Socioeconomic inequality for hypertension among reproductive age women aged 15–49 from five Sub-Saharan Africa countries

A decomposition analysis of DHS Data

Bibliographic Data

ID19592384
AuthorsDaniel Bekele Ketema (0000-0002-7464-7814, Debre Markos University), Desalegn Markos Shifti (0000-0001-6638-6194, The University of Queensland), Teketo Kassaw Tegegne (0000-0002-9137-3632, Deakin University), Daniel Bogale Odo (0000-0001-7412-5584, Australian Institute of Aboriginal and Torres Strait Islander Studies), Subash Thapa (0000-0002-1182-8511, Charles Sturt University), Abel Dadi, Abel Fekadu Dadi (0000-0001-9967-7713, Addis Continental Institute of Public Health), Tahir Ahmed Hassen (University of Newcastle Australia), Getiye Dejenu Kibret (0000-0002-1374-5744, Macquarie University), Zemenu Yohannes Kassa (0000-0002-3496-7493, Charles Sturt University), Zemen Y Kassa, Erkihun Amsalu (0009-0008-5072-9998, The University of Sydney), Yonatan M Mesfin (0000-0002-0010-9845, Murdoch Children's Research Institute), Habtamu Mellie Bizuayehu (0000-0002-1360-4909, The University of Queensland), Sewunet Admasu Belachew (0000-0002-1050-8188, The University of Queensland), Meless Gebrie Bore (0000-0002-8210-2726, University of Technology Sydney), Abdulbasit Seid (0000-0002-5979-3426, Monash University), Kedir Yimam Ahmed (0000-0003-3797-5234, Charles Sturt University)
EditorsHassan Haghparast Bidgoli
Year2025
Volume5
Issue7
Pagese0004738
Publication date2025-07-02
Open AccessYes
TypeARTICLE
VenuePLOS Global Public Health (JOURNAL)
Journal identifiersISSN: 2767-3375 • E-ISSN: 2767-3375
PublisherPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0004738
PMID40601665
OpenAlexW4411951287
LanguageEN
Citations received1
References cited35

Hypertension is a significant public health issue in sub-Saharan Africa, especially among reproductive-aged women. This study aims to assess and decompose socioeconomic inequalities in hypertension across five SSA countries using DHS data. Our study analyzed the latest Demographic and Health Survey data from five SSA countries, including Benin, Cameroon, Ghana, Kenya, and Lesotho. We selected these five SSA countries based on data availability and conducted analyses using the Erreygers normalized concentration index (ECI) and concentration curve to measure and decompose inequalities.A weighted total sample of 52,076 reproductive-age women in SSA were included. The overall weighted ECI was estimated to be 0.06 (95% confidence interval (CI):0.049; 0.065). Key contributors to socioeconomic inequalities in hypertension include wealth quantile (126%), media exposure (19%), and educational attainment (2.3%), marital status (-34.3%), and residence (-31.7).In conclusion, there is a clear pro-rich socioeconomic inequality in hypertension among reproductive-age women in Sub-Saharan Africa. Wealth index, marital status, media exposure, and place of residence are the primary drivers of this disparity. Addressing these socioeconomic disparities through targeted interventions can significantly reduce hypertension rates among reproductive-aged women in SSA

Confidence interval · Developing country · Economic growth · Economics · Environmental health · Geography · Inequality · Marital status · Population · Psychological intervention · Reproductive health · Residence · Socioeconomic status · Socioeconomics · Sociology · Demography · Global Health Care Issues · Global Maternal and Child Health · Healthcare Systems and Reforms · Mathematics · Medicine · Gerontology

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