MAGNITUDE OF UNCONTROLLED HYPERTENSION AND ASSOCIATED FACTORS AMONG ADULT HYPERTENSIVE PATIENTS ON FOLLOW-UP AT PUBLIC HOSPITALS IN HARARI REGION AND DIRE DAWA ADMINISTRATION, EASTERN ETHIOPIA

Abstract

Uncontrolled hypertension is a significant public health problem both in developed and developing countries. Nearly one billion individuals are living with uncontrolled hypertension globally. In Sub-Saharan Africa, 77.4% of adult hypertension patients had uncontrolled hypertension. Several studies were conducted in Ethiopia, to the best of our literature review, there was no study conducted in the study area. Also, the previous studies did not assess the role of anxiety, depression, and social support in uncontrolled hypertension. Objective: To assess the magnitude of uncontrolled hypertension and associated factors among adult hypertensive patients on follow-up at public Hospitals in Harar region and Dire Dawa administration, Eastern Ethiopia, from June 15 to July 15, 2021. Methods: A Hospital based cross-sectional study was conducted among 415 selected by systematic random sampling hypertensive patients. Data were collected through face-to-face interviews using a structured questionnaire and reviewing patients’ charts. The data were entered into Epi Data version 3.1 and exported into Statistical Package for the Social Science version 20 for analysis. Descriptive statistics, bivariable and multivariable binary logistic regression analysis were performed. All covariates with p-value ≤ 0.25 in bivariable binary logistic regression analysis were entered into multivariable analysis to control the confounding. Variables with p-value < 0.05 were considered statistically significant. Result: This study revealed uncontrolled hypertension among hypertensive patients was 199 (48 %) (95% CI, 43.1–52.8%). Being male (AOR= 2.05, 95% CI: 1.29-3.26), age ≥ 55 years (AOR=3.16, 95% CI: 1.96-5.08), non-adherence to anti-hypertensive medication (AOR= 1.83, 95% CI: 1.14-2.94), non-adherence to low-salt diet (AOR= 2.94, 95% CI: 1.74-4.94), non adherence to physical activity (AOR=3.20, 95% CI: 1.84-5.56), having co-morbidity (AOR= 3.04, 95% CI: 1.90-4.85) were significantly associated with uncontrolled hypertension. Conclusion: Half of hypertensive patients had uncontrolled hypertension. Older age, male sex, non-adherence to antihypertensive medication, non-adherence to low salt diet, non-adherence to physical exercise, and having comorbidity were significantly associated with uncontrolled hypertension. The stringent strategy that enhances self-care practice need to be in place