Determinants of blood pressure control among hypertensive patients of rural areas in a South Indian State: A community based cross sectional study
https://doi.org/10.51866/oa.308
- Author:
Sneha D. Mallya
1
;
Ajo Paul
2
;
Sanjay Kini B
3
;
Ashwini Kumar
4
Author Information
1. (Corresponding author) Associate Professor, Department of Community Medicine, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India. Email: sneha.kamath@manipal.edu
2. Assistant Professor, Department of Community Medicine, Sree Narayana Institute of Medical Sciences, Ernakulum, Kerala, India.
3. Associate Professor, Department of Community Medicine, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
4. Professor and Head, Department of Community Medicine, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
- Publication Type:Journal Article
- Keywords:
Hypertension;
Blood pressure;
Determinants
- MeSH:
Hypertension;
Blood pressure
- From:Malaysian Family Physician
2023;18(All Issues):1-8
- CountryMalaysia
- Language:English
-
Abstract:
Introduction:Optimum blood pressure (BP) control is essential to prevent complications
and improve the quality of life of patients with hypertension. is study aimed to explore the
determinants of BP control in patients with hypertension on treatment without any other
comorbidities.
Methods: e study was conducted among 429 patients with essential hypertension aged ≥ 30
years residing in four villages of a taluk/tahsil in a South Indian state. A pre-tested semi-structured
questionnaire was used to collect data on socio-demographic characteristics, diagnosis and treatment
of hypertension, lifestyle factors (e.g. diet and substance use), facilitators and barriers of BP control
and anthropometric measurements. BP was measured using World Health Organization standards
and classi ed using the Joint National Committee 8 Guidelines. Descriptive statistics were measured
in terms of numbers and percentages. Univariate and multivariate logistic regression analyses were
used to determine the signi cant determinants of BP control.
Results:Approximately 64.3% of the participants had their BP under control. e participants aged
46–59 years were more likely to have uncontrolled BP than those aged ≥60 years. e participants
with <80% adherence to medication (non-adherent) had a ve fold higher odds of having
uncontrolled BP than those with ≥80% adherence.
Conclusion: Adherence to medication was the only signi cant factor for BP control in the present
study. Hence, adherence to medication should be addressed with interventions targeted to improve
BP control in patients with hypertension.
- Full text:20250902114142198118.40 (1).pdf
