Hypertension Control Rate, Associated Factors, Facilitators, and Barriers in Kerala, India: A Mixed-Methods Study

Introduction Comprehensive studies on the hypertension control rate are limited in India. We assessed the hypertension control rate, associated factors, facilitators, and barriers in Kerala, India. Methods We surveyed 256 hypertensive adults aged ≥30 years (males, 45%) selected using multistage cluster sampling. Log-binomial regression was done to find the factors associated with hypertension control. We conducted in-depth interviews with 11 hypertensives and 14 healthcare providers. Results Hypertension control rate was 23.04% (95% confidence interval (CI): 18.31-28.58%). Better control was seen in those aged ≥60, females, and those reporting healthy diets, physical activity, no abdominal obesity, and no comorbidities. Key facilitators included community programs, affordable care, awareness, and family support, while barriers included poor access, medicine shortages, distrust, misconceptions, and lack of family support. Conclusion Improving antihypertensive access, addressing misconceptions, and promoting diet and physical activity, with a focus on males and younger adults, are likely to enhance hypertension control in Kerala.