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Hypertension and diabetes prevalence, care gaps, and quality of life in older adults: A cross-sectional study across three African nations

This cross-sectional population-based study investigates the prevalence of hypertension and diabetes, associated factors, care cascade achievement, and health-related quality of life among older adults (aged 60+) in The Gambia, South Africa, and Zimbabwe. The study reveals high burdens of hypertension and diabetes across all three countries, with significant gaps in diagnosis, treatment, and control (care cascade). Key findings include low awareness and control rates for hypertension, particularly in The Gambia and Zimbabwe, and substantial impacts on health-related quality of life. The research highlights the urgent need for improved healthcare systems and interventions targeting non-communicable diseases in aging populations across sub-Saharan Africa.

Anthony Muchai Manyara ,6h ago48 min readenInsight
Read on plos.io

Key quotes

The prevalence of hypertension was high across all three countries, with low levels of awareness, treatment, and control, particularly in The Gambia and Zimbabwe.
Diabetes prevalence was also substantial, and the care cascade revealed significant gaps at each stage from diagnosis to glycemic control.
Health-related quality of life was significantly impaired among older adults with hypertension and diabetes, highlighting the broader impact of these conditions beyond clinical metrics.
These findings underscore the urgent need for strengthened health systems to address the growing burden of non-communicable diseases in older populations in sub-Saharan Africa.
The study provides critical evidence for policymakers to design targeted interventions that improve detection, treatment, and long-term management of hypertension and diabetes in older adults.

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