Key result
The prevalence of uncontrolled hypertension among adult patients in Eastern Ethiopia was 48%, significantly associated with older age, male sex, non-adherence, poor diet, and physical inactivity.
Why the study?
The magnitude of uncontrolled hypertension and its associated factors among adult hypertensive patients on follow-up at public hospitals in Eastern Ethiopia were to be assessed.
Cross-Sectional (n=415)
Yes
Nearly half of adult hypertensive patients in Eastern Ethiopian public hospitals have uncontrolled blood pressure, strongly associated with modifiable lifestyle factors and non-adherence.
High uncontrolled hypertension burden in Eastern Ethiopia may guide local screening; leaves open whether targeting factors improves control.
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.
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Abdisa et al. (2022) conducted a cross-sectional in Hypertension (n=415). Risk factors (older age, male sex, non-adherence, low diet quality, physical inactivity, comorbidity) vs. Absence of these risk factors was evaluated on Uncontrolled hypertension (95% CI 43.1-52.8). The prevalence of uncontrolled hypertension among adult patients in Eastern Ethiopia was 48%, significantly associated with older age, male sex, non-adherence, poor diet, and physical inactivity.
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