Background. Hypertension, coupled with prehypertension and other hazards such as high blood pressure, is responsible for 8·5 million deaths from stroke, ischaemic heart disease, other vascular diseases, and renal disease worldwide. Hypertension is the fifth commonest cause of outpatient morbidity in Ghana. Some evidence have illustrated geographical variation in hypertension and it seems to have a heavy toll on women in southern Ghana compared to the north. This study seeks to determine the prevalence and associatedfactors of hypertension among women in southern Ghana using the most recent demographic and health survey (DHS) data set. Materials and Methods. This study used data of 5,662 women from the current DHS data from Ghana that was conducted in 2014. Data were extracted from the women’s file of the 2014 Ghana DHS. The outcome variable of this current study was hypertension and it was measured by blood pressure, according to guidelines of the Joint National Committee Seven (JNC7). Multivariable binary logistic regression analyses were performed to establish the factors associated with hypertension at the individual and community levels. Results. Prevalence of hypertension among women in southern Ghana was 16%. Women aged 40–44 years (aOR = 8.04, CI = 4.88–13.25) and 45–49 years (aOR = 13.20, CI = 7.96–21.89] had the highest odds of hypertension relative to women aged 15–19 years. Women with two births (aOR = 1.45, CI = 1.01–2.07) and those with three births (aOR = 1.47, CI = 1.01–2.15) had a higher likelihood of being hypertensive. Greater Accra women had higher odds (aOR = 1.35, CI = 1.02–1.79) of being hypertensive relative to the reference category, women from the Western region. Women of Guan ethnicity had a lesser likelihood (aOR = 0.54, CI = 0.29–0.98) of being hypertensive. Women who engaged in agriculture had the least likelihood (aOR = 0.72, CI = 0.52–0.99) of being classified hypertensive compared to unemployed women. Conclusion. This study has revealed the prevalence of hypertension among women in southern Ghana. The associated factors include age, parity, region, and occupation. As a result, existing interventions need to be appraised in the light of these factors. Of essence is the need for Ghana Health Service to implement wide-embracing health promotion initiatives that accommodate the nutritional, exercise, and lifestyle needs of women in southern Ghana. Having more children is associated with higher propensity of hypertension and consequently, women need to limit childbearing to reduce their chances of being hypertensive. It will also be advisable for women in the Greater Accra region to have frequent hypertension screening, as women in the region exhibited higher hypertension prospects.

中文翻译：

---

加纳南部女性高血压患病率及相关因素：来自 2014 年 GDHS 的证据

背景。高血压，加上高血压前期和高血压等其他危害，导致全世界 8·500 万人死于中风、缺血性心脏病、其他血管疾病和肾病。高血压是加纳门诊发病的第五大常见原因。一些证据表明高血压的地域差异，与北部相比，加纳南部的女性似乎遭受了沉重的打击。本研究旨在使用最新的人口与健康调查 (DHS) 数据集确定加纳南部女性高血压的患病率和相关因素。材料和方法. 本研究使用了 2014 年在加纳进行的当前 DHS 数据中的 5,662 名女性的数据。数据是从 2014 年加纳 DHS 的女性档案中提取的。根据第七届全国联合委员会 (JNC7) 的指南，本研究的结果变量是高血压，它是通过血压测量的。进行多变量二元逻辑回归分析以确定与个体和社区水平的高血压相关的因素。结果. 加纳南部女性的高血压患病率为 16%。与 15-19 岁的女性相比，40-44 岁（aOR = 8.04，CI = 4.88-13.25）和 45-49 岁（aOR = 13.20，CI = 7.96-21.89）的女性患高血压的几率最高。两胎 (aOR = 1.45, CI = 1.01–2.07) 和三胎 (aOR = 1.47, CI = 1.01–2.15) 患高血压的可能性更高。阿克拉大区的女性患高血压的几率更高 (aOR = 1.35, CI = 1.02-1.79) 相对于参考类别，来自西部地区的女性。关族女性患高血压的可能性较小 (aOR = 0.54, CI = 0.29-0.98)。从事农业的女性患高血压的可能性最小与失业女性相比，被归类为高血压的可能性（aOR = 0.72，CI = 0.52–0.99）。. 这项研究揭示了加纳南部女性高血压的患病率。相关因素包括年龄、胎次、地区和职业。因此，需要根据这些因素评估现有的干预措施。本质上，加纳卫生服务需要实施广泛的健康促进举措，以满足加纳南部妇女的营养、锻炼和生活方式需求。生育更多的孩子与更高的高血压倾向有关，因此，女性需要限制生育以减少患高血压的机会。还建议大阿克拉地区的女性经常进行高血压筛查，因为该地区的女性表现出更高的高血压前景。