ArticleInternational journal of general medicine2014
Patient-related barriers to hypertension control in a Nigerian population.
Article in International journal of general medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 5 of them syntheses that pooled it.
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Who cites it
31 citing papers in PubMed, 5 syntheses or guidelines pooled it, 68 citations in OpenAlex.
- Disparities in Prevalence and Barriers to Hypertension Control: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Global Burden, Regional Differences, Trends, and Health Consequences of Medication Nonadherence for Hypertension During 2010 to 2020: A Meta-Analysis Involving 27 Million Patients.Journal of the American Heart Association · 2022Pooled it
- Pooled it
- Non-adherence to anti-hypertensive medication in low- and middle-income countries: a systematic review and meta-analysis of 92443 subjects.Journal of human hypertension · 2017Pooled it
- Pooled it
- Effect of Expectation of Care on Adherence to Antihypertensive Medications Among Hypertensive Blacks: Analysis of the Counseling African Americans to Control Hypertension (CAATCH) Trial.Journal of clinical hypertension (Greenwich, Conn.) · 2016Trial
- Prevalence, Awareness, and Treatment of Hypertension among Older Adults: A Cross- Sectional Study in Egor Community, Edo State, Nigeria.Rwanda journal of medicine and health sciences · 2026Article
- Implementation of non-pharmacological recommendations and its associated factors among hypertensive patients on follow-up in hospitals of South Omo and Gofa zones, Southern Ethiopia: A facility based cross sectional study.PLOS global public health · 2026Article
- Article
- Factors affecting patient retention to hypertension treatment in a North Indian State: A mixed-method study.Journal of clinical hypertension (Greenwich, Conn.) · 2024Article
- Adherence to Antiretroviral Therapy and Its Predictive Factors Among People Living with HIV in China: A Behavioral Theory-Based Prospective Cohort Study.International journal of behavioral medicine · 2023Article
- An educational intervention to improve health and nutrition literacy in hypertensive patients in Greece.Journal of education and health promotion · 2023Article
- Patient-Reported Barriers to Adherence Among ACEI/ARB Users from a Motivational Interviewing Telephonic Intervention.Patient preference and adherence · 2022Article
- Associations between Socio-Demographic Factors and Hypertension Management during the COVID-19 Pandemic: Preliminary Findings from Malaysia.International journal of environmental research and public health · 2021Article
- Development and Psychometric Validation of the Hypertension Beliefs Assessment Tool Among Adult Population in Northwest Ethiopia.Patient preference and adherence · 2021Article
- May Measurement Month 2018: an analysis of blood pressure screening results from Nigeria.European heart journal supplements : journal of the European Society of Cardiology · 2020Article
- Patient-level factors influencing hypertension control in adults in Accra, Ghana.BMC cardiovascular disorders · 2020Article
- The Role of Lifestyle Factors in Controlling Blood Pressure among Hypertensive Patients in Two Health Facilities in Urban Ghana: A Cross-Sectional Study.International journal of hypertension · 2020Article
- Adapting a club-based medication delivery strategy to a hypertension context: the CLUBMEDS Study in Nigeria.BMJ open · 2019Article
- Antihypertensive prescription among black patients without compelling indications: prescription, effectiveness, quality and cost of medication.BMC health services research · 2019Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHypertension control is a challenge globally. Barriers to optimal control exist at the patient, physician, and health system levels. Patient-related barriers in our environment are not clear. The aim of this study was to identify patient-related barriers to control of hypertension among adults with hypertension in a semiurban community in South-East Nigeria.
methodsThis was a cross-sectional descriptive study of patients with a diagnosis of hypertension and on antihypertensive medication.
resultsA total of 252 participants were included in the survey, and comprised 143 males (56.7%) and 109 females (43.3%). The mean age of the participants was 56.6±12.7 years, with a diagnosis of hypertension for a mean duration of 6.1±3.3 years. Among these patients, 32.9% had controlled blood pressure, while 39.3% and 27.8%, respectively, had stage 1 and stage 2 hypertension according to the Seventh Report of the Joint National Committee on Prevention, Detection and Evaluation of High Blood Pressure. Only 23.4% knew the consequences of poor blood pressure control and 64% were expecting a cure from treatment even when the cause of hypertension was not known. Furthermore, 68.7% showed low adherence to medication, the reported reasons for which included forgetfulness (61.2%), financial constraints (56.6%), high pill burden (22.5%), side effects of medication (17.3%), and low measured blood pressure (12.1%). Finally, knowledge and practice of the lifestyle modifications necessary for blood pressure control was inadequate among the participants.
conclusionPoor knowledge regarding hypertension, unrealistic expectations of treatment, poor adherence with medication, unawareness of lifestyle modification, and failure to apply these were identified as patient-related barriers to blood pressure control in this study.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.