Patients knowledge of hypertension and its control in Eastern Sudan

Osman, Eman; Suleiman, Ismail A.; Elzubair, Ahmed Gasim

doi:10.4314/eamj.v84i7.9587

Cited by 7 publications

(10 citation statements)

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“…We found that good knowledge, attitudes, and practices were strongly associated with HTN control and remained significantly associated even when adjusted for adherence. Similar studies have been conducted in SSA populations, but with mixed results . In our study, we specifically found that not knowing that HTN is a heritable condition, not knowing that it is a chronic condition, and not agreeing that it is possible to enjoy life while making healthy lifestyle modifications were the three knowledge and attitudes questionnaire items associated with poor control.…”

Section: Discussionsupporting

confidence: 68%

“…Similar studies have been conducted in SSA populations, but with mixed results. [18][19][20][21][22] In our study, we specifically found that not knowing that HTN is a heritable condition, not knowing that it is a chronic condition, and not agreeing that it is possible to enjoy life while making healthy lifestyle modifications were the three knowledge and attitudes questionnaire items associated with poor control. This suggests an opportunity for directed intervention by clinicians to educate patients on the chronicity and hereditability of HTN.…”

Section: Discussionmentioning

confidence: 96%

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Hypertension Control and Its Correlates Among Adults Attending a Hypertension Clinic in Tanzania

Maginga

Guerrero

Koh

et al. 2015

J of Clinical Hypertension

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Hypertension control rates are low in sub-Saharan Africa. Population-specific determinants of blood pressure (BP) control have not been adequately described. We measured BP and conducted interviews to determine factors associated with BP control among adults attending a hypertension clinic in Tanzania. Three hundred adults were enrolled. BP was controlled in 47.7% at the study visit but only 28.3% over 3 consecutive visits. Demographic and socioeconomic factors were not associated with control. Obesity and higher medication cost were associated with decreased control. Their effect was mediated through adherence. Good knowledge of (OR=2.5, 95%CI=1.0–6.1, p=0.047), attitudes towards (OR=2.7, 95%CI=1.0–7.1, p=0.04) and practices concerning (OR=5.4, 95%CI=2.3–13.0, p<0.001) hypertension were independently associated with increased control, even after adjusting for mediation through adherence. Good adherence had the strongest association with control (OR=14.6,95% CI=5.8–37.0, p<0.001). Strategies to reduce hypertension-related morbidity and mortality in sub-Saharan Africa should target these factors. Interventional studies of such strategies are needed.

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Section: Discussionsupporting

confidence: 68%

Section: Discussionmentioning

confidence: 96%

Hypertension Control and Its Correlates Among Adults Attending a Hypertension Clinic in Tanzania

Maginga

Guerrero

Koh

et al. 2015

J of Clinical Hypertension

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show abstract

“…Lack of health literacy about hypertension was a common theme among study participants, but there were no consistent trends in responses observed between the two groups. Similar studies conducted on knowledge, attitudes and practices in sub-Saharan Africa [ 64 – 66 ] have shown mixed associations between blood pressure control and knowledge base of study participants on hypertension. Since educational attainment was not associated with blood pressure control in the present study, all patients including well-educated ones, should receive targeted education on blood pressure control during clinic visits.…”

Section: Discussionsupporting

confidence: 52%

Factors associated with uncontrolled blood pressure among Ghanaians: Evidence from a multicenter hospital-based study

