Risk factors associated with the incidence and prevalence of hypertension in Ghana: an integrated review (2016-2021)

Konlan, Kennedy Diema; Lee, Hyeonkyeong; Lee, Mi-Kyung; Kim, Youlim; Lee, Hyeyeon; Abdulai, Juliana Asibi

doi:10.1080/09603123.2022.2076814

Cited by 3 publications

(9 citation statements)

References 55 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The sociodemographic factors that influence hypertension control through the homebased self-care ability of patients were gender (female), age (older), place of residence (urban), educational level (educated), and socioeconomic status (high). These sociodemographic characteristics are predictive of hypertension as explanatory variables [16,17,40,45,46,47,48], yet they were identified to influence the ability of patients to control hypertension. While little can be done about sociodemographic factors as a risk to hypertension (nonmodifiable risk), identifying these factors gives a category of where the emphasis should be placed on preventing and controlling hypertension.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, it is very important to identify factors that influence hypertension self-care and management at home. The self-care and home management of hypertension, like other chronic diseases, involve various behavioral changes that require optimal and effective medication adherence, self-efficacy, and prevention of complications [6,8,17]. Recent systematic reviews on self-care management of hypertension focused on the use of electronic-based technologies [18,19,20], the influence of self-care efficacy [6], and health promotion interventions for the prevention of hypertension [16,17,21].…”

Section: Introductionmentioning

confidence: 99%

“…The self-care and home management of hypertension, like other chronic diseases, involve various behavioral changes that require optimal and effective medication adherence, self-efficacy, and prevention of complications [6,8,17]. Recent systematic reviews on self-care management of hypertension focused on the use of electronic-based technologies [18,19,20], the influence of self-care efficacy [6], and health promotion interventions for the prevention of hypertension [16,17,21]. However, to the best of our knowledge, no systematic review in recent times has specifically focused on the factors that influence home-based and self-care management of hypertension.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Determinants of Self-Care and Home-Based Management of Hypertension: An Integrative Review

Konlan

Shin

2023

View full text Add to dashboard Cite

Introduction:Patients with hypertension should perform diverse self-care activities that incorporate medication adherence and lifestyle modification, such as no smoking or alcohol, weight reduction, a low-salt diet, increased physical activity, increased selfmonitoring, and stress reduction, for effective management at home. Aim:This systematic review assessed and synthesized the factors that are associated with self-care and home-based management of hypertension. Methods:The search of the articles incorporated the population, intervention, comparison, and outcome (PICO) framework. The literature was searched in four databases (PubMed, the Cumulative Index to Nursing and Allied Health Literature [CINAHL], Embase, and Web of Science) until 2022. The articles retrieved and searched from the reference list (531) were transported to EndNote version 20, and duplicates (19) were identified and removed to produce 512 titles. Following the eventual title, abstracts, and full-text screening, 13 articles were appropriate for this study. The narrative and thematic data analysis were used to analyze and integrate the data. Results:The analysis showed five themes were associated with home-based self-care and blood pressure (BP) control among patients diagnosed with hypertension. These themes that emerged were (1) the prevalence of control of BP, (2) sociodemographic factors, (3) treatment-related factors, (4) knowledge of management, and (5) knowledge of the prevention of risk factors of hypertension. The demographic factors influencing home-based self-care for hypertension were gender, age, and socioeconomic status. In contrast, the treatment factors were duration of hypertension treatment, medication burden, and medication adherence. Other factors that influenced self-care were inadequate knowledge of BP management, follow-up care, and risk factors of hypertension. Conclusion:Hypertension self-care interventions must incorporate individual, societal, and cultural perspectives in increasing knowledge and improving homebased hypertension management. Therefore, well-designed clinical and communitydwelling interventions should integrate personal, social, and cultural perspectives to improve behavior in the home management of hypertension by increasing knowledge and self-efficacy.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Determinants of Self-Care and Home-Based Management of Hypertension: An Integrative Review

Konlan

Shin

2023

View full text Add to dashboard Cite

show abstract

“…Hypertension is induced through a conglomeration of effects within a complex network of predisposing, enabling, and reinforcing factors. Many studies have found that predisposing factors contributing to hypertension include genetics, sex, race, age, marital status, type and place of residence, weight, pregnancy, health insurance, employment, educational attainment, and lack of understanding of hypertension [ 1 – 3 , 5 , 7 , 8 , 11 – 13 ]. Enabling factors include alcohol consumption, sedentary lifestyle, tobacco usage, diet, and socioeconomic status [ 1 – 3 , 5 , 7 , 8 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…Many studies have found that predisposing factors contributing to hypertension include genetics, sex, race, age, marital status, type and place of residence, weight, pregnancy, health insurance, employment, educational attainment, and lack of understanding of hypertension [ 1 – 3 , 5 , 7 , 8 , 11 – 13 ]. Enabling factors include alcohol consumption, sedentary lifestyle, tobacco usage, diet, and socioeconomic status [ 1 – 3 , 5 , 7 , 8 , 11 ]. Factors reinforcing the presence of hypertension in Ghana include the limited availability and accessibility of healthcare, shortcomings of the medical and insurance system, cultural perceptions, favorable to being overweight, and cost of healthy lifestyles (including diet and physical activity) [ 1 , 2 , 5 , 8 , 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Joint modelling of systolic and diastolic blood pressure and its associated factors among women in Ghana: Multivariate response multilevel modelling methods

