1
|
Abdisa L, Girma S, Lami M, Hiko A, Yadeta E, Geneti Y, Balcha T, Assefa N, Letta S. Uncontrolled hypertension and associated factors among adult hypertensive patients on follow-up at public hospitals, Eastern Ethiopia: A multicenter study. SAGE Open Med 2022; 10:20503121221104442. [PMID: 35769491 PMCID: PMC9234929 DOI: 10.1177/20503121221104442] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2021] [Accepted: 05/11/2022] [Indexed: 12/03/2022] Open
Abstract
Objective: The aim of this study was to assess the magnitude of uncontrolled
hypertension and associated factors among adult hypertensive patients on
follow-up at public hospitals in Eastern Ethiopia. Methods: A hospital-based cross-sectional study was conducted among 415 hypertensive
patients in Eastern Ethiopia from June 15 to July 15, 2021. A systematic
random sampling technique was used to select the study participants. Data
were collected through face-to-face interviews and reviewing patients’
charts. Bivariable and multivariable logistic regression analyses were
performed to identify factors associated with uncontrolled hypertension. Results: This study revealed that magnitude of uncontrolled hypertension was 48% (95%
confidence interval = 43.1%−52.8%). Being male (adjusted odds ratio = 2.05,
95% confidence interval = 1.29–3.26), age ⩾55 years (adjusted odds
ratio = 3.16, 95% confidence interval = 1.96–5.08), non-adherence to
medication (adjusted odds ratio = 1.83, 95% confidence
interval = 1.14–2.94), low diet quality (adjusted odds ratio = 4.04, 95%
confidence interval = 2.44–8.44), physically inactive (adjusted odds
ratio = 3.20, 95% confidence interval = 1.84–5.56), and having comorbidity
(adjusted odds ratio = 3.04, 95% confidence interval = 1.90–4.85) were
significantly associated with uncontrolled hypertension. Conclusions: In our sample of hypertensive patients on follow-up at public hospitals in
Eastern Ethiopia, half had uncontrolled hypertension. Older age, male sex,
non-adherence to antihypertensive medication, low diet quality, physically
inactive, and having comorbidity were found to be predictors of uncontrolled
hypertension. Therefore, sustained health education on self-care practices
with special emphasis on older, males, and patients with comorbid
conditions.
Collapse
Affiliation(s)
- Lemesa Abdisa
- School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Haramaya, Ethiopia
| | - Sagni Girma
- School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Haramaya, Ethiopia
| | - Magarsa Lami
- School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Haramaya, Ethiopia
| | - Ahmed Hiko
- School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Haramaya, Ethiopia
| | - Elias Yadeta
- School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Haramaya, Ethiopia
| | - Yomilan Geneti
- Department of Midwifery, College of Medicine and Health Sciences, Dire Dawa University, Dire Dawa, Ethiopia
| | - Tegenu Balcha
- School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Haramaya, Ethiopia
| | - Nega Assefa
- School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Haramaya, Ethiopia
| | - Shiferaw Letta
- School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Haramaya, Ethiopia
| |
Collapse
|
2
|
El Kardoudi A, Chetoui A, Kaoutar K, Boutahar K, Elmoussaoui S, Chigr F, Najimi M. [Factors associated with poor blood pressure control in Moroccan hypertensive patients]. Ann Cardiol Angeiol (Paris) 2022; 71:141-147. [PMID: 35039140 DOI: 10.1016/j.ancard.2021.09.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Accepted: 09/10/2021] [Indexed: 10/19/2022]
Abstract
STUDY AIM Hypertension is a major public health concern worldwide and non-controlling it can lead to various cardiovascular complications. Controlling blood pressure and reducing overall cardiovascular risk are two main goals of treatment. Thus, this study aimed to determine the proportion and factors associated with uncontrolled hypertension in hypertensive patients living in the Beni Mellal city. PATIENTS AND METHODS The cross-sectional survey took place between June and March 2019. It involved 580 hypertensive patients attending the primary health care facilities in Beni Mellal city, using systematic sampling. RESULTS A total of 580 hypertensive patients were recruited, with a mean age of 55.78 (± 10.82 years) and of which 66.89% were female. The proportion of poor blood pressure control was 74.1% and was associated in multivariate analysis with a family history of hypertension(OR = 1.60; 95% CI = [1.02-2.50]), dyslipidemia (OR = 2.05; 95% CI = [1.32 -3.20]), non-adherence to a regular BP measurement (OR = 4.13; 95% CI = [2.49 -6.86]), to treatment (OR = 3.64; 95% CI = [2.34-5.65]) and regular biological monitoring (OR = 2.45; 95% CI = [1.46-4.08]). CONCLUSION Despite the free and available of treatment, the proportion of uncontrolled hypertension was high. This might be linked to a lack of awareness and education concerning disease self-management.
