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High Prevalence of Uncontrolled Hypertension Among Afghan Hypertensive Patients: A Multicenter Cross-Sectional Study

Ahmad Haroon Baray1, Muhammad Haroon Stanikzai1, Mohammad Hashim Wafa2

  • 1Department of Public Health, Faculty of Medicine, Kandahar University, Kandahar, Afghanistan.

Integrated Blood Pressure Control
|July 10, 2023
PubMed

Insights

Uncontrolled hypertension affects 77.3% of Afghan patients, linked to lifestyle and poor medication adherence. Interventions targeting physical inactivity, smoking, diet, and mental health are crucial for better blood pressure control.

Area of Science:

  • Cardiology
  • Public Health
  • Epidemiology

Background:

  • Hypertension management remains a global challenge, with suboptimal blood pressure control worldwide.
  • Sustainable Development Goals aim for 80% hypertension control by 2030, emphasizing the need for improved strategies.

Purpose of the Study:

  • To determine the prevalence of uncontrolled hypertension (≥140/90 mmHg) in Afghan patients.
  • To identify factors associated with uncontrolled hypertension in this population.

Main Methods:

  • A multicenter cross-sectional study was conducted in three Afghan public hospitals.
  • 853 hypertensive patients on antihypertensive medications were analyzed.
  • The Hill-Bone compliance scale assessed adherence to medications; multivariable logistic regression identified associated factors.

Main Results:

  • The prevalence of uncontrolled hypertension was high at 77.3%.
  • Associated factors included physical inactivity, current smoking, high salt intake, comorbid medical conditions, higher BMI, poor medication compliance, and depressive symptoms.

Conclusions:

  • A high prevalence of uncontrolled hypertension was observed in the study sample.
  • Identified factors present potential targets for public health and individual interventions in Afghanistan.
Abstract

Keywords:
Afghanistanhypertensionprevalencerisk factorsuncontrolled

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