Bayesian analysis of the effects of some identified risk factors of systolic pressure among pregnant women in Ogbomoso, Oyo State

A. P.  Onatunji; O. M. Ajao; K. T.  Amzat; L. A.  Oladimeji; O. A.  Olalude

doi:10.46481/asr.2024.3.2.170

Authors

A. P. Onatunji
[email protected]

Department of Statistics, Faculty of Pure and Applied Sciences, Ladoke Akintola University of Technology, Ogbomoso, Oyo State, Nigeria
O. M. Ajao
Department of Mathematical Sciences, Faculty of Natural Sciences, Ajayi Crowther Universisty, Oyo, Oyo State, Nigeria
K. T. Amzat
Departement of Mathematical Sciences, College of Natural and Applied Sciences, Crescent University, Abeokuta, Ogun State, Nigeria
L. A. Oladimeji
Department of Statistics, Faculty of Pure and Applied Sciences, Ladoke Akintola University of Technology, Ogbomoso, Oyo State, Nigeria
O. A. Olalude
Department of Statistics, Faculty of Science, University of Ibadan, Nigeria

Keywords:

Bayesian logit, Prior, clinical- genetic risk factors

Abstract

Unhealthy condition during pregnancy is a function of abnormal Systolic Blood Pressure (SBP). Therefore, this becomes a threat to women and health policy makers on how to reduce the consequence of high SBP. To overcome this challenge, appropriate model must be specified to capture some identified clinical-genetic factors for SBP in pregnant women when the informative prior to these factors is not sufficiently available. The aim of the study is to develop a Bayesian Logit (BLM) to calculate probabilities of different SBP outcomes among pregnant women in LAUTECH Teaching Hospital, Oyo State. The results shows that age, packed cell volume and genotype increase the likelihood of having High Systolic Blood Pressure (HSBP), while blood group and occupation increase the likelihood of having low Systolic Blood Pressure (LSBP) among pregnant women. Also, the probabilities of increase in height and weight cause a systematic change in the SBP among pregnant women. The study concludes that the identified clinical and genetic risk factors contribute to the likelihood of having HSBP and LSBP among pregnant women in Ogbomoso, Oyo State.

Dimensions

REFERENCES

H. Idris, N. C. N. Duum, U. G. Adamu & R. M. Abdulateef, “Hypertensive disorders in pregnancy: pattern and obstretric outcome in Bida Nigeria”, Nigerian Medical Journal 61 (2020) 42. https://www.ajol.info/index.php/nmj/article/view/225525.

S. Azubuike & I. Danjuma, “Hypertension in pregnancy among rural women in Kastina State, Nigeria”, Journal of Basic and Clinical Reproductive Sciences 6 (2017) 141. https://www.ajol.info/index.php/jbcrs/article/view/160974.

I. O. Ajayi, M. A. O. Soyannwo, A. O. Asinobi, N. B. Afolabi, A. I. Ayede & E. A. Bamgboye, “Blood pressure pattern and hypertension related risk factors in an urban community in Southwest Nigeria: The Mokola hypertension initiative project, Ibadan, Nigeria”, J. Public Health Epidemiol 9 (2017) 51. https://academicjournals.org/journal/JPHE/article-full-text/4EFCAA263322.

A. J. Bamaiyi, A. B. Adelaiye & V. U. Igbokwe, “Effects of Anthropometric and Parity Factors on Blood Pressure (BP) Pattern of Third Trimester Pregnant Women in Sokoto, North-West, Nigeria”, Gynecol Obstet (Sunnyvale) 5 (2015) 2161. https://www.semanticscholar.org/paper/Effects-of-Anthropometric-and-Parity-Factors-on-of-Bamaiyi-Adelaiye/52b4361bff0002cbd2d1144e4fa4fdecc1484242.

A. Hurrell, L. Webster, L. C. Chappell & A. H. Shennan, “The assessment of blood pressure in pregnant women: pitfalls and novel approaches”, American Journal of Obstetrics and Gynecology 226 (2022) S804. https://www.sciencedirect.com/science/article/abs/pii/S000293782031200X.

H. Teng, Y. Wang, B. Han, J. Liu, Y. Cao, J. Wang, X. Zhu, J. Fu, Q. Ling, C. Xiao, Z. Wan & J. Yin, “Gestational systolic blood pressure trajectories and risk of adverse maternal and perinatal outcomes in Chinese women”, BMC Pregnancy and Childbirth 21 (2021) 1. https://doi.org/10.1186/s12884-021-03599-7.

S. Singh, E. B.Ahmed, S. C. Egondu & N. E. Ikechukwu, “Hypertensive disorder in pregnancy among pregnant women in a Nigerian Teaching Hospital”, Niger Med J. 55 (2014) 384. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4178334/.

S. Vijver, H. Akinyi, S. Oti, A. O. Lajide, C. Agyemang, I. Aboderin & C. Kyobutungi, “Status report on hypertension in Africa- Consultative review for the 6th Session of the African Union Conference of Ministers of Health on NCD’s”, The Pan African medical journal 16 (2013) 38. https://www.ajol.info/index.php/pamj/article/view/103299.

G. L. Dunietz, K. L. Strutz, C. Holzman, Y. Tian, D. Todem, B. L. Bullen & J. M. Catov, “Moderately elevated blood pressure during pregnancy and odds of hypertension later in life”, An International Journal of Obstetrics and Gynaecology 124 (2017) 1606. https://doi.org/10.1111/1471-0528.14556.

Z. Mahmoud, I. A. Orji, G. L. Shedul, K. Aluka-Omitiran, N. Ripiye, B. Akor, H. Eze, T. Ojo, G. Lyer, A. S. Baldridge & L. R. Hirschhorn, “Clinical characteristics and treatment patterns of pregnant women with hypertension in primary care in the Federal Capital Territory of Nigeria: cross-sectional results from the hypertensiontreatment in Nigeria Program”, BMC Pregnancy Childbirth 23 (2023) 416. https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-023-05723-1.

C. P. McCarthy & P. Nataraja, “Systolic Blood Pressure and Cardiovascular Risk: Straightening the Evidence”, Hypertension 80 (2023) 579. https://www.ahajournals.org/doi/10.1161/HYPERTENSIONAHA.123.20788.

F. E. Okonofua, J. A. Balogun, N. A. Amienghene & S. P. O’Brien, “Blood pressure changes during pregnancy in Nigerian women”, Interna tional Journal of Cardiology 37 (1993) 373. https://www.sciencedirect.com/science/article/abs/pii/0167527392902699.

G. L. Dunietz, K. L. Strutz, C. Holzman, Y. Tian, D. Todem, B. L. Bullen & J. M. Catov, “Moderately elevated blood pressure during pregnancy and odds of hypertension later in life: The POUCHmoms Longitudinal Study”, BJOG: An International Journal of Obstetrics & Gynaecology 124 (2017) 1606. https://pubmed.ncbi.nlm.nih.gov/28074637/.

R. I. Fadare , O. A. Akpor & O. B. Oziegbe, “Knowledge and attitude of pregnant women towards management of pregnancy-induced hypertension in Southwest Nigeria”, Journal of Advances in Medical and Pharmaceutical Sciences 11 (2016) 11. https://www.researchgate.net/publication/311879959_Knowledge_and_Attitude_of_Pregnant_Women_towards_Management_of_Pregnancy-induced_Hypertension_in_Southwest_Nigeria.