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

Darlene Esinam Okai1, Adom Manu1, Emefa Modey Amoah1

  • 1University of Ghana School of Public Health, Accra, Ghana.

BMC Cardiovascular Disorders
|March 12, 2020
PubMed

Insights

Hypertension control remains low in Ghana. Patient sex, education, and comorbidities influence blood pressure control, while pill burden and diagnosis duration negatively impact it.

Area of Science:

  • Cardiology
  • Public Health
  • Epidemiology

Background:

  • Effective blood pressure control is crucial for preventing cardiovascular diseases.
  • Hypertension control rates in Ghana are notably low despite established benefits.
  • This study investigates patient-level factors affecting hypertension control in Accra, Ghana.

Purpose of the Study:

  • To identify patient-level factors influencing hypertension control among adults in Accra, Ghana.
  • To understand the determinants of successful blood pressure management in the Ghanaian population.
  • To inform targeted interventions for improving hypertension control rates.

Main Methods:

  • A study involving 360 hypertensive patients from two hospitals in Accra, Ghana.
  • Analysis of patient socio-demographic characteristics.
  • Chi-square tests and logistic regression used to assess associations between patient characteristics and hypertension control.

Main Results:

  • Less than a quarter of patients achieved controlled blood pressure.
  • Factors predicting better BP control included female sex, junior high school education, and comorbidities.
  • Dyslipidemia, high pill burden, and 2-5 years since diagnosis were associated with reduced BP control.

Conclusions:

  • Low patient knowledge of hypertension was observed.
  • Sex, education, comorbidities (especially dyslipidemia), pill burden, and diagnosis duration significantly influence blood pressure control.
  • Addressing forgetfulness, side effects, and pill burden is essential for improving hypertension management.
Abstract

Keywords:
Blood pressure controlDeveloping countriesGhanaHypertensionPill burden

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