Hypertension and Its Associated Mental Health Challenges Among Female African Refugees in Durban, South Africa.

Journal: The Journal of nervous and mental disease

Volume: 209

Issue: 11

Year of Publication: 2022

Affiliated Institutions:  Public Health Medicine.

Abstract summary 

Hypertension is a serious medical condition that leads to various adverse health complications when left untreated. In addition to psychological challenge that female migrant refugees are exposed to premigration, they encounter barriers to care postmigration from xenophobia that affects their hypertension. We investigated the extent and mental health drivers of hypertension in refugees in Durban, South Africa. We interviewed 178 adult female African help-seeking refugees/migrants for hypertension (blood pressure ≥130/90 mm Hg) and mental health challenges (e.g., adverse childhood experience [ACE] and depression using the Center for Epidemiologic Studies-Depression scale). Eighty-six percent (n = 153) of participants were hypertensive, and based on the adjusted regression models, exposure to at least one ACE (adjusted odds ratio [aOR], 2.83; 95% confidence interval [CI], 1.11-7.26) and depression (aOR, 3.54; 95% CI, 1.10-11.37) were associated with hypertension, independent of smoking, alcohol, obesity, and physical exercise status. Hypertension and its associated mental health challenges are overlooked conditions in this population, with further efforts for screening being needed.

Authors & Co-authors:  Munezero Tomita

Study Outcome 

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Statistics
Citations :  Ackerson K, Zielinski R (2017) Factors influencing use of family planning in women living in crisis affected areas of Sub-Saharan Africa: A review of the literature. Midwifery . 54:35–60.
Authors :  2
Identifiers
Doi : 10.1097/NMD.0000000000001387
SSN : 1539-736X
Study Population
Female
Mesh Terms
Adult
Other Terms
Study Design
Study Approach
Country of Study
South Africa
Publication Country
United States