Determinants of Uncontrolled Hypertension in two Tertiary Hospitals in Ekiti State, South-West, Nigeria.
DOI:
https://doi.org/10.60787/njgp.v20i2.168Keywords:
poor blood pressure control, determinants, Uncontrolled hypertensionAbstract
Background: Poorly controlled hypertension is among the leading risk for fatal cardiovascular events in many African settings. We sought to determine the prevalence and determinants of uncontrolled hypertension in two tertiary hospitals in Ekiti State, South-west, Nigeria.
Methods: This was a cross-sectional study of 427 patients receiving treatment for hypertension, recruited from two tertiary health
institutions in Ekiti State, Nigeria. Uncontrolled hypertension was defined as an average systolic blood pressure ≥140 mmHg or an average diastolic blood pressure ≥90 mmHg, among those receiving treatment for hypertension. We explored factors associated with poor blood pressure control amongpatients using univariate and multivariate regression models.
Results: The mean age of the sample was 60.6 ± 15.3 years, with 268 (62.8%) being women. There were 295 persons with poorly controlled blood pressure was(69.1%; 95% confidence interval, CI=64.5-73.4), with prevalence among women higher at 70.9% compared to men (66.0%).Being over 65 years old (adjusted odd ratio, AOR=1.58; 95% CI=1.01– 3.53), low educational status (AOR=2.54; 95% CI=1.09–2.54), primary education (AOR=2.44; 95% CI=1.11–5.36), and low-income (less than 30,000 Naira per month or US Dollar 70) (AOR=2.23; 95% CI=1.66–4.30) were major determinants of poor blood pressure control.
Conclusions: Many hypertension cases in this study are poorly controlled, suggesting a need to prioritise re-addressing the overall management of hypertension in the country to reduce fatal outcomes among patients.
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