Blood Pressure Control Practice and Determinants among Ambulatory Hypertensive Patients Attending Primary Health care facilities in Addis Ababa

Amare, Firehiwot; Nedi, Teshome; Berhe, Derbew Fikadu

doi:10.21203/rs.2.12562/v1

Cited by 9 publications

(15 citation statements)

References 18 publications

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“…The other three articles were conducted in the Tigray region [ 26 , 27 , 39 ], three articles were in Addis Ababa [ 18 , 40 , 41 ], and one article was conducted in South Nations and Nationalities of People [ 17 ]. The largest sample size was 616 which was obtained from a study conducted in Addis Ababa in 2016 [ 41 ]. Of the total articles, only 9 of them [ 11 , 16 – 18 , 20 , 22 , 23 , 26 , 38 ] reported the overall self-care adherence of hypertensive patients ( Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…Among these, 9 and 8 articles were done in the Oromia region [11,22,23,27,[29][30][31][32][33] and the Amhara region [16,19,20,[34][35][36][37][38], respectively. e other three articles were conducted in the Tigray region [26,27,39], three articles were in Addis Ababa [18,40,41], and one article was conducted in South Nations and Nationalities of People [17]. e largest sample size was 616 which was obtained from a study conducted in Addis Ababa in 2016 [41].…”

Section: Description Of Included Studiesmentioning

confidence: 99%

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Adherence to Self-Care among Patients with Hypertension in Ethiopia: A Systematic Review and Meta-Analysis

Edmealem

Ademe

Gedamu

2022

International Journal of Hypertension

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Background. Self-care adherence for hypertensive patients is a cornerstone for the control of it and prevention of its complications. However, there are inconsistent findings for self-care adherence of hypertensive patients in Ethiopia. Thus, this systematic review and meta-analysis was done to determine the pooled estimate self-care adherence. Methods. This systematic review and meta-analysis was reported based on the Preferred Reporting Items for Systematic Review and Meta-Analysis guideline. An intensive search of online databases such as PubMed (MEDLINE), CINHAL, Google Scholar, and advanced Google search was made to access both published and unpublished articles that report self-care adherence among hypertensive patients in Ethiopia. The pooled estimate was done with STATA version 11 metan commands in a 95% confidence interval. The presence of heterogeneity and publication bias were detected by I2 and Egger’s test, respectively. A random-effect model was obtained, and subgroup analysis was done for the management of heterogeneity. Result. A total of 24 articles with a total of 7224 participants were included in the final systematic review and meta-analysis. The pooled estimate of overall self-care adherence among hypertensive patients was 36.98% (95% CI: 27.13–46.83). In subgroup analysis, the highest overall self-care adherence was observed in the Amhara region at 53% (95% CI: 46.54, 59.47). The pooled estimate of self-care dimensions such as medication adherence, low-salt diet, physical activity, smoking abstinence, alcohol abstinence, and weight management was 62.71%, 65.96%, 47.28%, 92.53%, 67.59%, and 52.54%, respectively. Conclusion. The pooled estimate of good self-care adherence among hypertensive patients was low. From the dimensions of self-care, the lowest level was in physical activity and the highest level was in smoking abstinence. Comparing all regions, the lowest level of overall self-care adherence was observed in Addis Ababa, Tigray region, and South Nations and Nationalities of Ethiopia. Screening of adherence to self-care and health education should be provided to every patient during every visit.

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Section: Resultsmentioning

confidence: 99%

Section: Description Of Included Studiesmentioning

confidence: 99%

Adherence to Self-Care among Patients with Hypertension in Ethiopia: A Systematic Review and Meta-Analysis

Edmealem

Ademe

Gedamu

2022

International Journal of Hypertension

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“…Among the included hypertensive patients, 2534 were found to have uncontrolled BP. Eleven of the included studies used cross-sectional study design [14][15][16][17][18][19][20][21][22][23][24] while the remaining two were cohort in design [25,26]. Almost all the included studies were hospital based except for one which was conducted at health centers [18].…”

Section: Study Characteristicsmentioning

confidence: 99%

Uncontrolled hypertension in Ethiopia: a systematic review and meta-analysis of institution-based observational studies

