An appraisal of blood pressure control and its determinants among patients with primary hypertension seen in a primary care setting in Western Nigeria

Background: Achieving guideline-recommended blood pressure is imperative in reducing the rising tide of uncontrolled hypertension and its attendant sequelae, which are major causes of morbidity and mortality globally. The aim of the study was to describe the pattern of blood pressure control and ide...

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Autores principales:	Oluwaseun S. Ojo, Sunday O. Malomo, Peter T. Sogunle, Adegbola M. Ige
Formato:	article
Lenguaje:	EN
Publicado:	AOSIS 2016
Materias:	blood pressure control family medicine clinics primary hypertension Medicine R
Acceso en línea:	https://doaj.org/article/6dd0ab7c478d4bab8b05c5db0fbd0508
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spelling	oai:doaj.org-article:6dd0ab7c478d4bab8b05c5db0fbd05082021-11-24T07:44:19ZAn appraisal of blood pressure control and its determinants among patients with primary hypertension seen in a primary care setting in Western Nigeria2078-61902078-620410.4102/safp.v58i6.4442https://doaj.org/article/6dd0ab7c478d4bab8b05c5db0fbd05082016-12-01T00:00:00Zhttps://safpj.co.za/index.php/safpj/article/view/4442https://doaj.org/toc/2078-6190https://doaj.org/toc/2078-6204Background: Achieving guideline-recommended blood pressure is imperative in reducing the rising tide of uncontrolled hypertension and its attendant sequelae, which are major causes of morbidity and mortality globally. The aim of the study was to describe the pattern of blood pressure control and identify the factors influencing blood pressure control among patients with primary hypertension seen at family medicine clinics of FMC, Abeokuta. Methods: This was a descriptive cross-sectional hospital-based study. A systematic random sampling technique was used in selecting 360 hypertensive respondents over four months. Data were collected through a pre-tested interviewer-administered questionnaire. The Statistical Package for the Social Sciences (SPSS) version 17.0 was used to analyse data. Results: Blood pressure was controlled in 167 (46.4%) of the respondents. The independent predictors of blood pressure control were female gender (p= 0.001, OR = 2.494, 95% confidence interval (CI) = 1.477–4.214), regular use of medication (p = 0.001, OR = 2.900, 95% CI = 1.508–5.577), regular clinic attendance (p 0.001, OR = 3.512, 95% CI = 1.772–6.960), and absence of diabetes mellitus (p 0.001, OR = 7.357, 95% CI = 3.190–16.966). Conclusions: The rate of blood pressure control among the hypertensive respondents was low. Multiple independent predictors of controlled blood pressure call for a team-based approach as well as multiple approaches including education of patients, expansion of a community-based health insurance programme and intensification of treatment efforts when managing hypertensive patients.Oluwaseun S. OjoSunday O. MalomoPeter T. SogunleAdegbola M. IgeAOSISarticleblood pressure controlfamily medicine clinicsprimary hypertensionMedicineRENSouth African Family Practice, Vol 58, Iss 6, Pp 1-10 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	blood pressure control family medicine clinics primary hypertension Medicine R
spellingShingle	blood pressure control family medicine clinics primary hypertension Medicine R Oluwaseun S. Ojo Sunday O. Malomo Peter T. Sogunle Adegbola M. Ige An appraisal of blood pressure control and its determinants among patients with primary hypertension seen in a primary care setting in Western Nigeria
description	Background: Achieving guideline-recommended blood pressure is imperative in reducing the rising tide of uncontrolled hypertension and its attendant sequelae, which are major causes of morbidity and mortality globally. The aim of the study was to describe the pattern of blood pressure control and identify the factors influencing blood pressure control among patients with primary hypertension seen at family medicine clinics of FMC, Abeokuta. Methods: This was a descriptive cross-sectional hospital-based study. A systematic random sampling technique was used in selecting 360 hypertensive respondents over four months. Data were collected through a pre-tested interviewer-administered questionnaire. The Statistical Package for the Social Sciences (SPSS) version 17.0 was used to analyse data. Results: Blood pressure was controlled in 167 (46.4%) of the respondents. The independent predictors of blood pressure control were female gender (p= 0.001, OR = 2.494, 95% confidence interval (CI) = 1.477–4.214), regular use of medication (p = 0.001, OR = 2.900, 95% CI = 1.508–5.577), regular clinic attendance (p 0.001, OR = 3.512, 95% CI = 1.772–6.960), and absence of diabetes mellitus (p 0.001, OR = 7.357, 95% CI = 3.190–16.966). Conclusions: The rate of blood pressure control among the hypertensive respondents was low. Multiple independent predictors of controlled blood pressure call for a team-based approach as well as multiple approaches including education of patients, expansion of a community-based health insurance programme and intensification of treatment efforts when managing hypertensive patients.
format	article
author	Oluwaseun S. Ojo Sunday O. Malomo Peter T. Sogunle Adegbola M. Ige
author_facet	Oluwaseun S. Ojo Sunday O. Malomo Peter T. Sogunle Adegbola M. Ige
author_sort	Oluwaseun S. Ojo
title	An appraisal of blood pressure control and its determinants among patients with primary hypertension seen in a primary care setting in Western Nigeria
title_short	An appraisal of blood pressure control and its determinants among patients with primary hypertension seen in a primary care setting in Western Nigeria
title_full	An appraisal of blood pressure control and its determinants among patients with primary hypertension seen in a primary care setting in Western Nigeria
title_fullStr	An appraisal of blood pressure control and its determinants among patients with primary hypertension seen in a primary care setting in Western Nigeria
title_full_unstemmed	An appraisal of blood pressure control and its determinants among patients with primary hypertension seen in a primary care setting in Western Nigeria
title_sort	appraisal of blood pressure control and its determinants among patients with primary hypertension seen in a primary care setting in western nigeria
publisher	AOSIS
publishDate	2016
url	https://doaj.org/article/6dd0ab7c478d4bab8b05c5db0fbd0508
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An appraisal of blood pressure control and its determinants among patients with primary hypertension seen in a primary care setting in Western Nigeria

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