Prevalence of arterial hypertension and evaluation of its associated risk factors among the adult population at Shendi Teaching Hospital, Sudan, 2026

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dc.contributor.authorAbdulqayoum Hassan Ahmed Al-Faki
dc.contributor.authorGhazali Al-Obaid Al-Balla Mohammed
dc.contributor.authorMirghani Abdelrahman Al-Amin Mohammed
dc.contributor.authorMomen Abdelmahmoud Al-Momen
dc.contributor.authorWisam Zuhair Mohammed Bayoumi
dc.date.accessioned2026-10-31T12:26:17Z
dc.date.available2026-10-31T12:26:17Z
dc.date.issued2026
dc.descriptionNapata College
dc.description.abstractBackground: Arterial hypertension remains a critical global health challenge and a primary driver of cardiovascular morbidity and mortality. In sub-Saharan Africa, and specifically Sudan, an ongoing epidemiological transition is increasing the burden of high blood pressure. However, localized data regarding the situation in the Shendi locality—a unique agricultural and tribal hub—is lacking. Establishing local prevalence and identifying risk factors is essential for developing personalized clinical approaches and effective public health interventions. Objective: To estimate the point prevalence of hypertension and evaluate the association between non-modifiable, modifiable, and psychosocial risk factors among the adult population in Shendi Teaching Hospital, River Nile State, Sudan. Methods: A descriptive cross-sectional study was conducted at the internal medicine outpatient clinic of Shendi Teaching Hospital between February and April 2026. A sample of 230 adult patients was recruited using convenience sampling. Data were collected via face-to-face interviews using a structured questionnaire addressing sociodemographics, lifestyle behaviors, and stress levels. Clinical measurements of blood pressure (BP) and Body Mass Index (BMI) were performed. Statistical analysis was conducted using SPSS Version 28, employing Chi-square tests, independent samples T-tests, and Pearson correlation. Results: The point prevalence of hypertension was 14.8% (95% CI: 10.2%–19.4%). While 11.3% were previously aware of their condition, 3.5% were newly identified during screening. Among those previously diagnosed, only 50% were adherent to antihypertensive medications. Significant associations were found between hypertension and advanced age (p<0.001) and a positive family history (27.8% prevalence vs. 3.3% in those without; p<0.001). Obesity emerged as a critical modifiable factor; hypertensive participants had a significantly higher mean BMI (29.3±6.2) compared to normotensives (24.6±7.6 ,p=0.002). Alcohol consumption (p=0.002) and high perceived stress (p=0.017) were also strongly associated with elevated BP. Conclusion: The study reveals a significant "silent" burden of hypertension in Shendi, characterized by a substantial proportion of newly identified cases and high rates of medication non-adherence. The primary drivers are aging, hereditary factors, obesity, and psychosocial VIII stress. Targeted screening programs and adherence counseling are urgently required to prevent long-term complications like stroke and heart failure. Keywords: Sudan, Shendi, Arterial Hypertension, Prevalence, Risk Factors, Obesity, Psychosocial Stress, Medication Adherence.
dc.identifier.urihttp://dspace.napata.edu.sd/handle/123456789/443
dc.language.isoen
dc.publisherNapata College
dc.titlePrevalence of arterial hypertension and evaluation of its associated risk factors among the adult population at Shendi Teaching Hospital, Sudan, 2026
dc.typeThesis
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