Alleviating the public health burden of hypertension: debating precision prevention as a possible solution
Hypertension is a major global health concern, with deaths attributed to the condition expected to increase to 1.57 million by 2034, particularly affecting low-and-middle-income countries such as those within sub-Saharan Africa. Non-communicable diseases, with hypertension as a core contributor, acc...
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| Language: | English |
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Taylor & Francis Group
2024-12-01
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| Series: | Global Health Action |
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| Online Access: | http://dx.doi.org/10.1080/16549716.2024.2422169 |
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| author | Madeleine J. Samakosky Shane A. Norris |
| author_facet | Madeleine J. Samakosky Shane A. Norris |
| author_sort | Madeleine J. Samakosky |
| collection | DOAJ |
| description | Hypertension is a major global health concern, with deaths attributed to the condition expected to increase to 1.57 million by 2034, particularly affecting low-and-middle-income countries such as those within sub-Saharan Africa. Non-communicable diseases, with hypertension as a core contributor, account for 74.36% of global deaths. The burden of hypertension in sub-Saharan Africa is significant, with an estimated 10–20 million people currently affected. Systemic barriers, such as fragmented health services and socioeconomic inequalities, coupled with shifts in greater salt-intake, ultra-processed foods, more sedentary lifestyles, and overburdened healthcare services, have exacerbated elevated blood pressure and poorer management of people living with hypertension in sub-Saharan Africa. Most public health strategies focus on detecting, treating, and controlling hypertension through lifestyle modifications and medication. However, evidence suggests only 10% of population hypertension is well managed. This indicates a growing need to shift towards preventative efforts. Precision prevention, a tailored health intervention approach utilising individual and population-specific factors – genetic, environmental, and social determinants – offers a potential alternative. Precision prevention aims to deliver the right preventative measures to the right population at the right time, promising to enhance intervention efficiency and health outcomes. This paper highlights various intervention levers, including environmental, biological, and behavioural modifications, examines case studies from high-income countries, and discusses the potential for implementing precision prevention in South Africa. While precision prevention shows promise, we also discuss the significant barriers to its implementation in LMICs such as those within sub-Saharan Africa. |
| format | Article |
| id | doaj-art-92f6a05ecdaf447091e437ab4ba4cd93 |
| institution | Kabale University |
| issn | 1654-9880 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
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| series | Global Health Action |
| spelling | doaj-art-92f6a05ecdaf447091e437ab4ba4cd932025-02-05T12:46:14ZengTaylor & Francis GroupGlobal Health Action1654-98802024-12-0117110.1080/16549716.2024.24221692422169Alleviating the public health burden of hypertension: debating precision prevention as a possible solutionMadeleine J. Samakosky0Shane A. Norris1University of the WitwatersrandDepartment of Paediatrics, School of Clinical Medicine, University of the WitwatersrandHypertension is a major global health concern, with deaths attributed to the condition expected to increase to 1.57 million by 2034, particularly affecting low-and-middle-income countries such as those within sub-Saharan Africa. Non-communicable diseases, with hypertension as a core contributor, account for 74.36% of global deaths. The burden of hypertension in sub-Saharan Africa is significant, with an estimated 10–20 million people currently affected. Systemic barriers, such as fragmented health services and socioeconomic inequalities, coupled with shifts in greater salt-intake, ultra-processed foods, more sedentary lifestyles, and overburdened healthcare services, have exacerbated elevated blood pressure and poorer management of people living with hypertension in sub-Saharan Africa. Most public health strategies focus on detecting, treating, and controlling hypertension through lifestyle modifications and medication. However, evidence suggests only 10% of population hypertension is well managed. This indicates a growing need to shift towards preventative efforts. Precision prevention, a tailored health intervention approach utilising individual and population-specific factors – genetic, environmental, and social determinants – offers a potential alternative. Precision prevention aims to deliver the right preventative measures to the right population at the right time, promising to enhance intervention efficiency and health outcomes. This paper highlights various intervention levers, including environmental, biological, and behavioural modifications, examines case studies from high-income countries, and discusses the potential for implementing precision prevention in South Africa. While precision prevention shows promise, we also discuss the significant barriers to its implementation in LMICs such as those within sub-Saharan Africa.http://dx.doi.org/10.1080/16549716.2024.2422169precision preventionhypertensionafricapublic healthcardiovascular disease (cvd)health interventionsepidemiologysub-saharan africapreventive medicine |
| spellingShingle | Madeleine J. Samakosky Shane A. Norris Alleviating the public health burden of hypertension: debating precision prevention as a possible solution Global Health Action precision prevention hypertension africa public health cardiovascular disease (cvd) health interventions epidemiology sub-saharan africa preventive medicine |
| title | Alleviating the public health burden of hypertension: debating precision prevention as a possible solution |
| title_full | Alleviating the public health burden of hypertension: debating precision prevention as a possible solution |
| title_fullStr | Alleviating the public health burden of hypertension: debating precision prevention as a possible solution |
| title_full_unstemmed | Alleviating the public health burden of hypertension: debating precision prevention as a possible solution |
| title_short | Alleviating the public health burden of hypertension: debating precision prevention as a possible solution |
| title_sort | alleviating the public health burden of hypertension debating precision prevention as a possible solution |
| topic | precision prevention hypertension africa public health cardiovascular disease (cvd) health interventions epidemiology sub-saharan africa preventive medicine |
| url | http://dx.doi.org/10.1080/16549716.2024.2422169 |
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