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Untitled - Memorial University's Digital Archives Initiative - Memorial ...

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'"<br />

comparable to t h e high 57% repor ted i n zaria , also in Nigeria<br />

( 19 4,19 5 ) •<br />

The one f ac t or found t o b e strongly associated wi th t he<br />

occurrence of postpartum hy pertension i n t h i s study sample was<br />

the ethnic or igin of s ubjects. The d i s ea s e occurre d more<br />

frequently in thos e sub jects whos e ethn ic origins were from<br />

the t r i be s bas ed in the northe r n parts o f Ghana. Although<br />

persons in t he "n or t he r n" ethnic group formed 19% of the<br />

entire study group seen at follow u p t hey ecccunt.ed fo r 4 3 %: of<br />

the hypertensive cases . Thus one in every five individuals<br />

from a northe rn ethnic origin were hypertensive compared with,<br />

f or example, on e in every 15 Ashanti s Ubjects 1 a three-fold<br />

h i gh e r risk.<br />

This finding r a i s e s serious questions because it presents<br />

a picture sim ilar t o that obs e rved in Nigeria. The re, women in<br />

t he no r the r n s avanna belts o f Zaria were f ound to have higher<br />

r ates o f peat.par-tum hypertens i on and also peripartum cardiac<br />

failure (a disorder associated with postpartum hyper t ension) ,<br />

t han t hose in the sou t he r n city of I bada n . It should b e noted<br />

however, that the women grouped under vnc r t bern e t hnic origin"<br />

in the present study i ncluded SUbjects f rom closely rehted<br />

tribes of the Gur l an gu a ge g r olJ.p who reside in the norther n<br />

savan na belts of t he country a nd a r e t here f or e no t the more o r<br />

l e s s s i ngle ethnic group observed i n the Zaria study.

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