Alhawari Hussein, Albdour Zain, Alshelleh Sameeha, Musleh Joud, Qouzah Tala, Qudisat Tala, Al-Sukhon Diala, Albdour Karam
Department of Internal Medicine, Faculty of Medicine, University of Jordan, Amman, Jordan.
Faculty of Medicine, University of Jordan, Amman, Jordan.
J Clin Hypertens (Greenwich). 2025 Jan;27(1):e14975. doi: 10.1111/jch.14975.
Our study aims to assess gender differences in blood pressure (BP) control among hypertensive patients in Jordan and identify factors influencing these differences. We conducted a cross-sectional study at Jordan University Hospital (JUH), collecting data from 601 hypertensive patients following up in JUH clinics. Patients were eligible if they were >18 years old, diagnosed with hypertension, taking anti-hypertensive medication for at least 6 months, and had no chronic kidney disease. BP control was defined as systolic BP <140 mmHg and diastolic BP <90 mmHg. Poor BP control was observed in 59.1% of females and 62.7% of males. Females demonstrated better BP control, even though they had lower incomes, lower education levels, and higher BMIs compared to males. Among females, good medication adherence (p = 0.042) was linked to improved control, while stress and a history of preeclampsia were negatively associated (p = 0.01 and p = 0.030, respectively). Among males, concurrent systemic medication use (p = 0.025) was a positive predictor of BP control, whereas smoking negatively impacted BP control (p = 0.019). Home BP monitoring was common but did not improve control in either gender. In conclusion, females showed better outcomes in BP management, largely due to treatment adherence. A history of preeclampsia and high stress was linked to poorer control in females. Both genders were aware of normal BP levels, but females were more preemptive in maintaining control. To improve hypertension care, we should consider these differences when treating patients.
我们的研究旨在评估约旦高血压患者血压控制方面的性别差异，并确定影响这些差异的因素。我们在约旦大学医院（JUH）开展了一项横断面研究，收集了在JUH诊所随访的601名高血压患者的数据。患者入选标准为年龄大于18岁、确诊为高血压、服用抗高血压药物至少6个月且无慢性肾病。血压控制定义为收缩压<140 mmHg且舒张压<90 mmHg。观察到59.1%的女性和62.7%的男性血压控制不佳。尽管女性与男性相比收入较低（p = 0.042）、教育水平较低且体重指数较高，但女性的血压控制情况更好。在女性中，良好的药物依从性与血压控制改善相关（p = 0.042），而压力和先兆子痫病史则与之呈负相关（分别为p = 0.01和p = 0.030）。在男性中，同时使用全身性药物是血压控制的一个积极预测因素（p = 0.025），而吸烟对血压控制有负面影响（p = 0.019）。家庭血压监测很常见，但对两性的血压控制均无改善。总之，女性在血压管理方面有更好的结果，这主要归因于治疗依从性。先兆子痫病史和高压力与女性较差的血压控制相关。两性都知晓正常血压水平，但女性在维持血压控制方面更具前瞻性。为改善高血压护理，我们在治疗患者时应考虑这些差异。
