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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
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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. 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. Client socio-demographic characteristics were tabulated and associations between client characteristics and hypertension control were estimated using chi-square tests and logistic regression. Results: The client’s sex AOR=3.53 (95% CI:1.73-7.25, educational at junior high school AOR=3.05(95% CI 1.40-6.67), senior high school AOR=2.67 (95% CI 1.05-6.76) and presence of a comorbidity AOR=2.41 (95% CI 1.32; 4.42) predicted BP control among clients. An increased pill burden, however, was associated with reduced BP control AOR=0.32(95% CI: 0.18-0.56). 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. A high pill burden negatively affects the attainment of blood pressure control.
Keywords
hypertension, blood pressure control, 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
Version 2
Posted 15 Oct, 2019
No comments provided
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. 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. Client socio-demographic characteristics were tabulated and associations between client characteristics and hypertension control were estimated using chi-square tests and logistic regression. Results: The client’s sex AOR=3.53 (95% CI:1.73-7.25, educational at junior high school AOR=3.05(95% CI 1.40-6.67), senior high school AOR=2.67 (95% CI 1.05-6.76) and presence of a comorbidity AOR=2.41 (95% CI 1.32; 4.42) predicted BP control among clients. An increased pill burden, however, was associated with reduced BP control AOR=0.32(95% CI: 0.18-0.56). 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. A high pill burden negatively affects the attainment of blood pressure control.
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