ArticleBMC cardiovascular disorders2020
Patient-level factors influencing hypertension control in adults in Accra, Ghana.
Article in BMC cardiovascular disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Determinants of Self-Care and Home-Based Management of Hypertension: An Integrative Review.Global heart · 2023Pooled it
- Confronting Ghana's Hypertension Crisis: Epidemiology, Barriers, and Policy Pathways.Public health challenges · 2026Article
- Assessment of Hospital Overcrowding Perceptions and Outpatient Care Quality Among Hypertensive Patients in Mampong, Ghana: A Cross-Sectional Study.Health science reports · 2026Article
- Knowledge, Attitudes, and Practices of Hypertensive Patients with Aortic Dissection and Aortic Aneurysm Towards Aortic Dissection and Its Prevention: A Mediation Analysis.International journal of general medicine · 2026Article
- Efficacy and safety of labetalol vs. Hydralazine in pregnant women with severe hypertension.Pakistan journal of medical sciences · 2026Article
- The cascade of hypertension prevalence, awareness, treatment, and control in urban-poor communities in Accra, Ghana: a population-based household survey.BMC public health · 2025Article
- Estimating the level and determinants of catastrophic expenditure related to hypertension management in the Greater Accra Region of Ghana.Global health action · 2025Article
- Determinants, barriers, and facilitators of healthcare access for patients with hypertension in rural Ghana: applying the Andersen-Newman model of healthcare utilization.Global health action · 2025Article
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- Factors associated to hypertension knowledge and control in Kimpese, Democratic Republic of the Congo.African journal of primary health care & family medicine · 2025Article
- Online Health Information Seeking: Implications for Self-Management in Hypertension.Risk management and healthcare policy · 2025Article
- Exploring patient-, provider-, and health facility-level determinants of blood pressure among patients with hypertension: A multicenter study in Ghana.PLOS global public health · 2024Article
- Utilizing Group Model Building to Identify Barriers and Facilitators of Hypertension Management in Primary Health Care, China.Risk management and healthcare policy · 2024Article
- Estimating the Lifetime Cost of Managing Hypertension in Ghana: A Modelling Study.Health services insights · 2024Article
- A multilevel and multicenter assessment of health care system capacity to manage cardiovascular diseases in Africa: a baseline study of the Ghana Heart Initiative.BMC cardiovascular disorders · 2023Article
- Mixed effects logistic regression analysis of blood pressure among Ghanaians and associated risk factors.Scientific reports · 2023Article
- Predictors of Nonadherence to Medications among Hypertensive Patients in Ghana: An Application of the Health Belief Model.International journal of hypertension · 2022Article
- Prevalence of Hypertension in Ghana: Analysis of an Awareness and Screening Campaign in 2019.Clinical Medicine Insights. Cardiology · 2022Article
- Patient and healthcare provider perspectives on adherence with antihypertensive medications: an exploratory qualitative study in Tanzania.BMC health services research · 2021Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEffective control of blood pressure is necessary to avert the risk of cardiovascular diseases from uncontrolled hypertension. Despite evidence on the benefits of hypertension control, rates of control in Ghana remain low. This study assessed the patient-level factors that influence hypertension control among adults in Accra, Ghana.
methodsA total of 360 hypertensive patients from two hospitals in Accra, Ghana were enrolled in the study. Patient socio-demographic characteristics were tabulated and associations between patient characteristics and hypertension control were estimated using chi-square tests and logistic regression.
resultsLess than a quarter of the patients had a controlled blood pressure. The patient's sex [AOR = 3.53 (95% CI:1.73-7.25], educational at junior high school [AOR = 3.52(95% CI 1.72-7.22)], senior and junior high school [AOR = 2.64 (95% CI 1.40-6.66_] and AOR = 3.06 (95% CI 1.03-6.67)] and presence of a comorbidity [AOR = 2.41 (95% CI 1.32; 4.42)] predicted BP control among patients. Dyslipidaemia [AOR = 0.31, [0.11-0.89)] an increased pill burden, and length of diagnosis of 2-5 years (AOR = 0.27 (0.1-0.73)] however, were associated with reduced BP control [AOR = 0.32(95% CI: 0.18-0.57)]. The majority of patients reported forgetfulness, side effects of medication and high pill burden as reasons for missing their medications.
conclusionKnowledge of hypertension among patients is low. Sex, formal education and the presence of comorbidity and more specifically dyslipidaemia influences blood pressure control. High pill burden and 2-5 years since diagnosis negatively affects the attainment of blood pressure control.
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