Determinants of blood pressure control in rural KwaZulu-Natal, South Africa

Duncan, Polly; Howe, Laura D; Manakusa, Zibonele; Purdy, Sarah

doi:10.1080/20786190.2014.975481

Cited by 10 publications

(29 citation statements)

References 7 publications

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“…Surprisingly whereas others have found significant associations between knowledge of hypertension and hypertension control [28,29], no significant association between knowledge and hypertension control was observed in this study. These findings are similar to other studies conducted in Southern Africa [27,30]. It is plausible that hypertension control levels among Non-prescribed medication refers to any drug the patient is currently taking that is not prescribed by the attending physician c Fishers' exact value participants were low due to the poor knowledge of hypertension reported.…”

Section: Discussionsupporting

confidence: 85%

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

Okai

Manu

Amoah

et al. 2020

BMC Cardiovasc Disord

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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. Patient socio-demographic characteristics were tabulated and associations between patient characteristics and hypertension control were estimated using chi-square tests and logistic regression. Results: Less than a quarter of the patients had a controlled blood pressure. The patient's sex [AOR = 3.53 (95% CI: 1.73-7.25], educational at junior high school [AOR = 3.52(95% CI 1.72-7.22)], senior and junior high school [AOR = 2.64 (95% CI 1.40-6.66_] and AOR = 3.06 (95% CI 1.03-6.67)] and presence of a comorbidity [AOR = 2.41 (95% CI 1.32; 4.42)] predicted BP control among patients. Dyslipidaemia [AOR = 0.31, [0.11-0.89)] an increased pill burden, and length of diagnosis of 2-5 years (AOR = 0.27 (0.1-0.73)] however, were associated with reduced BP control [AOR = 0.32(95% CI: 0.18-0.57)]. 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. High pill burden and 2-5 years since diagnosis negatively affects the attainment of blood pressure control.

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Section: Discussionsupporting

confidence: 85%

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

Okai

Manu

Amoah

et al. 2020

BMC Cardiovasc Disord

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“…This finding is supported by Al-Jbour, Abu Kamel & Barhoom [30] who stated that increasing patients' knowledge about the disease can achieve the goal of treatment, empower patients to make decision about their treatment, and can empower their motivation and intention to compliance with the treatment regimen. Also finding go in line with Duncan, Howe L, Manakusa & Purdy [31] who also found that Providing information about the disease and treatment regimen appears to be sufficient for compliance, and non-compliance is often attributed to inadequate knowledge.…”

Section: Discussionsupporting

confidence: 79%

Effect of Health Promotion Program on Compliance of Patients with Hypertension toward Therapeutic Regimen

Goda

Taha

Frere

et al. 2017

Afro-Egyptian Journal of Infectious and Endemic Diseases

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Background and study aim: Hypertension is a global health issue among the adult population. Compliance with therapeutic regimen is an effective step for better control of blood pressure and preventing the risk of complications. The aim of study was to evaluate the effect of health promotion program on compliance with therapeutic regimen for patients with hypertension. Subjects and Methods: A quasi experimental design was used in this study. The study was conducted in outpatient clinic, department of cardiology. A purposive sample of 80 adult patients suffering from hypertension divided into two groups study and control were included. The study lasted from the beginning of May 2016 to the end of May 2017. Four tools were used for collection of data. A structured interview questionnaire tool for patient consisted of personal characteristics of patients and patient's knowledge regarding hypertension, Compliance assessment scale, Observation checklist and Factors affecting patient's compliance. Results: The study finding revealed that, there was a significant improvement in knowledge, practice and compliance of patients with hypertension in study group in post and follow up program phase P=0.00. Also, the patients showed high improved level regarding lifestyle habits. In addition to there was significant decrease in systolic, diastolic blood pressure for patients in study group. Conclusion: It can be concluded that application of health promotion program for adult patients with hypertension showed an improvement in patients' knowledge which can reflect an improvement on their practice and compliance. It is recommended to increase awareness of patients about risk factors of hypertension to empower and motivate them to adopt healthy lifestyle to prevent the disease. This can be achieved through mass media and health education programs about the disease process and the importance of adopting healthy lifestyle. 208 Table (2): Mean scores of Lifestyle habites for patients with hypertension in both groups (n= 80) Lifestyle items Study group (n=40) Control group (n= 40

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“…In South Africa (SA), it is estimated that a quarter of the population between the ages of 15 and 64 suffer from hypertension, which equates to over 6.2 million people if a BP measurement of ≥ 140/90 mm Hg is used as indicative of hypertension. 5 Studies on hypertension in SA have found suboptimal BP control among hypertension patients in both rural and urban settings, 6 , 7 , 8 , 9 , 10 , 11 suggesting a vast room for improvement in the diagnosis and management of hypertension. 4 …”

Section: Introductionmentioning

confidence: 99%

“… 8 Reasons for poor control of hypertension are known to be complex and include factors such as patients’ low level of education about hypertension, non-adherence, physician inertia to treat to targets, health system factors, lack of antihypertensive medications and long distances to health facilities, all of which have been reported in many African countries. 4 , 6 , 10 , 15 , 16 , 17 …”

Section: Introductionmentioning

confidence: 99%

Knowledge, adherence and control among patients with hypertension attending a peri-urban primary health care clinic, KwaZulu-Natal

Olowe¹,

Ross

2017

Afr. j. prim. health care fam. med.

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BackgroundDespite hypertension being a common condition among patients attending primary health care (PHC) clinics, blood pressure (BP) control is often poor. Greater insight into patient-related factors that influence the control of hypertension will assist in the development of an intervention to address the issues identified.AimThe aim of the study was to assess patient-related variables associated with hypertension control among patients attending a peri-urban PHC clinic.SettingThe setting for this study was a peri-urban PHC clinic in KwaZulu-Natal.MethodThis was an observational, descriptive and cross-sectional study with 348 patients selected over a 1-month period. A validated questionnaire was used to collect data on patients’ hypertension knowledge and self-reported adherence, and BP recordings from their medical record were recorded to ascertain control.ResultsOf the 348 participants, only 49% had good BP control and 44% (152/348) had concurrent diabetes mellitus. The majority of patients had moderate levels of knowledge on hypertension and exhibited moderate adherence. There was a significant relationship between knowledge and reported adherence, between reported adherence and control, but not between reported knowledge and control.ConclusionDespite over 90% of the study population having moderate knowledge, and 62% with moderate reported adherence, BP was well controlled in only less than 50% of the study population. These findings suggest a need to emphasise adherence and explore new ways of approaching adherence.

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Determinants of blood pressure control in rural KwaZulu-Natal, South Africa

Cited by 10 publications

References 7 publications

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

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

Effect of Health Promotion Program on Compliance of Patients with Hypertension toward Therapeutic Regimen

Knowledge, adherence and control among patients with hypertension attending a peri-urban primary health care clinic, KwaZulu-Natal

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