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Uncontrolled hypertension and associated factors among adult hypertensive patients in Ayder comprehensive specialized hospital, Tigray, Ethiopia, 2018
Despite the availability and improvement in diagnostic and therapeutic interventions with proven benefits in reducing cardiovascular morbidity and mortality, control rates of hypertension remain poor and grossly inadequate. Around one billion individuals are living with uncontrolled hypertension glo...
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| Published in: | BMC cardiovascular disorders 2019-05, Vol.19 (1), p.121-121, Article 121 |
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| description | Despite the availability and improvement in diagnostic and therapeutic interventions with proven benefits in reducing cardiovascular morbidity and mortality, control rates of hypertension remain poor and grossly inadequate. Around one billion individuals are living with uncontrolled hypertension globally. Uncontrolled hypertension among hypertensive patients on treatment in Ethiopia ranges from 11.4 to 69.9%. Therefore, the aim of this study was to determine the magnitude and associated factors of uncontrolled hypertension among hypertensive patients in Ayder comprehensive specialized hospital, Tigray, Ethiopia 2018.
Hospital-based cross-sectional study design was conducted from February 16-April 30/2018. Simple random sampling method was used to select 320 participants. Data was collected using interviewer administered standard structured questionnaire. Self-care practice measuring tool was adopted from hypertension self-care activity level effects (H-scale). Data was entered to and cleaned by Epi Info version 7 and it was exported to SPSS version 22 for analysis. Binary logistic regression model (AOR, 95% CI and p-value |
| doi_str_mv | 10.1186/s12872-019-1091-6 |
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Hospital-based cross-sectional study design was conducted from February 16-April 30/2018. Simple random sampling method was used to select 320 participants. Data was collected using interviewer administered standard structured questionnaire. Self-care practice measuring tool was adopted from hypertension self-care activity level effects (H-scale). Data was entered to and cleaned by Epi Info version 7 and it was exported to SPSS version 22 for analysis. Binary logistic regression model (AOR, 95% CI and p-value < 0.05) was used to determine the predictors of uncontrolled hypertension.
From the total respondents, 164 (51.2%) were females. The mean age of the respondents was 53.83 + 14.52 years. Prevalence of uncontrolled hypertension was found 52.5%. Overweight (AOR = 4.527, 95% CI: 2.247-9.123), co-morbidity (AOR = 2.112, 95% CI: 1.218-3.662), non-adherence to anti-hypertensive medication (AOR = 2.062, 95% CI: 1.030-4.129), non-adherence to physical activity (AOR = 1.931, 95% CI: 1.074-3.470) and non-adherence to alcohol abstinence (AOR = 2.093, 95% CI: 1.109-3.948) are independent predictors of uncontrolled hypertension.
the prevalence of uncontrolled hypertension is high. Patients' adherence to antihypertensive medication, physical exercise and alcohol abstinence should be maximized. Weight reduction and early identification and management of co-morbidities are also crucial.</description><identifier>ISSN: 1471-2261</identifier><identifier>EISSN: 1471-2261</identifier><identifier>DOI: 10.1186/s12872-019-1091-6</identifier><identifier>PMID: 31117945</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Activities of daily living ; Adult ; Adults ; Aged ; Alcohol Abstinence ; Alcohol use ; Analysis ; Antihypertensive agents ; Antihypertensive Agents - therapeutic use ; Antihypertensives ; Ayder comprehensive specialized hospital ; Blood pressure ; Blood Pressure - drug effects ; Body weight ; Cardiovascular diseases ; Cardiovascular system ; Care and treatment ; Clinical medicine ; Comorbidity ; Complications and side effects ; Cross-Sectional Studies ; Data collection ; Diabetes ; Diet ; Disease prevention ; Education ; Ethiopia ; Ethiopia - epidemiology ; Exercise ; Female ; Hospitals ; Humans ; Hypertension ; Hypertension - diagnosis ; Hypertension - epidemiology ; Hypertension - physiopathology ; Hypertension - therapy ; Male ; Medical research ; Medication Adherence ; Middle Aged ; Morbidity ; Mortality ; Obesity ; Obesity - epidemiology ; Obesity - physiopathology ; Obesity - therapy ; Overweight ; Patients ; Physical activity ; Prevalence ; Public health ; Questionnaires ; Retirement benefits ; Risk Factors ; Risk Reduction Behavior ; Salt ; Self care (Health) ; Sociodemographics ; Statistical sampling ; Studies ; Therapeutic applications ; Treatment Outcome ; Uncontrolled hypertension ; Variables ; Weight control ; Weight Loss</subject><ispartof>BMC cardiovascular disorders, 2019-05, Vol.19 (1), p.121-121, Article 121</ispartof><rights>COPYRIGHT 2019 BioMed Central Ltd.