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Magnitude and Determinants of Uncontrolled Blood Pressure Among Hypertensive Patients in Northern Ethiopia, 2018: A Cross-Sectional Study

Received: 5 August 2023    Accepted: 1 September 2023    Published: 8 January 2024
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Abstract

Background and Aims: Uncontrolled blood pressure is a strong risk factor for cardiovascular diseases such as angina, myocardial infarction, stroke, peripheral arterial diseases, and it is a leading cause of death. There is limited information on the magnitude of uncontrolled blood pressure and its determinants in Ethiopia particularly to the study setting. This study aimed to assess the magnitude and determinants of uncontrolled blood pressure among hypertensive patients in Northern Ethiopia, 2018. Methods: A hospital-based cross-sectional study design was conducted from February to April 2018. During the data collection period, blood pressure was measured twice from each study participants and an average of the two measurements five minutes apart was taken. Socio-demographic and lifestyle data collected using face to face interviews; record reviews, and anthropometric measurements also used for clinical and anthropometric data. Four hundred forty-five hypertensive patients were included in this study through a systematic random sampling technique. Data were entered and analyzed by using SPSS version 23. Bivariate and multivariable logistic regression was done to identify the determinants of uncontrolled blood pressure. Adjusted odds ratio and 95% confidence intervals were used to show the strength of association, and to declare statistical significance at P-value <0.05. Result: According to this study, 340 (76.4%) of participants had uncontrolled blood pressure. The determinants of uncontrolled blood pressure were no formal education (AOR=1.89, 95%CI: 1.01-3.52), alcohol drinking (AOR=4.18, 95%CI: 1.81-9.66), and every one-month follow-up (AOR=2.54, 95%CI: (1.19-5.39). Conclusion: uncontrolled blood pressure was high. No formal education, alcohol drinking, and every one-month follow-up were determinants of uncontrolled blood pressure. So, health education on lifestyle modifications and hypertension-related complications in each follow-up visit through health professionals are essential for the prevention of hypertension complications.

Published in American Journal of Biomedical and Life Sciences (Volume 12, Issue 1)
DOI 10.11648/j.ajbls.20241201.11
Page(s) 1-7
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Hypertension, Uncontrolled Blood Pressure, Ethiopia

References
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Cite This Article
  • APA Style

    Mekonen, H. H., Gebru, T. H., Kiros, K. G., Tesfamichael, Y. A., Gebrehiwot, T. G., et al. (2024). Magnitude and Determinants of Uncontrolled Blood Pressure Among Hypertensive Patients in Northern Ethiopia, 2018: A Cross-Sectional Study. American Journal of Biomedical and Life Sciences, 12(1), 1-7. https://doi.org/10.11648/j.ajbls.20241201.11

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    ACS Style

    Mekonen, H. H.; Gebru, T. H.; Kiros, K. G.; Tesfamichael, Y. A.; Gebrehiwot, T. G., et al. Magnitude and Determinants of Uncontrolled Blood Pressure Among Hypertensive Patients in Northern Ethiopia, 2018: A Cross-Sectional Study. Am. J. Biomed. Life Sci. 2024, 12(1), 1-7. doi: 10.11648/j.ajbls.20241201.11

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    AMA Style

    Mekonen HH, Gebru TH, Kiros KG, Tesfamichael YA, Gebrehiwot TG, et al. Magnitude and Determinants of Uncontrolled Blood Pressure Among Hypertensive Patients in Northern Ethiopia, 2018: A Cross-Sectional Study. Am J Biomed Life Sci. 2024;12(1):1-7. doi: 10.11648/j.ajbls.20241201.11

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  • @article{10.11648/j.ajbls.20241201.11,
      author = {Haftea Hagos Mekonen and Tsegu Hailu Gebru and Kbrom Gemechu Kiros and Yohannes Ashebir Tesfamichael and Tesfay Gebreslassie Gebrehiwot and Destaalem Gebremedhin Gebre and Mekonen Haftom Goyteom and Beyene Tadesse Teklemichael and Milete Gebrehiwot Hagos and Gessessew Teklebrhan Gebrehiwot and Embay Amare},
      title = {Magnitude and Determinants of Uncontrolled Blood Pressure Among Hypertensive Patients in Northern Ethiopia, 2018: A Cross-Sectional Study},
      journal = {American Journal of Biomedical and Life Sciences},
      volume = {12},
      number = {1},
      pages = {1-7},
      doi = {10.11648/j.ajbls.20241201.11},
      url = {https://doi.org/10.11648/j.ajbls.20241201.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajbls.20241201.11},
      abstract = {Background and Aims: Uncontrolled blood pressure is a strong risk factor for cardiovascular diseases such as angina, myocardial infarction, stroke, peripheral arterial diseases, and it is a leading cause of death. There is limited information on the magnitude of uncontrolled blood pressure and its determinants in Ethiopia particularly to the study setting. This study aimed to assess the magnitude and determinants of uncontrolled blood pressure among hypertensive patients in Northern Ethiopia, 2018. Methods: A hospital-based cross-sectional study design was conducted from February to April 2018. During the data collection period, blood pressure was measured twice from each study participants and an average of the two measurements five minutes apart was taken. Socio-demographic and lifestyle data collected using face to face interviews; record reviews, and anthropometric measurements also used for clinical and anthropometric data. Four hundred forty-five hypertensive patients were included in this study through a systematic random sampling technique. Data were entered and analyzed by using SPSS version 23. Bivariate and multivariable logistic regression was done to identify the determinants of uncontrolled blood pressure. Adjusted odds ratio and 95% confidence intervals were used to show the strength of association, and to declare statistical significance at P-value Result: According to this study, 340 (76.4%) of participants had uncontrolled blood pressure. The determinants of uncontrolled blood pressure were no formal education (AOR=1.89, 95%CI: 1.01-3.52), alcohol drinking (AOR=4.18, 95%CI: 1.81-9.66), and every one-month follow-up (AOR=2.54, 95%CI: (1.19-5.39). Conclusion: uncontrolled blood pressure was high. No formal education, alcohol drinking, and every one-month follow-up were determinants of uncontrolled blood pressure. So, health education on lifestyle modifications and hypertension-related complications in each follow-up visit through health professionals are essential for the prevention of hypertension complications.
    },
     year = {2024}
    }
    

