scholarly journals A comparative study on the adherence to anti-hypertensive medications in urban and rural areas of Hubballi

2019 ◽  
Vol 6 (4) ◽  
pp. 1701 ◽  
Author(s):  
Pratibha Rao Katapadi ◽  
Dattatreya D. Bant
Keyword(s):  
Blood Pressure ◽  
Rural Areas ◽  
Rural Population ◽  
Antihypertensive Drugs ◽  
Cross Sectional Study ◽  
Uncontrolled Hypertension ◽  
Public Health Issue ◽  
Antihypertensive Medications ◽  
Cross Sectional ◽  
Hypertensive Patients

Background: Hypertension is a significant public health issue worldwide and can have deleterious effects on the health when it is not under control. Adherence to antihypertensive medications is thus necessary for better control of blood pressure and to reduce the risk of complications. There are various factors which support or hinder the patient’s adherence to anti- hypertensive treatment. Thus this study was done to reflect the factors influencing the adherence to antihypertensive drugs among urban and rural population.Methods: A community based cross sectional study was conducted in urban and rural field practice areas of Karnataka Institute of Medical Sciences, Hubballi. A semi-structured questionnaire was used for data collection among the known hypertensive patients. The data was entered in Microsoft Excel and analysed using SPSS software.Results: Most of the hypertensive patients were aged 45 and above (89.5%). A total of 73.5% of the participants were adherent to antihypertensive medications and adherence was more among urban (76%) as compared to rural population (71%). Knowledge regarding complications of uncontrolled hypertension was the major factor for adherence in both the areas. The mean systolic and diastolic blood pressure was controlled in patients who were adherent.Conclusions: There is a higher level of adherence to antihypertensive medications in urban population as compared to rural population of Hubballi. The findings suggest patient factors, clinical factors and socio-demographic factors play an important role in determining the adherence to the medication.

scholarly journals Ambulatory Blood Pressure Control Pattern in Hypertensive Patients at Tikur Anbesa Specialized Hospital: A Cross Sectional Study

2021 ◽  
Author(s):  
MULUALEM ALEMAYEHU ◽  
Sintayehu Abebe ◽  
Dejuma Yadeta ◽  
Bekele Alemayehu
Keyword(s):  
Blood Pressure ◽  
Ambulatory Blood Pressure ◽  
Addis Ababa ◽  
Cross Sectional Study ◽  
Uncontrolled Hypertension ◽  
Sectional Study ◽  
Ethical Guidelines ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Control Pattern

Abstract Background: Hypertension is the most common cardiovascular problem globally with a particularly increasing burden in developing countries like Ethiopia. Ambulatory blood pressure (ABPM) is superior to office blood pressure (OBP) measurement for diagnosing, prognosticating and following treatment efficacy for hypertension. There is no available data on ABPM control pattern in Ethiopians. This study will determine the ABPM control patterns in Ethiopian hypertensive patients on treatment. Material and Methods: This was a cross sectional study in hypertensive patients at Tikur Anbessa Specialized Hospitals outpatient departments carried out during January to May 2021. ABPM values of 244 consecutively sampled patients were analyzed. All patients had their BP monitored over 24 h with a Tonoport V (GE CS V6 71), and the data was interpreted using GE CardiosoftTM ABPM software in accordance with European Society of hypertension guidelines. Ethical clearance was given by Addis Ababa University Institutional Review Board and the study was conducted in compliance to standard ethical guidelines.Results: The study involved 244 adult hypertensive patients; mean age of the patients was 59.4years and, 54% were females. 58.6% of patients had controlled OBP, while only 45.1% had controlled ABPM. The mean OBP was 137 (19)/81 (10) mmHg and mean 24-hr ABP was 137 (16)/81 (10) mmHg; mean daytime BP was 136/79 ± 17/11 mmHg; mean night‑time BP, 138/84 ± 16/11 mmHg. Mean ABPM values were not significantly different between men and women. Comparison of ABPM values with OBP revealed high prevalence of the white coat effect (32%) and masked uncontrolled hypertension (46%). Presence of comorbidities particularly diabetes predicted poor ABPM control.Conclusion: More than half of patients had uncontrolled BP as per ABPM criteria and significant discrepancy exists between ABPM and OBP in assessing adequacy of BP control. Guiding management decisions using ABPM can improve BP control rates.