</rights><rights>2019. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s). 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c560t-ebc702eaa3f0c09c04608fb5e2b0548af61fc8e2a2fbd49ac0539eecbdc656603</citedby><cites>FETCH-LOGICAL-c560t-ebc702eaa3f0c09c04608fb5e2b0548af61fc8e2a2fbd49ac0539eecbdc656603</cites><orcidid>0000-0001-7374-595X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6532230/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2242743727?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31117945$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gebremichael, Gebrewahd Bezabh</creatorcontrib><creatorcontrib>Berhe, Kalayou Kidanu</creatorcontrib><creatorcontrib>Zemichael, Teklewoini Mariye</creatorcontrib><title>Uncontrolled hypertension and associated factors among adult hypertensive patients in Ayder comprehensive specialized hospital, Tigray, Ethiopia, 2018</title><title>BMC cardiovascular disorders</title><addtitle>BMC Cardiovasc Disord</addtitle><description>Despite the availability and improvement in diagnostic and therapeutic interventions with proven benefits in reducing cardiovascular morbidity and mortality, control rates of hypertension remain poor and grossly inadequate. Around one billion individuals are living with uncontrolled hypertension globally. Uncontrolled hypertension among hypertensive patients on treatment in Ethiopia ranges from 11.4 to 69.9%. Therefore, the aim of this study was to determine the magnitude and associated factors of uncontrolled hypertension among hypertensive patients in Ayder comprehensive specialized hospital, Tigray, Ethiopia 2018.
Hospital-based cross-sectional study design was conducted from February 16-April 30/2018. Simple random sampling method was used to select 320 participants. Data was collected using interviewer administered standard structured questionnaire. Self-care practice measuring tool was adopted from hypertension self-care activity level effects (H-scale). Data was entered to and cleaned by Epi Info version 7 and it was exported to SPSS version 22 for analysis. Binary logistic regression model (AOR, 95% CI and p-value < 0.05) was used to determine the predictors of uncontrolled hypertension.
From the total respondents, 164 (51.2%) were females. The mean age of the respondents was 53.83 + 14.52 years. Prevalence of uncontrolled hypertension was found 52.5%. Overweight (AOR = 4.527, 95% CI: 2.247-9.123), co-morbidity (AOR = 2.112, 95% CI: 1.218-3.662), non-adherence to anti-hypertensive medication (AOR = 2.062, 95% CI: 1.030-4.129), non-adherence to physical activity (AOR = 1.931, 95% CI: 1.074-3.470) and non-adherence to alcohol abstinence (AOR = 2.093, 95% CI: 1.109-3.948) are independent predictors of uncontrolled hypertension.
the prevalence of uncontrolled hypertension is high. Patients' adherence to antihypertensive medication, physical exercise and alcohol abstinence should be maximized. Weight reduction and early identification and management of co-morbidities are also crucial.</description><subject>Activities of daily living</subject><subject>Adult</subject><subject>Adults</subject><subject>Aged</subject><subject>Alcohol Abstinence</subject><subject>Alcohol use</subject><subject>Analysis</subject><subject>Antihypertensive agents</subject><subject>Antihypertensive Agents - therapeutic use</subject><subject>Antihypertensives</subject><subject>Ayder comprehensive specialized hospital</subject><subject>Blood pressure</subject><subject>Blood Pressure - drug effects</subject><subject>Body weight</subject><subject>Cardiovascular diseases</subject><subject>Cardiovascular system</subject><subject>Care and treatment</subject><subject>Clinical medicine</subject><subject>Comorbidity</subject><subject>Complications and side