Uncontrolled hypertension among hypertensive patients on treatment in Lupane District, Zimbabwe, 2012

被引：50

作者：

Goverwa T.P. ^{[1
]}

Masuka N. ^{[2
]}

Tshimanga M. ^{[1
]}

Gombe N.T. ^{[1
]}

Takundwa L. ^{[1
]}

Bangure D. ^{[1
]}

Wellington M. ^{[1
]}

机构：

[1] Department of Community Medicine, University of Zimbabwe, Harare

[2] Provincial Medical, Matabeleland North Province (MoHCC), Matabeleland

来源：

BMC Research Notes | / 7卷 / 1期

关键词：

Hypertension; Lupane district; Uncontrolled; Zimbabwe;

D O I：

10.1186/1756-0500-7-703

中图分类号：

学科分类号：

摘要：

Background: More than half of hypertensive patients reviewed at Lupane District Hospital during the first half of 2011 had uncontrolled hypertension. This prompted an investigation on the prevalence of uncontrolled hypertension and associated factors among hypertensives on treatment.; Methods. Analytical cross-sectional study was conducted. Three hundred fifty-four consenting participants were consecutively selected from eligible hypertensive patients on treatment attending the outpatients department at Lupane District Hospital for their reviews. An interviewer administered questionnaire adapted from the World Health Organization was used to collect data on risk factors. Blood pressure and anthropometric measurements were taken as per World Health Organization guidelines. Uncontrolled hypertension was defined as systolic blood pressure of ≥140 mmHg and/or diastolic blood pressure of ≥90 mmHg in a patient taking anti-hypertensive medication.; Results: Mean systolic BP was 151.0 mmHg and mean diastolic BP was 92.6 mmHg. Prevalence of uncontrolled hypertension was (238) 67.2%. Independent risk factors for uncontrolled hypertension were obesity (AOR 3.28, 95% CI 1.39-7.75) and adding salt to food at the table (AOR 2.77, 95% CI 1.41-5.43) whilst being compliant with the drug treatment regimen (AOR 0.34, 95% CI 0.16-0.72) and having received health education on hypertension (AOR 0.49, 95% CI 0.25- 0.97) were protective against uncontrolled hypertension.; Conclusion: There prevalence of uncontrolled hypertension is high despite all the participants being on treatment. The findings suggest that interventions at the patient, the provider and the health delivery system are needed to improve hypertension control in Lupane, Zimbabwe. © 2014Goverwa et al.; licensee BioMed Central Ltd.

引用

共 25 条

[1]

Murray C.J., Lopez A.D., Mortality by cause for eight regions of the world. Global burden of disease, Lancet, 349, pp. 1269-1276, (1997)

[2]

Kearney P.M., Whelton M., Reynolds K., Whelton P.K., He J., Worldwide prevalence of hypertension: A systematic review, J Hypertens, 22, pp. 11-19, (2004)

[3]

Joshi S.R., Sha S.N., Control of blood pressure in India: Rule of halves still very much valid, JAP, 51, pp. 150-152, (2003)

[4]

Cooper R.S., Rotim C.N., Kaufman J.S., Muna W.F.T., Mensa G.A., Hypertension treatment and control in SSA: The epidemiological basis for policy, BMJ, 56, pp. 345-368, (2001)

[5]

Munter P., Gu D., Wu X., Duan X., Weng G., Whelton P.K., Factors associated with hypertension awareness and treatment in a representative sample of the Chinese population, Hypertension, 43, pp. 578-585, (2004)

[6]

Damasceno A., Azevedo A., Matos C.S., Prista A., Diogo D., Lunet N., Hypertension prevalence, awareness, treatment, and control in Mozambique: Urban/Rural Gap during epidemiological transition, Hypertension, 54, pp. 77-83, (2009)

[7]

Wang T.J., Vasan R.S., Epidemiology of uncontrolled hypertension in the United States, Circulation, 112, pp. 1651-1662, (2005)

[8]

Of Health M., Welfare C., The National Health Strategy for Zimbabwe (2009-2013): Equity and Quality in Health: A People's Right, (2009)

[9]

Zimbabwe Non-Communicable Diseases Risk Factors: Preliminary Report, (2005)

[10]

Wyatt S.B., Akylbekova E.L., Wofford W.R., Coady S.A., Walker E.R., Andrew M.E., Harman J., Charbonneau V., Nelson C., Prevalence, awareness, treatment, and control of hypertension in the Jackson heart study, Hypertension, 51, pp. 650-656, (2008)

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