scholarly journals Prevalence of hypertension in a rural community of coastal Karnataka: a cross sectional study

2017 ◽  
Vol 4 (8) ◽  
pp. 2774
Author(s):  
Trapti Saxena ◽  
Rajeev K. H.
Keyword(s):  
Blood Pressure ◽  
Rural Community ◽  
Rural Areas ◽  
Rural Population ◽  
Access To Health Care ◽  
Cross Sectional Study ◽  
Health Care Facilities ◽  
Health Concern ◽  
Sectional Study ◽  
Cross Sectional

Background: Hypertension is major risk factor for CVDs and its complications account for 9.4 million deaths worldwide every year. Hypertension itself is responsible for about 45% and 51% deaths due to heart disease and stroke respectively. Hypertension is a major public health concern in India both in urban and rural areas and it is increasing at an alarming rate in rural population. Because of inadequate access to health care facilities at rural areas, the early screening and treatment of hypertension is not done regularly, so we conducted this study. The objective of the study was to determine the prevalence of hypertension in a rural community of coastal Karnataka.Methods: A community based cross sectional study was conducted at rural field practice area of Srinivas Institute of Medical Sciences. Sample size was 300 and convenient sampling method used. Data was collected visiting homes and blood pressure measured with mercury sphygmomanometer by. Descriptive statistics were used to analyse the data.Results: Among 300 participants, 45% and 55% were males and females respectively and mean age of the participants was 50.6±15.4 years. The overall prevalence of hypertension among them was 18% and the proportion of hypertension was more among males, people aged >45 years and illiterates.Conclusions: Our study shows that, hypertension has seeped into rural population also which was a concern of the urban population earlier. New cases of hypertension diagnosed were also more which indirectly indicates, most people are not aware of their blood pressure and importance of regular monitoring of blood pressure. So, doing regular screening and creation of awareness at rural areas will help in reducing the morbidity and mortality due to hypertension and its complications. 

scholarly journals Amlodipine-Induced Pedal Edema and Its Relation to Other Variables in Patients at a Tertiary Level Hospital of Kathmandu, Nepal

2018 ◽  
Vol 35 (2) ◽  
pp. 51-55
Author(s):  
Sitaram Khadka ◽  
Rinku Joshi ◽  
Dhan Bahadur Shrestha ◽  
Drishti Shah ◽  
Niroj Bhandari ◽  
...  
Keyword(s):  
Antihypertensive Drugs ◽  
Care Center ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Antihypertensive Medications ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Dose Combination ◽  
Pedal Edema

Background: Vasodilatory edema is a frequently encountered side effect among hypertensive patients using antihypertensive drugs. This dose-dependent adverse effect is seen more commonly with amlodipine, so low-dose combination therapy is often used and preferred in practice. Pedal edema following use of amlodipine is scarcely studied in Nepalese population so far. Objectives: To find out the prevalence of amlodipine-associated pedal edema and its relation with other variables among patients presenting to a tertiary care center of Kathmandu, Nepal. Methods: A prospective cross-sectional study was conducted among hypertensive patients using amlodipine in combination with or without other antihypertensive medications under regular follow-up in an outpatient department of internal medicine of Shree Birendra Hospital, Kathmandu, Nepal, during the 7-month period from September 2017 to March 2018. The prevalence of pedal edema and its relation with amlodipine dose, duration, and other factors were studied using χ2 test and logistic regression using SPSS version 22. Results: A total of 505 patients were observed during the study period, with the mean age of the population being 61.5 ± 13.4 years. Among the cases studied, edema was present in 79 (15.6%) cases. Use of amlodipine longer than 5 years was 21.65 (confidence interval [CI] = 9.575-48.970, P ˂ .001) times more likely to exhibit pedal edema; similarly, there was 2.149 (CI = 1.209-3.820, P = .009) times higher risk of having pedal edema in hypertensive individuals with other comorbidities. Increasing the dose of amlodipine has increased the likelihood of having pedal edema, but it is not statistically significant (odds ratio = 2.804, CI = 0.423-18.584, P = .285). Conclusion and Relevance: Significant number of hypertensive patients using amlodipine developed pedal edema. Likelihood of vasodilatory edema increases with the presence of comorbidities, higher dose, along with longer duration of amlodipine use.

