{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T15:17:46Z","timestamp":1769008666583,"version":"3.49.0"},"reference-count":17,"publisher":"BMJ","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Epidemiol Community Health"],"published-print":{"date-parts":[[1982,12]]},"abstract":"<jats:p>In a house-to-house study of 994 urban Zulus the prevalence of hypertension according to WHO criteria was 25% (23% men, 27% women). In a rural Zulu study of 987 the prevalence age corrected to the urban distribution was 9.4% (8.7% men, 10% women). Thus there was a pronounced difference between the prevalence of hypertension in the urban and rural Zulu (p less than 0.0005). There was an earlier onset of hypertension in the urban compared with the rural Zulu. Contrasting biosocial factors in the urban and rural Zulu could explain the differences in prevalence. Our study suggests that hypertension is not a major health problem in rural Zulus. Large-scale case finding and intervention programmes should be confined to the urban black population of South Africa.<\/jats:p>","DOI":"10.1136\/jech.36.4.256","type":"journal-article","created":{"date-parts":[[2008,11,12]],"date-time":"2008-11-12T15:09:01Z","timestamp":1226502541000},"page":"256-261","source":"Crossref","is-referenced-by-count":41,"title":["Prevalence of hypertension in the urban and rural Zulu."],"prefix":"10.1136","volume":"36","author":[{"given":"Y K","family":"Seedat","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M A","family":"Seedat","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D B","family":"Hackland","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1982,12,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1136\/bmj.1.5124.761","article-title":"Manifestations and aetiology of hypertension in the Coloured and Bantu","volume":"i:","author":"Fraser, B.N.","year":"1959","unstructured":"Fraser BN. Manifestations and aetiology of hypertension in the Coloured and Bantu. Br Med J 1959; i: 761-4.","journal-title":"Br Med J"},{"key":"ref_2","first-page":"183","article-title":"A review of the incidence of hypertension in the non-European races","volume":"7","author":"Ordman, B.","year":"1948","unstructured":"Ordman B. A review of the incidence of hypertension in the non-European races. Clinical Proceedings 1948; 7: 183-210.","journal-title":"Clinical Proceedings"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"742","DOI":"10.1016\/0002-8703(58)90217-5","article-title":"The racial incidence of heart disease at Groote Schuur Hospital, Cape Town. Part II Hypertension and valvular disease of the heart","volume":"56","author":"Schrire, V.","year":"1958","unstructured":"Schrire V. The racial incidence of heart disease at Groote Schuur Hospital, Cape Town. Part II Hypertension and valvular disease of the heart. Am Heart J 1958; 56: 742-60.","journal-title":"Am Heart J"},{"key":"ref_4","first-page":"1","article-title":"The clinical pattern of hypertension in the South African black population: a study of 1000 patients","volume":"5","author":"Seedat, Y.K.; Reddy, J.","year":"1976","unstructured":"Seedat YK, Reddy J. The clinical pattern of hypertension in the South African black population: a study of 1000 patients. Afr J Med Med Sci 1976; 5: 1-7.","journal-title":"Afr J Med Med Sci"},{"key":"ref_5","first-page":"14","article-title":"Medicine and society in South Africa-some plain thinking","author":"Seftel, H.C.","year":"1973","unstructured":"Seftel HC. Medicine and society in South Africa-some plain thinking. Johannesburg: Witwatersrand University Press, 1973: 14."},{"key":"ref_6","article-title":"Pretoria: Government House, 1976. (Report No 02-05-12.)","unstructured":"-1970. Pretoria: Government House, 1976. (Report No 02-05-12.)"},{"key":"ref_7","article-title":"Arterial hypertension and ischaemic heart disease: preventive aspects. Geneva: WHO, 1962. (Technical Report Series No 231.)","author":"World Health Organisation","unstructured":"World Health Organisation. Arterial hypertension and ischaemic heart disease: preventive aspects. Geneva: WHO, 1962. (Technical Report Series No 231.)"},{"key":"ref_8","article-title":"Hypertension risk factors: a preventive point of view","author":"Epstein, F.H.","unstructured":"Epstein FH. Hypertension risk factors: a preventive point of view. In: Gross F, Strasser T, eds. Mild hypertension."},{"key":"ref_9","first-page":"127","article-title":"Natural history and management","year":"1979","unstructured":"Natural history and management. 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AfrJ Med Med Sci 1978; 7: 137-43.","journal-title":"AfrJ Med Med Sci"},{"key":"ref_12","first-page":"440","article-title":"Arterial hypertension in rural societies","volume":"52","author":"Mokhobo, K.P.","year":"1976","unstructured":"Mokhobo KP. Arterial hypertension in rural societies. E Afr Med J 1976; 52: 440-4.","journal-title":"E Afr Med J"},{"issue":"22","key":"ref_13","first-page":"289","article-title":"Blood pressure in Bushmen of the Kalahari Desert","volume":"1960","author":"Kaminer, B.; Lutz, W.P.W.","unstructured":"Kaminer B, Lutz WPW. Blood pressure in Bushmen of the Kalahari Desert. Circulation 1960; 22: 289-95.","journal-title":"Circulation"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1016\/0021-9681(62)90102-9","article-title":"Urbanisation and hypertension among Zulu adults","volume":"15","author":"Gampel, B.; Slome, C.; Scotch, N.; Abramson, J.H.","year":"1962","unstructured":"Gampel B, Slome C, Scotch N, Abramson JH. 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