What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: Hypertension (n=711). Primary outcome: Prevalence of hypertension.

November 21, 2019Open Access

Physical, behavioral and sociodemographic determinants of hypertension among the adult population in Nekemte town, western Ethiopia: community based study

GGGemechis Teshome GeletaWollega University MCMelese Chego ChemeWollega University ERElias Merdassa RoroThe University of Queensland

Key Result

The overall prevalence of hypertension was 34.9%, with older age (AOR 5.85), obesity (AOR 1.71), Khat chewing (AOR 2.44), and higher education (AOR 2.75) identified as significant risk factors.

Study Design

Type

Cross-Sectional (n=711)

Multicenter

Structured PICO

What is the prevalence and what are the associated factors of hypertension among adults in Nekemte town, Ethiopia?

Population

711 adults in Nekemte town, western Ethiopia, selected by multistage sampling procedure

Outcome

Prevalence of hypertension and associated factors

Hypertension is highly prevalent (34.9%) among adults in Nekemte town, Ethiopia, with significant associations with older age, obesity, Khat chewing, and higher education.

Abstract

OBJECTIVES: Hypertension is a growing public health problem in many developing countries. However, there is an insufficiency of scientific evidence on the prevalence of hypertension (HTN) at a community level in the study area. The aim of the study was exploring the prevalence and associated factors of hypertension among adults in Nekemte town, Ethiopia. A community-based cross-sectional study was conducted on 711 adults who were selected by the multistage sampling procedure. Height, weight, blood pressure and waist circumference were measured with standard procedures. Data were analyzed by statistical package for social sciences (SPSS) version 20, and multiple logistic regression model was used to determine the independent risk factors for hypertension. RESULT: The overall prevalence of hypertension was 34.9% among the adult population. Of them, only 52.7% know their status, and 22.4% were on antihypertensive medication. The prevalence of hypertension was higher among the older aged; AOR 5.85 (95% CI 1.74-20), Obese and over-weighted; (AOR 1.71 (95% CI 1.09-2.67)), Khat chewers in the past year; AOR 2.44 (95% CI 1.05-5.68), and with higher formal education (college and above); AOR 2.75 (95% CI 1.26-6.03) than their respective counterparts. Community-level prevention and treatment of hypertension should get due attention.

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