Predictors of blood pressure levels, knowledge and practices of adult hypertensives attending a Secondary Health Care Centre in South-Western Nigeria
DOI:
https://doi.org/10.15584/ejcem.2022.3.6Keywords:
blood pressure, hypertensives, knowledge, practices, predictorsAbstract
Introduction and aim. The prevalence of hypertension is increasing with accompanying poor control. The aim of this study was to assess the predictors of knowledge and practices of adult hypertensives.
Material and methods. The study was a prospective (before and after) study with health education as the intervention. A simple random sampling technique with computer-generated random numbers was used to recruit 386 patients. Data were analysed using SPSS version 23. Logistic regressions were used to determine the predictors of knowledge and practices.
Results. Those who had tertiary education were about four times more likely to have good knowledge of hypertension than those who had secondary education (OR=0.256; 95% CI=0.106–0.617). The females were about 1.73 times more likely to have good practices of hypertension than males (OR=1.729; 95% CI=1.008–2.966). For every 1 unit increase in the body mass index, there was a statistically significant increase in diastolic blood pressure by about 0.22 units (95% CI=0.046–0.394, p=0.013). The health education had a positive impact on the blood pressure reduction.
Conclusion. The predictors of knowledge of hypertension, practices of hypertensives and diastolic blood pressure were level of education, sex, and body mass index respectively.
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References
Ramli A, Ahmad NS, Paraidathathu T. Medication adherence among hypertensive patients of primary health clinics in Malaysia. Patient Prefer and Adher. 2015;6:613–622.
Unger T, Borghi C, Charchar F, et al. ISH, Global Hypertension Practice Guidelines. Hypertension. 2020;75:1334–1357.
Ibekwe RU. Modifiable risk factors of hypertension and socio-demographic profile in Oghara, Delta State; prevalence and correlates. Ann Med Health Sci Res. 2015;5:71–77.
Iloh G, Amadi AN, Njoku PU, Ofoedu JN, Awa-Madu J. The magnitude of abdominal adiposity and atherogenic dyslipidemia among geriatric Nigerians with arterial hypertension in a rural hospital in South-eastern Nigeria. Niger J Clin Pract. 2012;15:462–468.
Odusola AO, Hendriks M, Schultsz C, et al. Perceptions of inhibitors and facilitators for adhering to hypertension treatment among insured patients in rural Nigeria: a qualitative study. BMC Health Services Research. 2014;14:624.
Ugwuja EI, Ezenkwa US, Nwibo AN, Ogbanshi M, Idoko O, Nnabu R. Prevalence and determinants of hypertension in an agrarian rural community in Southeast Nigeria. Ann Med Health Sci Res. 2015;5:45–49.
Potchoo Y, Goe-Akue E, Damorou F, Massoka B, Redah D, Guissou IP. Effect of Antihypertensive Drug Therapy on the Blood Pressure Control among Hypertensive Patients Attending Campus’ Teaching Hospital of Lome, Togo, West Africa. Pharm Pharmacol.. 2012;3:214–223.
Ogah OS, Rayner BL. Recent advances in hypertension in sub-Saharan Africa. Heart. 2013;99(19):1390–1397.
Ogah OS, Okpechi I, Chukwuonye I, et al. Blood pressure, prevalence of hypertension and hypertension related complications in Nigerian Africans: A review. World J Cardiol. 2012;4(12):327–340.
Azubuike SO, Kurmi R. Awareness, practices, and prevalence of hypertension among rural Nigerian women. Arch Med Health Sci. 2014;2(1):23–28.
Maruf FA, Akinpelu AO, Salako BL. Effects of aerobic exercise and drug therapy on blood pressure and antihypertensive drugs: a randomized controlled trial. Afr Health Sci. 2013;13(1): 1–9.
Adeoye AM, Adebiyi A, Bamidele O T, Salako BL, Ogunniyi A, Cooper RS. Hypertension Subtypes among Hypertensive Patients in Ibadan. Int J Hypertens. 2014;10:1–6.
Tamuno I, Fadare J. Drug treatment for hypertension in a tertiary health care facility in northern Nigerian. Int J Pharm Biomed Res. 2011;2(2):104-109.
