Department of Family Medicine, Ambrose Alli University, Ekpoma, Edo State, Nigeria.
Department of Internal Medicine, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria.
Niger J Clin Pract. 2023 Mar;26(3):260-266. doi: 10.4103/njcp.njcp_1678_21.
Hypertension (HTN) is the commonest cardiovascular risk factor in sub-Saharan Africa. It is a global public health threat, often associated with significant morbidities and mortality with rising prevalence both in rural and semi-urban areas of economically disadvantaged countries.
This study aimed to assess the determinants of blood pressure control among patients with hypertension receiving care at the Irrua Specialist Teaching Hospital in Southern Nigeria.
A cross-sectional study of 502 consenting hypertensive adults receiving care at the Irrua Specialist Teaching Hospital, Irrua in Edo State, South-south Nigeria. A pre-tested semi-structured interviewer-administered questionnaire was used to collect data which was analyzed using SPSS version 21 and the level of significance was set at P < 0.05.
Five hundred and two participants (226 males, 276 females) completed the study with a mean age of 52.98 ± 12.82 years. Optimal blood pressure control was found in 15.5% of the study participants. Blood pressure control was significantly associated with being married (OR 1.549, CI: 1.040-2.309), having a monthly household income of over N50,000 (OR 1.691, CI: 0.999-2.863), engaging in physical activity (OR = 1.537, CI: 0.989-2.388), and not being obese evidenced by a normal Waist Hip Ratio (OR = 2.276, CI: 1.555-3.332).
Blood pressure control to target goal was low in the study population and achieved only in less than one-fifth of respondents on antihypertensive therapy. Numerous socio-demographic and lifestyle variables were shown to be associated with blood pressure control. Physicians should emphasize medication adherence and lifestyle modification approaches in hypertensive adults.
高血压（HTN）是撒哈拉以南非洲最常见的心血管危险因素。它是一个全球性的公共卫生威胁，常与显著的发病率和死亡率相关，在经济欠发达国家的农村和半城市地区，其患病率呈上升趋势。
本研究旨在评估在尼日利亚南部 Irrua 专科教学医院接受治疗的高血压患者血压控制的决定因素。
这是一项在尼日利亚南南埃多州 Irrua 的 Irrua 专科教学医院接受治疗的 502 名同意参与的高血压成人患者的横断面研究。使用经过预测试的半结构式访谈者管理的问卷收集数据，使用 SPSS 版本 21 进行分析，显著性水平设置为 P < 0.05。
502 名参与者（226 名男性，276 名女性）完成了研究，平均年龄为 52.98 ± 12.82 岁。研究参与者中有 15.5%的人血压控制达到了最佳水平。血压控制与已婚状态（OR 1.549，CI：1.040-2.309）、月家庭收入超过 50,000 奈拉（OR 1.691，CI：0.999-2.863）、进行体力活动（OR = 1.537，CI：0.989-2.388）和体重正常（即腰围臀围比正常）（OR = 2.276，CI：1.555-3.332）显著相关。
研究人群中达到目标血压控制的比例较低，只有不到五分之一的接受抗高血压治疗的患者达到目标。许多社会人口统计学和生活方式变量与血压控制相关。医生应在高血压成人中强调药物依从性和生活方式改变方法。