et al. 2018

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BackgroundThe burden of uncontrolled hypertension in Low-and-Middle Income Countries (LMICs) is high, with an increased risk of cardiovascular diseases and chronic renal failure in these settings.ObjectiveTo assess the factors associated with uncontrolled blood pressure control in a cross-section of Ghanaian hypertensive subjects involved in an on-going multicenter epidemiological study aimed at improving access to hypertension treatment.MethodsA cross-sectional study involving 2,870 participants with hypertension with or without diabetes who were enrolled at 5 hospitals in Ghana (2 tertiary, 2 district and 1 rural hospital). Data on demographics, medical history, lifestyle factors, anti-hypertensive medications and treatment adherence were collected. The 14-item version of the Hill-Bone compliance to high blood pressure therapy scale was used to assess adherence to treatment in 3 domains namely adherence to medications, salt intake and clinic appointments. Questionnaires on knowledge, attitudes and practices on hypertension, sources of antihypertensive medications and challenges with accessing these medications were also administered. Blood pressure, weight and height were measured for each subject at enrollment. Factors associated with uncontrolled blood pressure (>140/90mmHg) were assessed using a multivariate logistic regression model.ResultsThe mean ± SD age of study participants was 58.9 ± 16.6 years, with a female preponderance (76.8%). Among study participants, 1,213 (42.3%) study participants had blood pressure measurements under control. Factors that remained significantly associated with uncontrolled blood pressure with adjusted OR (95% CI) included receiving therapy at a tertiary level of care: 2.47 (1.57–3.87), longer duration of hypertension diagnosis: 1.01 (1.00–1.03), poor adherence to therapy: 1.21 (1.09–1.35) for each 5 points higher score on the Hill-Bone scale, reported difficulties in obtaining antihypertensive medications: 1.24 (1.02–1.49) and number of antihypertensive medications prescribed: 1.32 (1.21–1.44).ConclusionWe have found high rates of uncontrolled blood pressure among Ghanaian patients with hypertension accessing healthcare in public institutions. The system-level and individual-level factors associated with poor blood pressure control should be addressed to improve hypertension management among Ghanaians.

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“…This study showed that patients' knowledge about hypertension did not seem to have a significant effect on BP control (p = 0.093). Likewise, a Sudanese study 31 showed that good patients' knowledge regarding the complications of hypertension did not correlate positively with BP control. This is not unexpected, as good knowledge may not translate to the right attitude and practice.…”

Section: Limitationsmentioning

confidence: 99%

An appraisal of blood pressure control and its determinants among patients with primary hypertension seen in a primary care setting in Western Nigeria

Ojo

Malomo

Sogunle

et al. 2016

South African Family Practice

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Achieving guideline-recommended blood pressure is imperative in reducing the rising tide of uncontrolled hypertension and its attendant sequelae, which are major causes of morbidity and mortality globally. The aim of the study was to describe the pattern of blood pressure control and identify the factors influencing blood pressure control among patients with primary hypertension seen at family medicine clinics of FMC, Abeokuta. Methods: This was a descriptive cross-sectional hospital-based study. A systematic random sampling technique was used in selecting 360 hypertensive respondents over four months. Data were collected through a pre-tested interviewer-administered questionnaire. The Statistical Package for the Social Sciences (SPSS) version 17.0 was used to analyse data. Results: Blood pressure was controlled in 167 (46.4%) of the respondents. The independent predictors of blood pressure control were female gender (p = 0.001, OR = 2.494, 95% confidence interval (CI) = 1.477-4.214), regular use of medication (p = 0.001, OR = 2.900, 95% CI = 1.508-5.577), regular clinic attendance (p < 0.001, OR = 3.512, 95% CI = 1.772-6.960), and absence of diabetes mellitus (p < 0.001, OR = 7.357, 95% CI = 3.190-16.966). Conclusions: The rate of blood pressure control among the hypertensive respondents was low. Multiple independent predictors of controlled blood pressure call for a team-based approach as well as multiple approaches including education of patients, expansion of a community-based health insurance programme and intensification of treatment efforts when managing hypertensive patients.

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Patients knowledge of hypertension and its control in Eastern Sudan

Cited by 7 publications

References 0 publications

Hypertension Control and Its Correlates Among Adults Attending a Hypertension Clinic in Tanzania

Hypertension Control and Its Correlates Among Adults Attending a Hypertension Clinic in Tanzania

Factors associated with uncontrolled blood pressure among Ghanaians: Evidence from a multicenter hospital-based study

An appraisal of blood pressure control and its determinants among patients with primary hypertension seen in a primary care setting in Western Nigeria

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