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González Fernández, Lucia; Firima, Emmanuel; Gupta, Ravi; Sematle, Mamoronts'ane Pauline; Khomolishoele, Makhebe; Molulela, Manthabiseng; Bane, Matumaole; Meli, Raphaela; Tlahali, Mosa; Lee, Tristan; Chammartin, Frédérique; Gerber, Felix; Lejone, Thabo Ishmael; Ayakaka, Irene; Weisser, Maja; Amstutz, Alain; Labhardt, Niklaus Daniel

Prevalence and determinants of cardiovascular risk factors in Lesotho: a population-based survey

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  • Media type: E-Article
  • Title: Prevalence and determinants of cardiovascular risk factors in Lesotho: a population-based survey
  • Contributor: González Fernández, Lucia; Firima, Emmanuel; Gupta, Ravi; Sematle, Mamoronts'ane Pauline; Khomolishoele, Makhebe; Molulela, Manthabiseng; Bane, Matumaole; Meli, Raphaela; Tlahali, Mosa; Lee, Tristan; Chammartin, Frédérique; Gerber, Felix; Lejone, Thabo Ishmael; Ayakaka, Irene; Weisser, Maja; Amstutz, Alain; Labhardt, Niklaus Daniel
  • Published: Oxford University Press (OUP), 2023
  • Published in: International Health (2023)
  • Language: English
  • DOI: 10.1093/inthealth/ihad058
  • ISSN: 1876-3413; 1876-3405
  • Origination:
  • University thesis:
  • Footnote:
  • Description: <jats:title>Abstract</jats:title> <jats:sec> <jats:title>Background</jats:title> <jats:p>There are no recent data on the prevalence of cardiovascular risk factors (CVDRFs) in Lesotho. This study aims to assess the prevalence of CVDRFs and their determinants.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>We conducted a household-based, cross-sectional survey among adults ≥18 y of age in 120 randomly sampled clusters in two districts.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>Among 6061 participants, 52.2% were female and their median age was 39 y (interquartile range 27–58). The overall prevalence of overweight, diabetes, elevated blood pressure (BP) and tobacco use was 39.9%, 5.3%, 21.6% and 24.9%, respectively. Among participants, 34.6% had none, 45.2% had one and 20.2% had two or more CVDRFs. Women were more likely to have two or more CVDRFs (20.7% vs 12.3%). Overall, 7.5% of participants had elevated total cholesterol, 52.7% had low high-density lipoprotein cholesterol and 1.6% had elevated low-density lipoprotein cholesterol. Among younger participants (18–29 y), 16.1% reported tobacco use, 28.6% were overweight, 1.5% had diabetes and 3.5% had elevated BP. Household wealth positively correlated with the prevalence of elevated BP, overweight and diabetes, whereas tobacco use was higher among people in the lowest three wealth quintiles.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions</jats:title> <jats:p>CVDRFs are highly prevalent in Lesotho across age and sex groups, underlining the importance of strengthening prevention and care programs in Lesotho and similar settings in southern Africa.</jats:p> </jats:sec>
  • Access State: Open Access