Amare

Hagos

Sisay

et al. 2020

BMC Cardiovasc Disord

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Background: Uncontrolled hypertension is one of the major risk factors of cardiovascular and cerebrovascular diseases. The prevalence of hypertension in Ethiopia is expected to reach up to 30%. The aim of this study was to determine the prevalence of uncontrolled hypertension among hypertensive patients on treatment in Ethiopia. Methods: Electronic databases and search engines including EMBASE (Ovid), PubMed/Medline, and Google Scholar were searched for original records in the English language addressing hypertension control in Ethiopia from 2000 to 2018. Data were extracted using a format prepared in Microsoft Excel and exported to STATA 15.0 software for analyses. The study protocol is registered at PROSPERO with reference number ID: CRD42018116336. Results: A total of 13 studies with 5226 hypertension patients were included for systematic review and meta-analysis. The pooled prevalence of uncontrolled hypertension in Ethiopia was 48% (95% confidence interval (CI): 36, 61%). The result of the subgroup analysis, based on the year of publications, revealed that the prevalence of uncontrolled BP was highest in 2016 (63%; CI: 60, 67%) and in 2015 (59%; CI: 53, 65%). Univariate meta-regression revealed that sampling distribution was not a source of heterogeneity for the pooled estimate as well as the sub group analysis. Conclusion: The prevalence of uncontrolled hypertension was high in Ethiopia. This alarming public health issue fuels the ever-increasing cardiovascular and cerebrovascular diseases. The ministry of health has to design a policy and implementation mechanisms to reduce uncontrolled hypertension prevalence and improve awareness on blood pressure control.

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“…Similarly, health center based study in Ethiopia showed that patients who were government employee or private business were associated with less odds ratio of uncontrolled BP than housewives. 28 This might be due to increase in awareness about their problems and medications as most of government employees have higher education level as compared to house wives. Additionally, retired patients were eleven times more likely to have uncontrolled BP (AOR = 11.50, 95% CI: 1.47, 90.13, P = .02) than house wives.…”

Section: Discussionmentioning

confidence: 99%

“…Similar result was found from health center based study in Ethiopia. 28 This might be due to unaffordability of the patients to fill their medication without missing. Experience of 1 or more side effects were also associated with uncontrolled blood pressure in which patients who experienced side effects were 1.48 more likely to have their BP uncontrolled (AOR = 1.48, 95% CI: 1.22, 6.34, P = .04) than those didn’t experience side effects.…”

Section: Discussionmentioning

confidence: 99%

Blood Pressure Control and Associated Factors Among Hypertensive Patients Attending Shashemene Referral Hospital, Oromia, Ethiopia

Anota

Nedi

2021

Hosp Pharm

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Background: Hypertension is public health challenge worldwide. It is defined as persistently elevated arterial blood pressure (BP), systolic BP (SBP) ≥140 mmHg and/or diastolic BP (DBP) ≥90 mmHg or use of antihypertensive medication in adults older than 18 years. The aim of this study was to assess blood pressure control and associated factors among hypertensive patients attending the outpatient department of Shashemene Referral Hospital. Methods: Hospital based cross sectional study was conducted to determine level of blood pressure control and associated factors among hypertensive patients on medical follow-up. A medical chart review and interview was conducted from July 1 to October 31 2018. Result: A total of 325 participants were included in this study with response rate of 320 (98.5%). More than half of study participants were males 171 (53.4%). The mean age of the respondents was 55.10 (SD ± 12.7) years and majority of the respondents 191 (59.7%) were within age of less than 60 years old. The mean Systolic blood pressure (SBP) was 131.80 mmHg (SD ± 20.92) while the mean diastolic blood pressure (DBP) was 82.30 mmHg (SD ± 10.52). About 51.30% of study participants had a controlled SBP and 54.7% had a controlled DBP. The overall control of BP was achieved in 40.3% of the study participants. Multivariable logistic regression analysis showed that age, experience of side effects, frequency of BP measuring, number of antihypertensive drugs used, duration on antihypertensive, source of medication and physical exercise showed significant association with blood pressure control. Conclusion: Blood pressure control level among chronic hypertensive patients at outpatient department was low. Age of patients, educational level, experience of side effects, and number of antihypertensive drugs used were important determinant factors associated with blood pressure control among study participants.

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Blood Pressure Control Practice and Determinants among Ambulatory Hypertensive Patients Attending Primary Health care facilities in Addis Ababa

Cited by 9 publications

References 18 publications

Adherence to Self-Care among Patients with Hypertension in Ethiopia: A Systematic Review and Meta-Analysis

Adherence to Self-Care among Patients with Hypertension in Ethiopia: A Systematic Review and Meta-Analysis

Uncontrolled hypertension in Ethiopia: a systematic review and meta-analysis of institution-based observational studies

Blood Pressure Control and Associated Factors Among Hypertensive Patients Attending Shashemene Referral Hospital, Oromia, Ethiopia

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