Blood pressure control in hypertensive patients attending a rural community health centre in Gauteng Province, South Africa: A cross-sectional study

South African Family Practice

Field Value
Title Blood pressure control in hypertensive patients attending a rural community health centre in Gauteng Province, South Africa: A cross-sectional study
Creator Onwukwe, Sergius C. Ngene, Nnabuike C.
Subject Family medicine; general practice; rural health; rural medicine; primary care; primary health care;public health blood pressure control; adherence to treatment; diabetes; hypertension; obesity
Description Background: Hypertension is a major cause of morbidity and mortality and its control has important clinical and socio-economic benefits to the family and community. Unfortunately, the extent of blood pressure (BP) control and its potential predictors in hypertensive patients in many rural communities in low-resource settings are largely unknown. This study assessed the extent of uncontrolled BP and its predictors amongst hypertensive patients accessing primary health care in a rural community in South Africa.Methods: This cross-sectional study included 422 randomly selected hypertensive patients. Demographic and clinical data were collected using structured face-to-face questionnaire supplemented by respondents’ clinical records.Results: Obesity plus overweight (n = 286, 67.8%) and diabetes (n = 228, 54.0%) were the most common comorbidities. Treatment adherence was achieved in only 36.3% and BP was controlled to target in 50.2% of the respondents. Significant predictors of uncontrolled BP were poor treatment adherence (odds ratio [OR] = 15.88, 95% confidence interval [CI] = 8.96, 28.14, p  0.001), obesity compared with normal weight and overweight (OR = 3.75, 95% CI = 2.17, 6.46, p  0.001) and being a diabetic (OR = 2.83, 95% CI = 1.74, 4.61, p  0.001).Conclusion: Poor adherence to treatment was the major predictor of uncontrolled BP. The increase in uncontrolled BP in the presence of diabetes and/or obesity as risk predictors, indicates the need for appropriate behaviour change/interventions and management of these conditions in line with the health belief model (HBM). We also propose the use of Community-Based Physical and Electronic Reminding and Tracking System (CB-PERTS) to address poor treatment adherence.
Publisher AOSIS
Date 2022-03-28
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article Survey, Cross-sectional research
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/safp.v64i1.5403
Source South African Family Practice; Vol 64, No 1 (2022): Part 2; 9 pages 2078-6204 2078-6190
Language eng
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Coverage Africa, South Africa, Gauteng, Sedibeng District 2015 - 2016 Age, Gender, Hypertensive patients
Rights Copyright (c) 2022 Sergius Chuks Onwukwe, Nnabuike Chibuoke Ngene