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  • TY  - JOUR
    T1  - Magnitude and Determinants of Uncontrolled Blood Pressure Among Hypertensive Patients in Northern Ethiopia, 2018: A Cross-Sectional Study
    AU  - Haftea Hagos Mekonen
    AU  - Tsegu Hailu Gebru
    AU  - Kbrom Gemechu Kiros
    AU  - Yohannes Ashebir Tesfamichael
    AU  - Tesfay Gebreslassie Gebrehiwot
    AU  - Destaalem Gebremedhin Gebre
    AU  - Mekonen Haftom Goyteom
    AU  - Beyene Tadesse Teklemichael
    AU  - Milete Gebrehiwot Hagos
    AU  - Gessessew Teklebrhan Gebrehiwot
    AU  - Embay Amare
    Y1  - 2024/01/08
    PY  - 2024
    N1  - https://doi.org/10.11648/j.ajbls.20241201.11
    DO  - 10.11648/j.ajbls.20241201.11
    T2  - American Journal of Biomedical and Life Sciences
    JF  - American Journal of Biomedical and Life Sciences
    JO  - American Journal of Biomedical and Life Sciences
    SP  - 1
    EP  - 7
    PB  - Science Publishing Group
    SN  - 2330-880X
    UR  - https://doi.org/10.11648/j.ajbls.20241201.11
    AB  - Background and Aims: Uncontrolled blood pressure is a strong risk factor for cardiovascular diseases such as angina, myocardial infarction, stroke, peripheral arterial diseases, and it is a leading cause of death. There is limited information on the magnitude of uncontrolled blood pressure and its determinants in Ethiopia particularly to the study setting. This study aimed to assess the magnitude and determinants of uncontrolled blood pressure among hypertensive patients in Northern Ethiopia, 2018. Methods: A hospital-based cross-sectional study design was conducted from February to April 2018. During the data collection period, blood pressure was measured twice from each study participants and an average of the two measurements five minutes apart was taken. Socio-demographic and lifestyle data collected using face to face interviews; record reviews, and anthropometric measurements also used for clinical and anthropometric data. Four hundred forty-five hypertensive patients were included in this study through a systematic random sampling technique. Data were entered and analyzed by using SPSS version 23. Bivariate and multivariable logistic regression was done to identify the determinants of uncontrolled blood pressure. Adjusted odds ratio and 95% confidence intervals were used to show the strength of association, and to declare statistical significance at P-value Result: According to this study, 340 (76.4%) of participants had uncontrolled blood pressure. The determinants of uncontrolled blood pressure were no formal education (AOR=1.89, 95%CI: 1.01-3.52), alcohol drinking (AOR=4.18, 95%CI: 1.81-9.66), and every one-month follow-up (AOR=2.54, 95%CI: (1.19-5.39). Conclusion: uncontrolled blood pressure was high. No formal education, alcohol drinking, and every one-month follow-up were determinants of uncontrolled blood pressure. So, health education on lifestyle modifications and hypertension-related complications in each follow-up visit through health professionals are essential for the prevention of hypertension complications.
    
    VL  - 12
    IS  - 1
    ER  - 

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Author Information
  • Department of Nursing, College of Medicine and Health Science, Adigrat University, Tigray, Ethiopia

  • Department of Nursing, College of Medicine and Health Science, Adigrat University, Tigray, Ethiopia

  • Department of Nursing, College of Medicine and Health Science, Adigrat University, Tigray, Ethiopia

  • Department of Nursing, College of Medicine and Health Science, Adigrat University, Tigray, Ethiopia

  • Department of Nursing, College of Medicine and Health Science, Adigrat University, Tigray, Ethiopia

  • Department of Nursing, College of Medicine and Health Science, Adigrat University, Tigray, Ethiopia

  • Department of Nursing, College of Medicine and Health Science, Adigrat University, Tigray, Ethiopia

  • Department of Nursing, College of Medicine and Health Science, Adigrat University, Tigray, Ethiopia

  • Department of Nursing, College of Medicine and Health Science, Adigrat University, Tigray, Ethiopia

  • Department of Psychiatry, College of Medicine and Health Science, Adigrat University, Tigray, Ethiopia

  • Department of Public Health, College of Medicine and Health Science, Adigrat University, Tigray, Ethiopia

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