scholarly journals Unawareness of hypertension and its determinants among 'quilombolas' (inhabitants of 'quilombos' - hinterland settlements founded by people of African origin) living in Southwest Bahia, Brazil

2015 ◽  
Vol 20 (3) ◽  
pp. 797-807 ◽  
Author(s):  
Vanessa Moraes Bezerra ◽  
Amanda Cristina de Souza Andrade ◽  
Cibele Comini César ◽  
Waleska Teixeira Caiaffa
Keyword(s):  
Blood Pressure ◽  
Arterial Hypertension ◽  
Antihypertensive Drugs ◽  
Cross Sectional Study ◽  
Public Health Issue ◽  
Cross Sectional ◽  
Pharmacological Management ◽  
Medical Visits ◽  
Stage 1 ◽  
And Control

This study sought to evaluate the prevalence of unawareness of arterial hypertension (AH) and associated factors among the quilombola population and to describe aspects of the non-pharmacological management of AH. It involved a cross-sectional study with a sample of 358 people with AH aged 18 years or more. AH was considered systolic blood pressure (BP) ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg and/or reported use of antihypertensive drugs. Unawareness of AH was classified as persons answering negatively when asked if they suffered from AH. Poisson regression was then used. The prevalence of unawareness of AH was 44.1% (95% CI: 38.9-49.3). Among those who already knew the diagnosis and had drug treatment only 24.8% had controlled BP. The unawareness of AH was positively associated with the male sex and Stage 1 of AH and negatively with increasing age, overweight, negative self-perception of health and medical visits. For non-pharmacological management, low percentages of quilombola reported appropriate standard recommendations of care. Arterial hypertension is a serious public health issue among the quilombola population, revealing great vulnerability in health due to poor levels of awareness, treatment and control.

scholarly journals The study of epidemiological correlates of hypertension among the rural population of Mehsana district of North Gujarat region, India

2021 ◽  
Author(s):  
Nilesh Thakor ◽  
Pankaj B. Nimbalkar ◽  
Maulik D. Joshi
Keyword(s):  
Blood Pressure ◽  
Rural Areas ◽  
Rural Population ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Economic Class ◽  
The Difference ◽  
And Gender ◽  
North Gujarat

Background: The changing lifestyle factors in rural population are associated with increase in hypertension. Objective was to find out the epidemiological correlates of hypertension among the rural population.Methods: This was cross sectional study and conducted in rural areas of Mehsana district of Gujarat during January 2019 to June 2019. People living rural areas were selected by stratified random sampling. They were screened for hypertension by JNC VII criteria using sphygmomanometer and detailed personal, past and family history was taken after written and informed consent. Data was entered in Microsoft excel and analysis was done using SPSS statistical package.Results: Out of total 602 subjects, 93 (15.4%) were hypertensive. Out of total 93 hypertensive subjects, 50 (53.8%) were females. A blood pressure category and gender difference were not statically significant (p=0.89). Out of 93 hypertensive subjects, 42 (45.2%) subjects were in the age group of ≥60 years. The difference between age groups and blood pressure category was significant (p<0.0001). Out of 93 hypertensive subjects’ majority 85 (91.4%) had negative tobacco history while only 8 (8.6%) consumed tobacco in any form. The tobacco history and blood pressure category were not significantly associated (p=0.211). Out of total 93 hypertensive subjects, 54 (58.1%) subjects were (≥25) body mass index (BMI). Categories of BMI and hypertension were extremely significantly associated (p<0.0001).Conclusions: Hypertension is significantly associated with age, socio economic class and BMI.  

