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Research article
Kwasi Torpey
University of Ghana School of Public Health
Corresponding Author
ORCiD: https://orcid.org/0000-0003-1628-2922
License:
This work is licensed under a CC BY 4.0 License. Read Full License
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.
Objective
This study assessed the patient-level factors that influence hypertension control among adults in Accra, Ghana.
Methods
360 patients from two hospitals in Accra, Ghana were enrolled into the study. Client socio-demographic characteristics were tabulated and associations between client characteristics and hypertension control were estimated using chi-square tests and logistic regression.
Results
Approximately 27.8% of clients were adherent to their antihypertensive medications. High pill burden predicted non-adherence AOR=0.20 (95% CI 0.08; 0.48) . The client’s sex AOR=3.13 (95% CI:1.48-6.62, presence of a comorbidity AOR=2.59 (95% CI 1.35; 4.96) and adherence to medication [AOR=6.603.54-11.95) predicted increased BP control among clients. An increased pill burden however reduced BP control AOR=0.42(95% CI: 0.23-0.77). Majority of patients reported forgetfulness, side effects of medication and high pill burden as reasons for missing their medications.
Conclusion
There is the need for better implementation of hypertension treatment guidelines with emphasis on client education on hypertension, its management and reducing patient pill burden to improve adherence and hypertension control.
Keywords
hypertension control, blood pressure control, adherence, pill burden, Ghana, developing countries.
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A new preprint design is coming!
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This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Research article
Kwasi Torpey
University of Ghana School of Public Health
Corresponding Author
ORCiD: https://orcid.org/0000-0003-1628-2922
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
View the published article at BMC Cardiovascular Disorders.
No community comments so far
No comments provided
Version 1
Posted 03 Aug, 2019
No comments provided
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Cardiovascular Disorders.
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.
Objective
This study assessed the patient-level factors that influence hypertension control among adults in Accra, Ghana.
Methods
360 patients from two hospitals in Accra, Ghana were enrolled into the study. Client socio-demographic characteristics were tabulated and associations between client characteristics and hypertension control were estimated using chi-square tests and logistic regression.
Results
Approximately 27.8% of clients were adherent to their antihypertensive medications. High pill burden predicted non-adherence AOR=0.20 (95% CI 0.08; 0.48) . The client’s sex AOR=3.13 (95% CI:1.48-6.62, presence of a comorbidity AOR=2.59 (95% CI 1.35; 4.96) and adherence to medication [AOR=6.603.54-11.95) predicted increased BP control among clients. An increased pill burden however reduced BP control AOR=0.42(95% CI: 0.23-0.77). Majority of patients reported forgetfulness, side effects of medication and high pill burden as reasons for missing their medications.
Conclusion
There is the need for better implementation of hypertension treatment guidelines with emphasis on client education on hypertension, its management and reducing patient pill burden to improve adherence and hypertension control.
This is a list of supplementary files associated with this preprint. Click to download.
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