Prevalence and Potential Risk Factors of Hypertension Among Young Adults in Kinondoni Municipal Council, Tanzania

Authors

  • Erasto Kinemelo Department of Environmental Health Sciences, Ruaha Catholic University, Iringa, Tanzania Author
  • Sultan Salim Department of Health Services, Kinondoni Municipal Council, Dar es Salaam, Tanzania Author
  • Nehemia Mahenge Department of Environmental Health Sciences, Ruaha Catholic University, Iringa, Tanzania Author

DOI:

https://doi.org/10.66531/mjph.2026.v1i1.e2

Keywords:

Hypertension, Prevalence, Risk factors

Abstract

Background: Hypertension has emerged as a critical non-communicable disease affecting not only older populations but increasingly young adults, particularly in urbanizing regions such as Kinondoni Municipal Council in Dar es Salaam, Tanzania. Sedentary lifestyles, poor dietary choices, and inadequate awareness have intensified this trend, making early diagnosis and prevention essential. The study aimed at examining the prevalence and potential risk factors of hypertension among young adults in Kinondoni Municipal Council in Dar es Salaam, Tanzania.

Materials and Methods: The study employed a descriptive cross-sectional design, which applied quantitative approach from November, 2024 to June, 2025. A total of 398 young adults aged 18–35 years were involved  from the wards of Kawe, Msasani, and Mikocheni, selected through multistage stratified random sampling. Data were collected using structured questionnaires and direct blood pressure measurements, then analyzed using Statistical Package for Social Sciences (SPSS) version 22.

Results: The study revealed high prevalence of hypertension (37.0%), with most diagnoses occurring between the ages of 20–30 years. Notably, only 16.7% of those diagnosed were on antihypertensive medication, and 71.3% rarely monitored their blood pressure. Key potential risk factors included low physical activity (71.8%), daily consumption of processed foods (76.0%), and frequent addition of salt/sugar/oil to meals (60.1%), alcohol use (40.6%), and tobacco smoking (19.8%). Psychological stress/anxiety was reported by 44.0%, while 50.0% had a family history of hypertension; obesity (12.0%) and diabetes (7.0%) were also observed as co-morbidities. Additionally, 76.7% of participants did not report hospitalization due to hypertension-related complications.

Conclusion: These findings underscore the urgent need for targeted public health interventions emphasizing routine screening, awareness campaigns, lifestyle modifications, and mental health support.

References

1. World Health Organization (WHO). Noncommunicable diseases key facts. World Health Organization, Geneva; 2025. Available from: https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases. Accessed 08 December 2025.

2. Murti NLLS. Overview f Risk Factors for Hypertension Patients in The Working Area of the Kamonji Palu Health Center in 2023. Alkhairaat Journal of Medical and Health Sciences. 2025; 1(01), 25–9. Available from: https://jurnal.fkunisa.ac.id/index.php/JMHR/article/view/283/212. Accessed 08 October 2025.

3. Mills RJ, Humphrey SJ, Fortuna PR, Lor M, Foster SR, Quaife-Ryan GA, et al. BET inhibition blocks inflammation-induced cardiac dysfunction and SARS-CoV-2 infection. Cell. 2021; 184(8), 2167–82. https://doi.org/10.1016/j.cell.2021.03.026.

4. Campbell NR, Whelton PK, Orias M, Wainford RD, Cappuccio FP, Ide N, et al. 2022 World Hypertension League, resolve to save lives and International Society of Hypertension dietary sodium (salt) global call to action. J Hum Hypertens. 2023;37(6):428-37. https://doi.org/10.1038/s41371-022-00690-0.

5. Gafane-Matemane LF, Craig A, Kruger R, Alaofin OS, Ware LJ, Jones ES, et al. Hypertension in sub-Saharan Africa: the current profile, recent advances, gaps, and priorities. J Hum Hypertens. 2025;39(2):95-110. https://doi.org/10.1038/s41371-024-00913-6.

6. Adeloye D, David RA, Olaogun AA, Auta A, Adesokan A, Gadanya M, et al. Health workforce and governance: the crisis in Nigeria. Human resources for health. 2017;15(1):32. https://doi.org/10.1186/s12960-017-0205-4.

7. Temu TM, Zifodya JS, Polyak SJ, Wagoner J, Wanjalla CN, Masyuko S, et al. Antiretroviral therapy reduces but does not normalize immune and vascular inflammatory markers in adults with chronic HIV infection in Kenya. AIDS. 2021;35(1):45-51. https://doi.org/10.1097/QAD.0000000000002729.

8. Ondimu DO, Kikuvi GM, Otieno WN. Risk factors for hypertension among young adults (18-35) years attending in Tenwek Mission Hospital, Bomet County, Kenya in 2018. Pan Afr Med J. 2019;33:210. https://doi.org/10.11604/pamj.2019.33.210.18407.

9. Tanzania Ministry of Health. Annual Health Statistical Report 2024. Ministry of Health. Available from: https://www.moh.go.tz/storage/app/uploads/public/698/4e8/b7b/6984e8b7b067c606076637.pdf. Accessed 08 December 2025.

