Medication non-adherence (OR 1.53; 95% CI 1.42-1.65), obesity, and lower education were among factors significantly associated with a 78.87% prevalence of uncontrolled hypertension in Indonesia.
Cross-Sectional (n=53,049)
Yes
Nearly 80% of Indonesian adults with hypertension have uncontrolled blood pressure, highlighting the need for targeted interventions addressing medication adherence, obesity, and socioeconomic disparities.
Despite the growing burden of hypertension, the rate of controlled blood pressure (BP) in hypertension in Indonesia remains low. Understanding the factors associated with uncontrolled hypertension is crucial to improving its management and developing effective interventions. This study aimed to determine the prevalence of uncontrolled hypertension and identify associated factors among Indonesian adults with hypertension. This study used a secondary database from the 2023 Indonesian Health Survey. Sociodemographic (e.g., age, gender, marital status, education level, occupation, province of residence) and disease-related factors (e.g., duration of hypertension, hypertension education, medication adherence) were assessed through a self-reported questionnaire. BP was measured three times using a digital sphygmomanometer. The average of these three readings was used to assess the patient's BP. The association between these factors with uncontrolled hypertension (BP ≥ 140/90 mmHg) was analyzed using logistic regression, with odds ratios (ORs) and 95% confidence intervals (CIs) reported. A total of 53,049 respondents with hypertension were included. The majority had uncontrolled hypertension (78.87%). Older than 24 years old (OR = 2.15; 95% CI = 1.39-3.32), female sex (OR = 1.15; 95% CI = 1.05-1.27), unmarried status (OR = 1.12; 95% CI = 1.02-1.23), lower education level (OR 1.42; 95% CI = 1.35-1.50), residence in Kalimantan (OR = 1.49; 95%CI = 1.21-1.85), obese (OR 1.99; 95% CI = 1.65-2.40) and medication non-adherence (OR = 1.53; 95% CI = 1.42-1.65) were significantly associated with uncontrolled hypertension. This study revealed a high prevalence of uncontrolled hypertension among Indonesian respondents. Various socioeconomic and disease-related factors were significantly associated with uncontrolled hypertension. These findings underscore the importance of incorporating patient-specific factors into tailored interventions to improve the management of hypertension in Indonesia.
Alfian et al. (Thu,) conducted a cross-sectional in Hypertension (n=53,049). Medication non-adherence (OR 1.53; 95% CI 1.42-1.65), obesity, and lower education were among factors significantly associated with a 78.87% prevalence of uncontrolled hypertension in Indonesia.