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[Factors associated with poor blood pressure control in Moroccan hypertensive patients]
A El Kardoudi1, A Chetoui1, K Kaoutar1
1Laboratoire de Génie Biologique, Faculté des Sciences et Techniques, Université Sultan Moulay Slimane, 23000, B.P : 523, Beni Mellal, Maroc, Téléphone : + 212 (0) 523 48 51 12/22/82, Fax : +212 (0) 523 48 52 01, E-mails : webmast@fstbm.ac.ma.
Insights
A high proportion of hypertensive patients in Beni Mellal have uncontrolled blood pressure. Factors like family history, dyslipidemia, and poor treatment adherence contribute to this public health concern.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Background:
- Hypertension is a global public health issue with significant cardiovascular risks.
- Effective blood pressure control and cardiovascular risk reduction are primary treatment objectives.
Purpose of the Study:
- To determine the prevalence of uncontrolled hypertension in Beni Mellal.
- To identify factors associated with uncontrolled hypertension among patients in the region.
Main Methods:
- A cross-sectional survey was conducted from June 2019 to March 2020.
- 580 hypertensive patients from primary healthcare facilities in Beni Mellal participated.
- Systematic sampling was employed for patient recruitment.
Main Results:
- The study included 580 hypertensive patients (66.89% female, mean age 55.78 years).
- A significant 74.1% of patients exhibited poor blood pressure control.
- Multivariate analysis revealed associations between uncontrolled hypertension and family history, dyslipidemia, non-adherence to BP monitoring, treatment, and biological monitoring.
Conclusions:
- Despite accessible treatment, uncontrolled hypertension is highly prevalent in Beni Mellal.
- Lack of patient awareness and education regarding disease self-management may be contributing factors.
Study Aim:
Hypertension is a major public health concern worldwide and non-controlling it can lead to various cardiovascular complications. Controlling blood pressure and reducing overall cardiovascular risk are two main goals of treatment. Thus, this study aimed to determine the proportion and factors associated with uncontrolled hypertension in hypertensive patients living in the Beni Mellal city.
Patients And Methods:
The cross-sectional survey took place between June and March 2019. It involved 580 hypertensive patients attending the primary health care facilities in Beni Mellal city, using systematic sampling.
Results:
A total of 580 hypertensive patients were recruited, with a mean age of 55.78 (± 10.82 years) and of which 66.89% were female. The proportion of poor blood pressure control was 74.1% and was associated in multivariate analysis with a family history of hypertension(OR = 1.60; 95% CI = [1.02-2.50]), dyslipidemia (OR = 2.05; 95% CI = [1.32 -3.20]), non-adherence to a regular BP measurement (OR = 4.13; 95% CI = [2.49 -6.86]), to treatment (OR = 3.64; 95% CI = [2.34-5.65]) and regular biological monitoring (OR = 2.45; 95% CI = [1.46-4.08]).
Conclusion:
Despite the free and available of treatment, the proportion of uncontrolled hypertension was high. This might be linked to a lack of awareness and education concerning disease self-management.
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