Level of self-care practices and associated factors among Hypertensive Patients in Addis Ababa, Ethiopia

Objectives: The study assessed the level of self-care practice and its predictors among hypertensive patients in the health centers of Bole Sub-city, Addis Ababa, Ethiopia. Methods: A multi-Center-based cross-sectional study that employed 370 hypertensive participants at the conveniently selected Health Centers in Bole Sub-City; conducted from August 01-30, 2020. The researchers selected the participants based on a simple random sampling method after obtained with a written informed consent and applying a pre-tested interviewer-administered questionnaire for data collection. All the statistical analyses were done using SPSS 22.0 software. Binary logistics regression used to determine the presence and strength of association; with its respective 95%CI and p-value, less than 5% used as a significant level. Results: The overall level of good self-care practice among hypertensive patients was 53.0 %( 95%CI: 47.2%-58.8%) whereas 61.4%, 63.8%, 92.7%, 82.7%, and 18% of the study participants were adherent to medication, good weight management, non-smokers, alcohol abstainers and physical activity consecutively. Being illiterate had 2.347 and 2.084 times higher odds of having had good self-care practice compared to secondary school and diploma or above consecutively. Being a merchant, civil, and retired were associated with good self-care practice than being unemployed. Conclusion and Recommendation : A lower level of self-care practice was observed. Educational level and occupation were factors identified for self-care practice. The policymakers, healthcare workers, and researchers were recommended to work on the identified factors of self-care practice of hypertensive participants in the study settings.