10. Musinguzi G, Anthierens S, Nuwaha F, Van Geertruyden JP, Wanyenze RK, Bastiaens H. Factors influencing compliance and health seeking behaviour for hypertension in Mukono and Buikwe in Uganda: a qualitative study. Int J Hypertens. 2018;1:8307591. https://doi.org/10.1155/2018/8307591.

11. Meher M, Pradhan S, Pradhan SR, Pradhan DS. Risk factors associated with hypertension in young adults: a systematic review. Cureus. 2023;15(4). https://doi.org/10.7759/cureus.37467.

12. Ataklte F, Erqou S, Kaptoge S, Taye B, Echouffo-Tcheugui JB, Kengne AP. Burden of undiagnosed hypertension in sub-saharan Africa: a systematic review and meta-analysis. Hypertension. 2015;65(2):291-8. https://doi.org/10.1161/hypertensionaha.114.04394.

13. Kansiime G, Nuwagira E, Obwoya PS, Baluku JB, Kanyesigye M, Twesiime C, Ssebutinde P, Muhindo R, Muyingo A, Kananura K, Tusingwire PD. Prevalence, Awareness, and Factors Associated with Hypertension Among Adults in Rural Southwestern Uganda: A Baseline Survey. Int J Gen Med. 2025:3289-300. https://doi.org/10.2147/IJGM.S522911.

14. Nsanya MK. Prevalence of High Blood Pressure and Associated Factors Among Adolescents Enrolled in an Ongoing Cohort Study in Mwanza City, North-Western Tanzania (Master's thesis, Weill Medical College of Cornell University. 2020). Available from: https://www.proquest.com/openview/812083de036017422f2bafcc8933a969. Accessed 10 December 2025.

15. Berhane, T., Zenebe, D., & Yimer, M. 2024. Prevalence and trend of hypertension secondary data analysis from 2013 to 2020 of Mekelle zone, Tigray, Ethiopia, 2021. https://doi.org/10.21203/rs.3.rs-5047548/v1.

16. Nyagori HE. Prevalence of Hypertensive Diseases and Associated Risk Factors above 30 Years Adult People Admitted in Morogoro Regional Refferal Hospital 2021, Tanzania. Open Access Library Journal. 2022; 9: e8423. https://doi.org/10.4236/oalib.1108423.

17. Tadesse EB, Endris AA, Solomon H, Alayu M, Kebede A, Eshetu K, et al. Seroprevalence and risk factors for SARS-CoV-2 Infection in selected urban areas in Ethiopia: a cross-sectional evaluation during July 2020. Int J Infect Dis. 2021;111:179-85. https://doi.org/10.1016/j.ijid.2021.08.028.

18. Adedoyin FF, Gumede MI, Bekun FV, Etokakpan MU, Balsalobre-Lorente D. Modelling coal rent, economic growth and CO2 emissions: does regulatory quality matter in BRICS economies?. Sci Total Environ. 2020;710:136284. https://doi.org/10.1016/j.scitotenv.2019.136284.

19. Kimani S, Mirie W, Chege M, Okube OT, Muniu S. Association of lifestyle modification and pharmacological adherence on blood pressure control among patients with hypertension at Kenyatta National Hospital, Kenya: a cross-sectional study. BMJ open. 2019;9(1):e023995. https://doi.org/10.1136/bmjopen-2018-023995.

20. Cipullo JP, Martin JF, Ciorlia LA, Godoy MR, Cação JC, Loureiro AA, et al. Hypertension prevalence and risk factors in a Brazilian urban population. Arq Bras Cardiol. 2010;94:519-26. https://doi.org/10.1590/S0066-782X2010005000014.

21. Appel LJ, Clark JM, Yeh HC, Wang NY, Coughlin JW, Daumit G, et al. Comparative effectiveness of weight-loss interventions in clinical practice. N Engl J Med. 2011;365(21):1959-68. https://doi.org/10.1056/nejmoa110866.

22. Mboya IB, John B, Kibopile ES, Mhando L, George J, Ngocho JS. Factors associated with mental distress among undergraduate students in northern Tanzania. BMC psychiatry. 2020 ;20(1):28. https://doi.org/10.1186/s12888-020-2448-1.

23. Mfuru GH, Allan JN, Njau A, Ubuguyu O, Malima KY. Using waist circumference as a predictor of hypertension in Manzese, Dar es Salaam: a community-based cross-sectional study, 2023. BMC Public Health. 2024;24(1):3618. https://doi.org/10.1186/s12889-024-20556-z.

24. Masikini P, Constantine I, Mwita S. Knowledge of Risk Factors for Hypertension among University Students in Northwestern Tanzania: A Cross-Sectional Study. Open J Epidemiol. 2024; 14(3), 471–479. https://doi.org/10.4236/ojepi.2024.143033.

25. Katatwire DD, Meremo A. Prevalence of and factors associated with uncontrolled hypertension among patients with early chronic kidney disease attending tertiary hospitals in Dodoma, Tanzania: a cross-sectional study. BMJ open. 2023;13(12):e074441. https://doi.org/10.1136/bmjopen-2023-074441.

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Published

10-05-2026

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Original Article

How to Cite

Prevalence and Potential Risk Factors of Hypertension Among Young Adults in Kinondoni Municipal Council, Tanzania. (2026). Medox Journal of Public Health, 1(1), e2. https://doi.org/10.66531/mjph.2026.v1i1.e2