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Hypertension Control and Its Correlates Among Adults Attending a Hypertension Clinic in Tanzania.

Maginga, J., Guerrero, M., Koh, E., Holm Hansen, C., Shedafa, R., Kalokola, F., Smart, L. R. and Peck, R. N. (2016) Hypertension Control and Its Correlates Among Adults Attending a Hypertension Clinic in Tanzania. Journal of clinical hypertension (Greenwich, Conn.), 18 (3). pp. 207-16. ISSN 1751-7176

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Abstract

Hypertension control rates are low in sub-Saharan Africa. Population-specific determinants of blood pressure (BP) control have not been adequately described. The authors measured BP and conducted interviews to determine factors associated with BP control among adults attending a hypertension clinic in Tanzania. Three hundred adults were enrolled. BP was controlled in 47.7% of patients at the study visit but only 28.3% over three consecutive visits. Demographic and socioeconomic factors were not associated with control. Obesity and higher medication cost were associated with decreased control. Their effect was mediated through adherence. Good knowledge of (odds ratio [OR], 2.5; 95% confidence interval [CI], 1.0-6.1; P=.047), attitudes towards (OR, 2.7; 95% CI, 1.0-7.1; P=.04), and practices concerning (OR, 5.4; 95% CI, 2.3-13.0; P<.001) hypertension were independently associated with increased control, even after adjusting for mediation through adherence. Good adherence had the strongest association with control (OR, 14.6; 95% CI, 5.8-37.0; P<.001). Strategies to reduce hypertension-related morbidity and mortality in sub-Saharan Africa should target these factors. Interventional studies of such strategies are needed.

Item Type: Article
Keywords: Hypertension Control, Adults, Hypertension Clinic, Tanzania
Subjects: Health Systems > Surveillance, monitoring & evaluation
Non-communicable disease (NCD) > Mental Health (psycho-social health & wellbeing)
Non-communicable disease (NCD) > Life style
Divisions: Catholic University of Health and Allied Sciences (CUHAS)
Depositing User: Mr Joseph Madata
Date Deposited: 26 Jun 2016 08:06
Last Modified: 26 Jun 2016 08:06
URI: http://ihi.eprints.org/id/eprint/3836

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