Observational studyAfrican journal of primary health care & family medicine2017
Knowledge, adherence and control among patients with hypertension attending a peri-urban primary health care clinic, KwaZulu-Natal.
Observational study in African journal of primary health care & family medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- High Burden and Trend in Nonadherence to Blood Pressure-Lowering Medications: Meta-Analysis of Data From Over 34 000 Adults With Hypertension in Sub-Saharan Africa.Journal of the American Heart Association · 2025Pooled 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
- Self-care practice among hypertensive patients in Ethiopia: systematic review and meta-analysis.Open heart · 2021Pooled it
- Interpersonal Factors Influencing Hypertension Control: A Cross-Sectional Study Among Hypertensive Patients in the Ashanti Region, Ghana.Health science reports · 2025Article
- Vietnamese version of the Hypertension Knowledge-Level Scale (HK-LS): Translation and validation.Journal of cardiovascular and thoracic research · 2024Article
- Uncontrolled Hypertension, Treatment, and Predictors among Hypertensive Out-Patients Attending Primary Health Facilities in Johannesburg, South Africa.Healthcare (Basel, Switzerland) · 2023Article
- Measurement Tools and Utility of Hair Analysis for Screening Adherence to Antihypertensive Medication.Global heart · 2023Review
- Article
- Factors influencing treatment adherence in hypertension and HIV management in South Africa: A comparative literature review.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2022Review
- A Cross-Sectional Study on Hypertension Medication Adherence in a High-Burden Region in Namibia: Exploring Hypertension Interventions and Validation of the Namibia Hill-Bone Compliance Scale.International journal of environmental research and public health · 2022Article
- Knowledge, Attitude, and Practice Toward Hypertension Among Hypertensive Patients Residing in Lebanon.Vascular health and risk management · 2022Article
- Article
- Single Nucleotide Polymorphisms Associated with Metformin and Sulphonylureas' Glycaemic Response among South African Adults with Type 2 Diabetes Mellitus.Journal of personalized medicine · 2021Article
- Patient-level factors influencing hypertension control in adults in Accra, Ghana.BMC cardiovascular disorders · 2020Article
- Prevalence and factors associated with uncontrolled hypertension among adult hypertensive patients on follow-up at Northern Ethiopia, 2019: cross-sectional study.The Pan African medical journal · 2020Article
- Care-Seeking Dynamics among Patients with Diabetes Mellitus and Hypertension in Selected Rural Settings in Kenya.International journal of environmental research and public health · 2019Article
- Uncontrolled hypertension and associated factors among adult hypertensive patients in Ayder comprehensive specialized hospital, Tigray, Ethiopia, 2018.BMC cardiovascular disorders · 2019Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite hypertension being a common condition among patients attending primary health care (PHC) clinics, blood pressure (BP) control is often poor. Greater insight into patient-related factors that influence the control of hypertension will assist in the development of an intervention to address the issues identified.
aimThe aim of the study was to assess patient-related variables associated with hypertension control among patients attending a peri-urban PHC clinic.
settingThe setting for this study was a peri-urban PHC clinic in KwaZulu-Natal.
methodThis was an observational, descriptive and cross-sectional study with 348 patients selected over a 1-month period. A validated questionnaire was used to collect data on patients' hypertension knowledge and self-reported adherence, and BP recordings from their medical record were recorded to ascertain control.
resultsOf the 348 participants, only 49% had good BP control and 44% (152/348) had concurrent diabetes mellitus. The majority of patients had moderate levels of knowledge on hypertension and exhibited moderate adherence. There was a significant relationship between knowledge and reported adherence, between reported adherence and control, but not between reported knowledge and control.
conclusionDespite over 90% of the study population having moderate knowledge, and 62% with moderate reported adherence, BP was well controlled in only less than 50% of the study population. These findings suggest a need to emphasise adherence and explore new ways of approaching adherence.
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