Collapse
Affiliation(s)
- A El Kardoudi
- Laboratoire de Génie Biologique, Faculté des Sciences et Techniques, Université Sultan Moulay Slimane, 23000, B.P : 523, Beni Mellal, Maroc, Téléphone : + 212 (0) 523 48 51 12/22/82, Fax : +212 (0) 523 48 52 01, E-mails : .
| | - A Chetoui
- Laboratoire de Génie Biologique, Faculté des Sciences et Techniques, Université Sultan Moulay Slimane, 23000, B.P : 523, Beni Mellal, Maroc, Téléphone : + 212 (0) 523 48 51 12/22/82, Fax : +212 (0) 523 48 52 01, E-mails :
| | - K Kaoutar
- Laboratoire de Génie Biologique, Faculté des Sciences et Techniques, Université Sultan Moulay Slimane, 23000, B.P : 523, Beni Mellal, Maroc, Téléphone : + 212 (0) 523 48 51 12/22/82, Fax : +212 (0) 523 48 52 01, E-mails :
| | - K Boutahar
- Laboratoire de Génie Biologique, Faculté des Sciences et Techniques, Université Sultan Moulay Slimane, 23000, B.P : 523, Beni Mellal, Maroc, Téléphone : + 212 (0) 523 48 51 12/22/82, Fax : +212 (0) 523 48 52 01, E-mails :
| | - S Elmoussaoui
- Laboratoire de Génie Biologique, Faculté des Sciences et Techniques, Université Sultan Moulay Slimane, 23000, B.P : 523, Beni Mellal, Maroc, Téléphone : + 212 (0) 523 48 51 12/22/82, Fax : +212 (0) 523 48 52 01, E-mails : ; Centre Hospitalier Universitaire Mohamed VI, BP 2360 Principal، Avenue Ibn Sina, Marrakech, Maroc
| | - F Chigr
- Laboratoire de Génie Biologique, Faculté des Sciences et Techniques, Université Sultan Moulay Slimane, 23000, B.P : 523, Beni Mellal, Maroc, Téléphone : + 212 (0) 523 48 51 12/22/82, Fax : +212 (0) 523 48 52 01, E-mails :
| | - M Najimi
- Laboratoire de Génie Biologique, Faculté des Sciences et Techniques, Université Sultan Moulay Slimane, 23000, B.P : 523, Beni Mellal, Maroc, Téléphone : + 212 (0) 523 48 51 12/22/82, Fax : +212 (0) 523 48 52 01, E-mails :
| |
Collapse
|
3
|
Essayagh T, Essayagh M, El Rhaffouli A, Khouchoua M, Bukassa Kazadi G, Khattabi A, Essayagh S. Prevalence of uncontrolled blood pressure in Meknes, Morocco, and its associated risk factors in 2017. PLoS One 2019; 14:e0220710. [PMID: 31398197 PMCID: PMC6688818 DOI: 10.1371/journal.pone.0220710] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2019] [Accepted: 07/22/2019] [Indexed: 11/20/2022] Open
Abstract
Background Uncontrolled high blood pressure (UBP) can lead to various cardiovascular complications causing an estimated nine million deaths per year worldwide. In Meknes, epidemiologic data on UBP are scarce, depriving programs from evidence-based information that would allow a better management of hypertension. Hence, we aimed to assess UBP prevalence in hypertensive patients treated in Meknes and identify UBP-associated risk factors. Methods Between November and December 2017, we conducted a cross-sectional study enrolling 922 hypertensive patients managed at Meknes’s primary health care facilities using the multistage sampling method. We interviewed patients face to face to collect their socio-demographic-characteristics, lifestyle behaviours, clinical parameters and the triad care system-patient-physician. Another questionnaire was self-administered by physicians to characterize therapeutic inertia. A multivariate logistic regression analysis highlighted the risk factors associated with UBP. Results UBP prevalence was 73% with a mean age of 61±11 years (mean±standard deviation) and a male/female ratio of 1/3. Risk factors associated with UBP were: therapeutic inertia (adjusted odds ratio to other variables (AOR) = 18.2, 95% CI [8.35–39.84]), drug non-adherence (AOR = 1.8, 95% CI [1.07–3.04]), obesity/overweight (AOR = 1.6, 95% CI [1.03–2.58]), unemployment (AOR = 1.9, 95% CI [1.09–3.01]), low income (AOR = 2.6, 95% CI [1.01–6.86]), family history of hypertension (AOR = 1.5, 95% CI [1.07–2.08]) and male sex (AOR = 1.6, 95% CI [1.04–2.58]). Conclusion UBP prevalence is high in Meknes. Prevention should firstly focus on raised awareness of hypertensive patients’ self-care management. Secondly, health professionals should better comply to the guidelines of anti-hypertensive treatments. Lastly, health professionals should frequently be reminded to reach therapeutic goals to overcome therapeutic inertia.
Collapse
Affiliation(s)
- Touria Essayagh
- Laboratoire Sciences et Technologies de la Santé, Institut Supérieur des Sciences de la Santé, Université Hassan 1, Settat, Morocco
- Ecole Nationale de Santé Publique, Rabat, Morocco
- * E-mail:
| | - Meriem Essayagh
- Faculté de Médecine et de Pharmacie, Université Mohammed V, Rabat, Morocco
| | | | | | - Germain Bukassa Kazadi
- Department of Indigenous Services Canada/Government of Canada, Health Surveillance and Assessment Unit, First Nations and Inuit Health, Saskatchewan Region, Regina, Sk Canada
| | | | - Sanah Essayagh
- Laboratoire Agroalimentaire et Santé, Faculté des Sciences et Techniques, Université Hassan 1, Settat, Morocco
| |
Collapse
|