Hypertension prevalence, awareness, treatment and control in Ghanaian population: Evidence from the Ghana demographic and health survey

Sanuade, Olutobi Adekunle; Boatemaa, Sandra; Kushitor, Sandra Boatemaa

doi:10.1371/journal.pone.0205985

Cited by 91 publications

(138 citation statements)

References 45 publications

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“…is was generally more than the reports of other studies on the prevalence of hypertension. Sanuade et al [19] reported that the overall prevalence of hypertension in the Ghanaian population is 13.0%. Central to the prevalence of hypertension is International Journal of Hypertension population-based studies where individuals will independently indicate their status.…”

Section: Discussionmentioning

confidence: 99%

“…Ahoe has a population size of 1,234 [16] and has limited access routes and community facilities. Hypertension is one of the top three leading causes of all deaths and among the top ten reasons for outpatient attendance in the Volta regional [19] and the Ho municipal hospitals. e Ho teaching hospital (formally called the Volta regional hospital) and the Ho municipal hospitals principally serve the Ahoe and adjourning periurban communities.…”

Section: Settingmentioning

confidence: 99%

“…e study received scientific approval from the School of Nursing and Midwifery Research and Scientific Committee of the University of Health and Allied Sciences. Also from the Institute of Health Research (IHR), University of Health and Allied Sciences, Ho, ethical approval was obtained to conduct this study (UHAS-REC A.2 [20] [18][19]. A formal permit was secured from opinion leaders of the Ahoe Community prior to the commencement of the study.…”

Section: Ethical Considerationsmentioning

confidence: 99%

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Practices of Adults in a Periurban Community of the Ho Municipality on Prevention of Hypertension

Konlan

Baku

Japiong

et al. 2020

International Journal of Hypertension

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Background. Hypertension remains a rising health threat among developing countries and it is due to poor knowledge and lifestyles. Integrated knowledge and practices are central towards the control of hypertension, especially in the developing world. Objectives. This study assessed the practices of adults in a periurban community in the Ho Municipality of the Volta region on the prevention of hypertension. Methodology. A cross-sectional descriptive research design was carried out in a periurban community in the Volta region. Adults were recruited using a systematic sampling technique in the Ahoe community. Pretested questionnaires were used to collect information on sociodemographic, knowledge, and lifestyle practices regarding hypertension prevention. The data were entered into Microsoft excel 2013 spreadsheet, cleaned, and transported to the Statistical Package for Social Sciences (SPSS) version 22 software for analyses. The data were analysed using simple descriptive statistics. Results. In this study, 49.3% explained that hypertension means the increased force of blood through the blood vessels as 90.8% indicated that taking antihypertensive medications can control hypertension. In describing the associated effects of hypertension, adults in the Ahoe community described the effects of hypertension as stroke (89.8%), heart attack (84.0%), diabetes (56.5%), and heart failure (82.3%). Also, 54.1% described hypertension as a lifelong disease while 55.8% indicated hypertension can be cured. Also, 92.2% identified exercising as an important factor in controlling hypertension as 32.7% use herbal preparations to control hypertension. Only 3.7% of adults in the Ahoe community were smokers and 54.5% smoked less than a year. The majority (61.6%) of the respondents did not drink alcohol as 69.7% engage in active exercises. Conclusion. Education on hypertension should be intensified, and emphasis should be laid on regular exercised and strict dietary restrictions that ensure reduction in hypertension risk. Healthcare authorities should engage hypertensive clients to desist from the intake of herbal medications whose actual composition has not been scientifically determined.

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Section: Discussionmentioning

confidence: 99%

Section: Settingmentioning

confidence: 99%

Section: Ethical Considerationsmentioning

confidence: 99%

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Practices of Adults in a Periurban Community of the Ho Municipality on Prevention of Hypertension

Konlan

Baku

Japiong

et al. 2020

International Journal of Hypertension

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“…Various studies have reported rates of 32.9%-49%among similar population groups (2,(14)(15)(16). In Ghana, however, control rates reported are relatively lower and range from 24% to 42% (17)(18)(19). The available studies that have established the high prevalence of uncontrolled hypertension in Ghana, but found inconsistent associations between socio-demographic factors and blood pressure control (18,19).…”

Section: Introductionmentioning

confidence: 99%

“…In Ghana, however, control rates reported are relatively lower and range from 24% to 42% (17)(18)(19). The available studies that have established the high prevalence of uncontrolled hypertension in Ghana, but found inconsistent associations between socio-demographic factors and blood pressure control (18,19). Where client level factors have been assessed, evidence shows poor control associated with the number of hypertensive medications, duration of diagnosis and access to medication (19).…”

