Factors associated with blood pressure control amongst adults with hypertension in Yaounde, Cameroon: a

Alain Menanga1, Sandrine Edie2, Clovis Nkoke2

  • 1Faculty of Medicine and Biomedical Sciences, Department of Internal Medicine, University of Yaoundé 1, Yaoundé, Cameroon;

Insights

In Cameroon, only 36.8% of hypertension patients achieved controlled blood pressure. Good adherence to medication and lifestyle changes are key predictors for effective blood pressure management.

Area of Science:

  • Cardiology
  • Public Health
  • Epidemiology

Background:

  • Hypertension significantly contributes to morbidity and mortality globally.
  • Understanding patient characteristics and treatment factors is crucial for improving hypertension management and reducing cardiovascular risks.
  • Limited data exists on factors influencing blood pressure control in Cameroon.

Purpose of the Study:

  • To determine the predictors of blood pressure control among hypertensive patients in an urban setting in Cameroon.

Main Methods:

  • A descriptive cross-sectional study was conducted in five outpatient hypertension clinics in Yaoundé, Cameroon.
  • Controlled hypertension was defined as blood pressure ≤140/90 mmHg.
  • Logistic regression analysis was employed to identify factors associated with blood pressure control.

Main Results:

  • Out of 440 patients, 63.6% were female, with a mean age of 61 years.
  • Only 36.8% of patients achieved controlled blood pressure (BP ≤140/90 mmHg).
  • Good adherence to anti-hypertensive medications (OR=3.99) and dietary lifestyle changes (OR=1.5) were independently associated with controlled hypertension.

Conclusions:

  • A significant proportion of hypertensive patients in Yaoundé have uncontrolled blood pressure.
  • Adherence to treatment and lifestyle modifications are vital for achieving optimal blood pressure control in primary care settings.
  • Targeted interventions for patients at risk of non-adherence are needed to reduce hypertension-related morbidity and mortality.
Abstract

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