ABSTRACT
Introduction: Hypertension is a global health challenge and its prevalence is increasing rapidly amongst adults in many African countries. Some studies on the prevalence and risk factors of hypertension have been conducted in Nigeria; but none within Delta State. We assessed the prevalence of hypertension and associated risk factors amongst adults in three villages in the Ibusa community in Delta State; Nigeria.Method: Homesteads were randomly selected and all consenting adults (= 18 years of age) were recruited for this cross-sectional study (134 individuals: 48 men; 86 women). Sociodemographic data and anthropometric measurements (weight; height and abdominal circumference) were recorded. Diagnosis of hypertension was based on blood pressure= 140/90 mmHg.Result: Hypertension prevalence in this rural community was 44%. Results from one village (Ogboli: 82%) and ethnic group (Ibo: 50%) were significantly higher than in others in the same variable category. Multivariate logistic regression analysis suggested increasing age; increasing body mass index and high salt intake as prominent risk factors for hypertension. Lack of funds and equipment shortage in clinics were most often reported as barriers to healthcare.Conclusion: A nutritional education programme to promote low-cholesterol and low-salt diets is recommended to specifically target people in higher-risk areas and of higher-risk ethnicity. Local barriers to accessing health care need to be addressed