Section: Introductionmentioning

confidence: 99%

Patient-level factors influencing hypertension control in adults in Accra, Ghana

Okai

Manu

Amoah

et al. 2019

Preprint

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Background : Effective control of blood pressure is necessary to avert the risk of cardiovascular diseases from uncontrolled hypertension. Despite evidence on the benefits of hypertension control, rates of control in Ghana remain low. This study assessed the patient-level factors that influence hypertension control among adults in Accra, Ghana. Methods: A total of 360 hypertensive patients from two hospitals in Accra, Ghana were enrolled in the study. Client socio-demographic characteristics were tabulated and associations between client characteristics and hypertension control were estimated using chi-square tests and logistic regression. Results: The client’s sex [AOR=3.53 (95% CI:1.73-7.25], educational at junior high school [AOR=3.05(95% CI 1.40-6.67)], senior high school [AOR=2.67 (95% CI 1.05-6.76)] and presence of a comorbidity [AOR=2.41 (95% CI 1.32; 4.42)] predicted BP control among clients. An increased pill burden, however, was associated with reduced BP control [AOR=0.32(95% CI: 0.18-0.56)]. The majority of patients reported forgetfulness, side effects of medication and high pill burden as reasons for missing their medications. Conclusion: Knowledge of hypertension among patients is low. Sex, formal education and the presence of comorbidity and more specifically dyslipidaemia influences blood pressure control. A high pill burden negatively affects the attainment of blood pressure control.

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Frailty syndrome and associated factors among patients with hypertension: A cross‐sectional study in Kumasi, Ghana

Sakyi,

Tawiah,

Senu

et al. 2023

Health Science Reports

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Background and AimFrailty is a condition marked by accumulation of biological deficits and dysfunctions that come with aging and it is correlated with high morbidity and mortality in patients with cardiovascular diseases, particularly hypertension. Hypertension continues to be a leading cause of cardiovascular diseases and premature death globally. However, there is dearth of literature in sub‐Saharan Africa on frailty syndrome among hypertensives on medication. This study evaluated frailty syndrome and its associated factors among Ghanaian hypertensives.MethodsThis cross‐sectional study recruited 303 patients with hypertension from the University Hospital, Kwame Nkrumah University of Science and Technology (KNUST), Kumasi, Ghana. Data on sociodemographic, lifestyle and clinical factors were collected using a well‐structured questionnaire. Medication adherence was measured using Adherence in Chronic Disease Scale, and frailty was assessed by Tilburg Frailty Indicator. Statistical analyses were performed using SPSS Version 26.0 and GraphPad prism 8.0. p‐value of < 0.05 and 95% confidence interval (CI) were considered statistically significant.ResultsThe prevalence of frailty was 59.7%. The proportion of high, medium and low medication adherence was 23.4%, 64.4% and 12.2%, respectively. Being ≥ 70years (adjusted odds ratio [aOR]: 8.33, 95% CI [3.72–18.67], p < 0.0001), unmarried (aOR: 2.59, 95% CI [1.37–4.89], p = 0.0030), having confirmed hypertension complications (aOR: 3.21, 95% CI [1.36–7.53], p = 0.0080), medium (aOR: 1.99, 95% CI [1.05–3.82], p = 0.0360) and low antihypertensive drug adherence (aOR: 27.69, 95% CI [7.05–108.69], p < 0.0001) were independent predictors of increased odds of developing frailty syndrome.ConclusionApproximately 6 out of 10 Ghanaian adult patients with hypertension experience frailty syndrome. Hypertension complications, older age, being unmarried, and low antihypertensive drug adherence increased the chances of developing frailty syndrome. These should be considered in intervention programmes to prevent frailty among patients with hypertension.

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Hypertension prevalence, awareness, treatment and control in Ghanaian population: Evidence from the Ghana demographic and health survey

Cited by 91 publications

References 45 publications

Practices of Adults in a Periurban Community of the Ho Municipality on Prevention of Hypertension

Practices of Adults in a Periurban Community of the Ho Municipality on Prevention of Hypertension

Patient-level factors influencing hypertension control in adults in Accra, Ghana

Frailty syndrome and associated factors among patients with hypertension: A cross‐sectional study in Kumasi, Ghana

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