Key result
Uncontrolled BP affects ~61% of hypertensive adults, linked to poor diet, inactivity, and medication nonadherence.
Why the study?
Uncontrolled blood pressure is a major public health challenge in Ghana, contributing substantially to non-communicable diseases, but its prevalence and associated factors among hypertensive adults in Ho Municipality required assessment.
What factors are associated with uncontrolled blood pressure among adult hypertensives in Ho Municipality, Ghana?
What factors are associated with uncontrolled blood pressure among adult hypertensives in Ho Municipality, Ghana?
A high prevalence of uncontrolled blood pressure (60.7%) among Ghanaian adults is strongly associated with modifiable lifestyle factors such as inadequate physical activity, hazardous alcohol intake, and poor medication adherence.
Highlights modifiable risks in Ghanaian hypertensives; supports consensus but leaves open need for prospective confirmation.
Background: Uncontrolled blood pressure (UBP) remains a major public health challenge in Ghana and contributes substantially to the burden of non-communicable diseases. This study assessed the prevalence of UBP and its associated factors among hypertensive adults in Ho Municipality, Ghana. Methods: A cross-sectional study was conducted among 305 hypertensive adults selected through multistage sampling from two major health facilities in Ho Municipality. Data on medication adherence and behavior were collected, and blood pressure measurements were taken. Statistical analyses were performed using STATA version 17.0. Results: The mean age of participants was 54.5 ± 16.2 years, with females comprising the majority. Overall, 60.7% (185) of participants had UBP. Individuals with UBP consumed significantly fewer fruits and vegetables but higher amounts of table salt (66.92 g vs. 41.58 g. Inadequate physical activity, hazardous alcohol intake, and poor medication adherence were significant predictors of UBP (p < 0.001). Conclusion: The high prevalence of UBP and its association with modifiable lifestyle and behavioral factors underscore the need for targeted interventions to promote healthy behaviors and improve medication adherence among hypertensive adults.
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Adam et al. (2025) studied this question. Uncontrolled blood pressure was present in 60.7% of hypertensive adults, linked to poor diet, inadequate physical activity, and low medication adherence.
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