Among hypertensive patients attending a tertiary hospital, only 45.1% achieved target blood pressure control, with absence of comorbidity (AOR 1.911), medication adherence (AOR 2.535), and normal body mass index (AOR 1.675) significantly predicting better control.
Cross-Sectional (n=377)
No
What sociodemographic and clinical factors are associated with target blood pressure control in hypertensive patients?
Less than half of hypertensive patients in this Ethiopian tertiary center achieved target blood pressure, with better control associated with normal BMI, good medication adherence, and absence of comorbidities.
Background: Hypertensives’ target blood pressure control remains suboptimal in many countries worldwide. Hence, determining patients’ factors affecting target blood pressure control is critical. Objective: The objective of the study was to examine hypertensives’ target blood pressure control and its associations with their sociodemographic and clinical characteristics. Methods: The study employed a cross-sectional design. For the face-to-face data collection with standardized questionnaires, 384 hypertensives attending a tertiary-level hospital were selected using a systematic random sampling technique. Descriptive statistics were used to determine the target blood pressure control status and bivariate chi-square test and binary logistic regression were used to identify factors significantly associated with the target blood pressure control. Results: The study consisted of nearly equal proportions of male (51.2%) and female (48.8%) participants with a mean age (±SD) of 53.61 ±12.34 years. Only 45.1% had achieved target blood pressure control. Absence of comorbidity (AOR = 1.911, 95% CI: 1.256, 2.908, p = .002), good medication adherence (AOR = 2.535, 95% CI: 1.078, 5.960, p = .033), and normal body mass index (AOR = 1.675, 95% CI: 1.094, 2.564, p = .018) were factors significantly associated with the achievement of the target BP control. Conclusion: Intervention targeting hypertensives’ body weight control, early comorbidity screening and management, and strict adherence to antihypertension medication may improve patients’ blood pressure control status and should be among the priority of the hypertension care clinic specialists’ team.
Mengistu et al. (Mon,) conducted a cross-sectional in Hypertension (n=377). Among hypertensive patients attending a tertiary hospital, only 45.1% achieved target blood pressure control, with absence of comorbidity (AOR 1.911), medication adherence (AOR 2.535), and normal body mass index (AOR 1.675) significantly predicting better control.