Fred Stephen Sarfo|Linda Meta Mobula|Gilbert Burnham|Daniel Ansong|Jacob Plange?Rhule|Osei Sarfo?Kantanka|David Ofori?Adjei
Factors associated with uncontrolled blood pressure among Ghanaians: Evidence from a multicenter hospital-based study
Komfo Anokye Teaching Hospital|Kwame Nkrumah University of Science and Technology|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Komfo Anokye Teaching Hospital|Kwame Nkrumah University of Science and Technology|Ghana College of Physicians and Surgeons|Kwame Nkrumah University of Science and Technology|University of Ghana
burden uncontrolled hypertension lowandmiddle income countries lmics high increased risk cardiovascular diseases chronic renal failure settingsto assess factors associated uncontrolled blood pressure control crosssection ghanaian hypertensive subjects involved ongoing multicenter epidemiological study aimed improving access hypertension treatmenta crosssectional study involving 2870 participants hypertension without diabetes enrolled 5 hospitals ghana 2 tertiary 2 district 1 rural hospital data demographics medical history lifestyle factors antihypertensive medications treatment adherence collected 14item version hillbone compliance high blood pressure therapy scale used assess adherence treatment 3 domains namely adherence medications salt intake clinic appointments questionnaires knowledge attitudes practices hypertension sources antihypertensive medications challenges accessing medications also administered blood pressure weight height measured subject enrollment factors associated uncontrolled blood pressure 14090mmhg assessed using multivariate logistic regression modelthe mean sd age study participants 589 166 years female preponderance 768 among study participants 1213 423 study participants blood pressure measurements control factors remained significantly associated uncontrolled blood pressure adjusted 95 ci included receiving therapy tertiary level care 247 157387 longer duration hypertension diagnosis 101 100103 poor adherence therapy 121 109135 5 points higher score hillbone scale reported difficulties obtaining antihypertensive medications 124 102149 number antihypertensive medications prescribed 132 121144we found high rates uncontrolled blood pressure among ghanaian patients hypertension accessing healthcare public institutions systemlevel individuallevel factors associated poor blood pressure control addressed improve hypertension management among ghanaians