Cardiovascular Disease Risk Factors in Ghana during the Rural-to-Urban Transition : A Cross-Sectional Study
- Kodaman, Nuri
- Aldrich, Melinda C
- Sobota, Rafal
- Asselbergs, Folkert W
- Poku, Kwabena A
- Brown, Nancy J
- Moore, Jason H
- Williams, Scott M
DOIAbstract
Populations in sub-Saharan Africa are shifting from rural to increasingly urban. Although the burden of cardiovascular disease is expected to increase with this changing landscape, few large studies have assessed a wide range of risk factors in urban and rural populations, particularly in West Africa. We conducted a cross-sectional, population-based survey of 3317 participants from Ghana (≥18 years old), of whom 2265 (57% female) were from a mid-sized city (Sunyani, population ~250,000) and 1052 (55% female) were from surrounding villages (populations <5000). We measured canonical cardiovascular disease risk factors (BMI, blood pressure, fasting glucose, lipids) and fibrinolytic markers (PAI-1 and t-PA), and assessed how their distributions...
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