertension status mediated 27.4% of the association between household wealth and diabetes.

Takeaway

This study found that women with higher household wealth are more likely to have diabetes, and hypertension plays a part in this link.

Methodology

Cross-sectional study using data from Demographic and Health Surveys for eight SSA countries, with sample-weighted logistic regression and causal mediation analyses.

Potential Biases

Potential recall bias in self-reported diabetes and hypertension status.

Limitations

The study's reliance on cross-sectional data limits causal inference, and self-reported data may introduce bias.

Participant Demographics

Women of reproductive age (15-49 years) from eight sub-Saharan African countries.

Statistical Information

P-Value

0.002

Confidence Interval

95% CI 4.62 to 7.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1093/inthealth/ihae013

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