Adediran OS, Okpara IC, Adeniyi OS, Jimoh AK. Hypertension prevalence in an Urban and Rural area of Nigeria. J Med Med Sci. 2013;4(4):149–154.
Busari OA, Olanrewaju TO, Desalu OO, et al. Impact of Patients’ Knowledge, Attitude and Practices on Hypertension on Compliance with Antihypertensive Drugs in a Resource-poor Setting. TAF Prev Med Bull. 2010;9(2):87–92.
Kate OO, Okwuchi EV, Samuel ES. Knowledge of Hypertension Among Adults in Owerri Senatorial Zone of Imo State, Nigeria. Mediter J Soc Scie. 2013;4(5):1–12.
Marfo AFA, Owusu-daaku FT, Addo MO, et al. Ghanaian Hypertensive patients understanding of their medicines and life style modification for managing Hypertension. Int J Pharmacy Pharmaceutical Sci. 2014;6(4):1–6.
Ebid AIM, Ali Z T, Ghobary MAF. Blood pressure control in hypertensive patients: impact of an Egyptian pharmaceutical care model. J App Pharm Sci. 2014;4(09):093–101.
Goyal RC. Research Methodology for Health Professionals. Daryaganj, New Delhi, India: Jaypee Brothers Medical Publishers(P) LTD; 2013.
Hypertension in adults: diagnosis and management. NICE guideline [NG136] Published:28th, August,2019.https://www.nice.org.uk/guidance/ng136/chapter/recommendations. Accessed March 15, 2022.
Iyalomhe GBS, Iyalomhe SI. Hypertension-related knowledge, attitudes and life-style practices among hypertensive patients in a sub-urban Nigerian community. J Public Health Epid. 2014;2(4):71–77.
Erkoc S B , Isikli B, Metintas S, Kalyoncu C. Hypertension Knowledge-Level Scale (HK-LS): A Study on Development, Validity and Reliability. Int J Environ Res Public Health. 2012;9:1018–1029.
Safah B, Onyame A, Ankrah C, et al. Knowledge, attitude and lifestyle practices pertaining to hypertension among the people of Ahoe-Ho. J Hypertens Manag. 2021;7(1):061.
Visco V, Finelli R, Pascale AV, et al. Difficult-to-control hypertension: identification of clinical predictors and use of ICT-based integrated care to facilitate blood pressure control. J Hum Hypertens. 2018;32(7):467–476.
Shelley D, Tseng T, Andrews H. Predictors of blood pressure control among hypertensives in Community health centres. Am J Hypertens. 2011:24(12):1318–1323.
Shaikh MA, Yakta D, Sadia, Kumar R. Hypertension Knowledge, Attitude and Practice in Adult Hypertensive Patients. JLUMHS. 2012;11(02):113–116.
Oladapo O O, Salako BL, Sadiq L, Soyinka K, Falase AO. Knowledge of Hypertension and other Risk Factors for Heart Disease among Yoruba Rural Southwestern Nigerian Population. JAMMR. 2013;3(4):993–1003.
Chiazor IE, Oparah AC. Assessment of Hypertension Care in a Nigerian Hospital. Tropical J Pharm Research. 2012;11(1):137–145.
Campbell PC, Oladeyi OO. Compliance to and Knowledge of Anti-Hypertensive Therapy amongst Hypertensive Patients Attending Lagos University Teaching Hospital (Luth), Idi-Araba, Lagos, Nigeria. IOSR-JDMS. 2014;13(5):108–115.
Al-Shatari SAE, Al-Joboori YBH, Salih K, et al. Effect of health education on blood pressure control and life modification in hypertensive patients: sample from primary health care centers, Al-Resafah sector/Baghdad. Iraq J Com Med. 2021;32(2):24–51.
Odelola OI, Akinpelu A, Idowu AO. Hypertension: the predictor of knowledge among market women in the Sub-Urban town of Shagamu. South West Nigeria. Afr J Health Sci. 2021;34(4): 526–536.
Ayogu RNB, Ezeh MG, Okafor AM. Prevalence and predictors of different patterns of hypertension among adults aged 20 to 60 years in rural communities of Southeast Nigeria: a cross-sectional study. Arch Pub Health. 2021;79:210.
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