Aheto

Gates

Babah

et al. 2023

PLOS Glob Public Health

View full text Add to dashboard Cite

Elevated blood pressure is the leading cause of cardiovascular diseases related mortality and a major contributor to non-communicable diseases globally, especially in sub-Saharan Africa where about 74.7 million people live with hypertension. In Ghana, hypertension is epidemic with prevalence of over 30% and experiencing continuing burden with its associated morbidity and mortality. Using the 2014 Ghana Demographic and Health Survey, we analyzed data on 4744 women aged 15–49 years residing in 3722 households. We employed univariate and multivariate response multilevel linear regression models to analyze predictors of systolic blood pressure (SBP) and diastolic blood pressure (DBP). Geospatial maps were produced to show the regional distribution of hypertension prevalence in Ghana. Stata version 17 and R version 4.2.1 were used to analyze the data. Of the 4744 woman, 337 (7.1%) and 484 (10.2%) were found to be hypertensive on SBP and DBP, respectively. A combined prevalence of 12.3% was found. Older ages 25–34 (OR 2.45, 95%CI: 1.27, 3.63), 35–44 (OR 8.72, 95%CI: 7.43, 10.01), 45–49 (OR 15.85, 95%CI: 14.07, 17.64), being obese (OR 5.10, 95%CI: 3.62, 6.58), and having no education (OR -2.05, 95%CI: -3.40, -0.71) were associated with SBP. For DBP, we found the associated factors to be older ages 25–34 (OR 3.29, 95%CI: 2.50, 4.08), 35–44 (OR 6.78, 95%CI: 5.91, 7.64), 45–49 (OR 10.05, 95%CI: 8.85, 11.25), being obese (OR 4.20, 95%CI: 3.21, 5.19), and having no education (OR -1.23, 95%CI: -2.14, -0.33). Substantial residual household level differences in SBP (15%) and DBP (14%) were observed. We found strong residual correlation of SBP and DBP on individual women (r = 0.73) and household-level (r = 0.81). The geospatial maps showed substantial regional differences in the observed and reported hypertension prevalence. Interventions should be targeted at the identified high-risk groups like older age groups and those who are obese, and the high-risk regions.

show abstract

Impact of Value-Based Care on Quality of Life, Clinical Outcomes, Patient Satisfaction, and Enhanced Financial Protection among Hypertensive Patients inGhana: A Protocol for a Mixed Method Evaluation, 2024

Dwomoh,

Sunkwa-Mills,

Antwi

et al. 2024

Preprint

View full text Add to dashboard Cite

Background Hypertension remains a major public health concern in low and middle-income countries as most hypertensive patients are not adequately treated, and improper lifestyle modification and expensive and inadequate antihypertensive medications are among the few of the challenges that hinder effective hypertension management. Evidence on which hypertensive intervention is cost-effective is essential to inform strategy, policy development, practice, implementation, and resource allocation. Value-Based Care (VBC) is a healthcare delivery model that emphasizes improving patient outcomes while optimizing costs. It shifts the focus from the volume of services provided to the value delivered to patients. We hypothesize that innovative digital VBC intervention would be more cost-effective compared to standard care among individuals with poorly controlled hypertension. Methods This study in Ghana will employ a mixed-methods evaluation design, a comprehensive and thorough approach that combines quantitative and qualitative methods. The quantitative component will involve a quasi-experimental study to measure the impact of the VBC intervention on quality of life, improved clinical outcomes, patient satisfaction, and enhanced financial protection among hypertensive patients registered with the National Health Insurance Authority. We will use a difference-in-difference analytic approach and a generalized estimation equation model with cluster-robust standard errors to quantify the impact of VBC, accounting for potential confounding variables. The qualitative component will involve in-depth interviews and focus group discussions to gather insights into the experiences and perceptions of the patients, caregivers, and policymakers involved in the VBC intervention and the benefits, barriers, costs of treatment, and challenges associated with the VBC intervention. We aim to provide evidence that can significantly impact hypertension service delivery in Ghana, potentially leading to more cost-effective care for hypertensive patients. Discussions Despite the availability of safe treatment options for hypertension, most people with hypertension in LMICs do not have it controlled. There is currently a paucity of knowledge about the cost-effectiveness of VBC interventions in developing countries. This study aims to fill this knowledge gap and pave the way for more cost-effective hypertension treatment worldwide. The digital Ghana VBC intervention described in this paper is a pioneering approach to achieving safer, more consistent, and cost-effective care for hypertensive patients.

show abstract

Risk factors associated with the incidence and prevalence of hypertension in Ghana: an integrated review (2016-2021)

Cited by 3 publications

References 55 publications

Determinants of Self-Care and Home-Based Management of Hypertension: An Integrative Review

Determinants of Self-Care and Home-Based Management of Hypertension: An Integrative Review

Joint modelling of systolic and diastolic blood pressure and its associated factors among women in Ghana: Multivariate response multilevel modelling methods

Impact of Value-Based Care on Quality of Life, Clinical Outcomes, Patient Satisfaction, and Enhanced Financial Protection among Hypertensive Patients inGhana: A Protocol for a Mixed Method Evaluation, 2024

Contact Info

Product

Resources

About