effects</subject><subject>Cross-Sectional Studies</subject><subject>Data collection</subject><subject>Diabetes</subject><subject>Diet</subject><subject>Disease prevention</subject><subject>Education</subject><subject>Ethiopia</subject><subject>Ethiopia - epidemiology</subject><subject>Exercise</subject><subject>Female</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension - diagnosis</subject><subject>Hypertension - epidemiology</subject><subject>Hypertension - physiopathology</subject><subject>Hypertension - therapy</subject><subject>Male</subject><subject>Medical research</subject><subject>Medication Adherence</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Obesity</subject><subject>Obesity - epidemiology</subject><subject>Obesity - physiopathology</subject><subject>Obesity - therapy</subject><subject>Overweight</subject><subject>Patients</subject><subject>Physical activity</subject><subject>Prevalence</subject><subject>Public health</subject><subject>Questionnaires</subject><subject>Retirement benefits</subject><subject>Risk Factors</subject><subject>Risk Reduction Behavior</subject><subject>Salt</subject><subject>Self care (Health)</subject><subject>Sociodemographics</subject><subject>Statistical sampling</subject><subject>Studies</subject><subject>Therapeutic applications</subject><subject>Treatment Outcome</subject><subject>Uncontrolled hypertension</subject><subject>Variables</subject><subject>Weight control</subject><subject>Weight Loss</subject><issn>1471-2261</issn><issn>1471-2261</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptUsFu1DAQjRCIlsIHcEGWuHDYFNtJnOSCtKoKVKrEpT1bE3u861XWDra30vIhfC8Ou5QtQj7YmnnvjefpFcVbRi8Z68THyHjX8pKyvmS0Z6V4VpyzumUl54I9P3mfFa9i3FDK2o72L4uzijHW9nVzXvy8d8q7FPw4oibr_YQhoYvWOwJOE4jRKwsp9wyo5EMksPVuRUDvxnSCf0AyQbLoUiTWkeVeYyDKb6eA62M_TpilRvtjHuTjZBOMC3JnVwH2C3Kd1tZPFhaEU9a9Ll4YGCO-Od4Xxf3n67urr-Xtty83V8vbUjWCphIH1VKOAJWhivaK1oJ2ZmiQD7SpOzCCGdUhB24GXfegaFP1iGrQSjRC0OqiuDnoag8bOQW7hbCXHqz8XfBhJSEkq0aUtIe207TWpjI1Q9YN_TDwZugqpL3u66z16aA17YYtapW9CDA-EX3acXYtV_5BiqbivJo_8-EoEPz3HcYktzYqHEdw6HdRZhBnlPeUZej7f6AbvwsuW5VRNW_rquXtX9QK8gLWGZ_nqllULptONDz7NaMu_4PKR-PW5nCgsbn-hMAOBBV8jAHN446MyjmY8hBMmYMp52BKkTnvTs15ZPxJYvUL1b3gvg</recordid><startdate>20190522</startdate><enddate>20190522</enddate><creator>Gebremichael, Gebrewahd Bezabh</creator><creator>Berhe, Kalayou Kidanu</creator><creator>Zemichael, Teklewoini Mariye</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-7374-595X</orcidid></search><sort><creationdate>20190522</creationdate><title>Uncontrolled hypertension and associated factors among adult hypertensive patients in Ayder comprehensive specialized hospital, Tigray, Ethiopia, 2018</title><author>Gebremichael, Gebrewahd Bezabh ; Berhe, Kalayou Kidanu ; Zemichael, Teklewoini Mariye</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c560t-ebc702eaa3f0c09c04608fb5e2b0548af61fc8e2a2fbd49ac0539eecbdc656603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Activities of daily living</topic><topic>Adult</topic><topic>Adults</topic><topic>Aged</topic><topic>Alcohol Abstinence</topic><topic>Alcohol use</topic><topic>Analysis</topic><topic>Antihypertensive agents</topic><topic>Antihypertensive Agents - therapeutic use</topic><topic>Antihypertensives</topic><topic>Ayder comprehensive specialized hospital</topic><topic>Blood pressure</topic><topic>Blood Pressure - drug effects</topic><topic>Body weight</topic><topic>Cardiovascular diseases</topic><topic>Cardiovascular system</topic><topic>Care and treatment</topic><topic>Clinical medicine</topic><topic>Comorbidity</topic><topic>Complications and side effects</topic><topic>Cross-Sectional Studies</topic><topic>Data collection</topic><topic>Diabetes</topic><topic>Diet</topic><topic>Disease prevention</topic><topic>Education</topic><topic>Ethiopia</topic><topic>Ethiopia - epidemiology</topic><topic>Exercise</topic><topic>Female</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Hypertension - diagnosis</topic><topic>Hypertension - epidemiology</topic><topic>Hypertension - physiopathology</topic><topic>Hypertension - therapy</topic><topic>Male</topic><topic>Medical research</topic><topic>Medication Adherence</topic><topic>Middle Aged</topic><topic>Morbidity</topic><topic>Mortality</topic><topic>Obesity</topic><topic>Obesity - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>BMC cardiovascular disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gebremichael, Gebrewahd Bezabh</au><au>Berhe, Kalayou Kidanu</au><au>Zemichael, Teklewoini Mariye</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Uncontrolled hypertension and associated factors among adult hypertensive patients in Ayder comprehensive specialized hospital, Tigray, Ethiopia, 2018</atitle><jtitle>BMC cardiovascular disorders</jtitle><addtitle>BMC Cardiovasc Disord</addtitle><date>2019-05-22</date><risdate>2019</risdate><volume>19</volume><issue>1</issue><spage>121</spage><epage>121</epage><pages>121-121</pages><artnum>121</artnum><issn>1471-2261</issn><eissn>1471-2261</eissn><abstract>Despite the availability and improvement in diagnostic and therapeutic interventions with proven benefits in reducing cardiovascular morbidity and mortality, control rates of hypertension remain poor and grossly inadequate. Around one billion individuals are living with uncontrolled hypertension globally. Uncontrolled hypertension among hypertensive patients on treatment in Ethiopia ranges from 11.4 to 69.9%. Therefore, the aim of this study was to determine the magnitude and associated factors of uncontrolled hypertension among hypertensive patients in Ayder comprehensive specialized hospital, Tigray, Ethiopia 2018.
Hospital-based cross-sectional study design was conducted from February 16-April 30/2018. Simple random sampling method was used to select 320 participants. Data was collected using interviewer administered standard structured questionnaire. Self-care practice measuring tool was adopted from hypertension self-care activity level effects (H-scale). Data was entered to and cleaned by Epi Info version 7 and it was exported to SPSS version 22 for analysis. Binary logistic regression model (AOR, 95% CI and p-value < 0.05) was used to determine the predictors of uncontrolled hypertension.
From the total respondents, 164 (51.2%) were females. The mean age of the respondents was 53.83 + 14.52 years. Prevalence of uncontrolled hypertension was found 52.5%. Overweight (AOR = 4.527, 95% CI: 2.247-9.123), co-morbidity (AOR = 2.112, 95% CI: 1.218-3.662), non-adherence to anti-hypertensive medication (AOR = 2.062, 95% CI: 1.030-4.129), non-adherence to physical activity (AOR = 1.931, 95% CI: 1.074-3.470) and non-adherence to alcohol abstinence (AOR = 2.093, 95% CI: 1.109-3.948) are independent predictors of uncontrolled hypertension.
the prevalence of uncontrolled hypertension is high. Patients' adherence to antihypertensive medication, physical exercise and alcohol abstinence should be maximized. Weight reduction and early identification and management of co-morbidities are also crucial.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>31117945</pmid><doi>10.1186/s12872-019-1091-6</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0001-7374-595X</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | BMC cardiovascular disorders, 2019-05, Vol.19 (1), p.121-121, Article 121 |
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| subjects | Activities of daily living Adult Adults Aged Alcohol Abstinence Alcohol use Analysis Antihypertensive agents Antihypertensive Agents - therapeutic use Antihypertensives Ayder comprehensive specialized hospital Blood pressure Blood Pressure - drug effects Body weight Cardiovascular diseases Cardiovascular system Care and treatment Clinical medicine Comorbidity Complications and side effects Cross-Sectional Studies Data collection Diabetes Diet Disease prevention Education Ethiopia Ethiopia - epidemiology Exercise Female Hospitals Humans Hypertension Hypertension - diagnosis Hypertension - epidemiology Hypertension - physiopathology Hypertension - therapy Male Medical research Medication Adherence Middle Aged Morbidity Mortality Obesity Obesity - epidemiology Obesity - physiopathology Obesity - therapy Overweight Patients Physical activity Prevalence Public health Questionnaires Retirement benefits Risk Factors Risk Reduction Behavior Salt Self care (Health) Sociodemographics Statistical sampling Studies Therapeutic applications Treatment Outcome Uncontrolled hypertension Variables Weight control Weight Loss |
| title | Uncontrolled hypertension and associated factors among adult hypertensive patients in Ayder comprehensive specialized hospital, Tigray, Ethiopia, 2018 |
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