scholarly journals Adherence to drug therapy among hypertensive patients attending two district hospitals in Ghana

2020 ◽  
Vol 20 (3) ◽  
pp. 1355-1367
Author(s):  
Emmanuel Sarkodie ◽  
Daniel Kwame Afriyie ◽  
Araba Hutton-Nyameaye ◽  
Seth Kwabena Amponsah
Keyword(s):  
Blood Pressure ◽  
Antihypertensive Drugs ◽  
Patient Adherence ◽  
Antihypertensive Medications ◽  
Major Drawback ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Medical Practitioners ◽  
District Hospitals ◽  
Predictors Of Adherence

Background: A major drawback to the management of hypertension among patients is poor adherence to pharmacother- apy. Factors that influence non-adherence to antihypertensive drugs could vary, depending on the prevailing condition of patient and setting. Knowledge of adherence patterns and behavior of hypertensive patients to pharmacotherapy could improve health-directed policies towards hypertension management. Objective: The objective of this study was to determine factors that influence adherence to oral antihypertensive drugs among patients attending two district hospitals in the Volta Region of Ghana. Methods: The study was cross-sectional. Respondents were hypertensive patients attending Krachi West District (n=187) and Hohoe Municipal (n=183) hospitals between March 2016 to May 2016. Data was collected using a structured question- naire and Morisky 8 Item Measurement of adherence scale. Results: Adherence to oral antihypertensive drugs was 89.2%. However, more than half of these respondents appeared to have uncontrolled blood pressure; and this may be due to self-response bias, blood pressure being measured only on the day of the interview or use of fake drugs (which was not assessed in this study). The strongest predictors of adherence were; knowledge on hypertension, perception of severity of condition and the amount of alcohol consumed in a day by respondents. Conclusion: Good adherence to oral antihypertensive drugs was observed in this population despite uncontrolled hyper- tension in a number of the respondents. The three independent predictors of adherence to antihypertensive medications in this study were respondent’s knowledge about hypertension, perception of severity of their condition and the amount of alcohol consumed in a day. Regular patient education and counseling by medical practitioners should be encouraged in these settings to improve patient adherence. Keywords: Adherence; antihypertensive drug; hypertension; Ghana.

scholarly journals Prevalence of hypertension among the rural population of Mehsana district of North Gujarat region, India

2021 ◽  
Vol 8 (12) ◽  
pp. 5847
Author(s):  
Nilesh Thakor ◽  
Pankaj B. Nimbalkar ◽  
Maulik D. Joshi
Keyword(s):  
Blood Pressure ◽  
Rural Areas ◽  
Rural Population ◽  
Cross Sectional Study ◽  
Microsoft Excel ◽  
Cross Sectional ◽  
The Social ◽  
And Gender ◽  
Stage 1 ◽  
North Gujarat

Background:High blood pressure is considered both a disease and a risk factor, especially for cardiovascular diseases, and is one of the most serious public health problems. To find out the prevalence of hypertension among the rural population of Mehsana district of North Gujarat region, India.Methods:This was cross sectional study and conducted in rural areas of Mehsana district of Gujarat during January 2019 to June 2019. People living rural areas were selected by stratified random sampling. They were screened for hypertension by JNC VII criteria using sphygmomanometer after written and informed consent. Data was entered in Microsoft excel and analysis was done using statistical package for the social sciences (SPSS) statistical package.Results: Out of total 602, majority 293 (48.7%) subjects had normal blood pressure with mean age of 25.28±16.62 years, 271 subjects (45.0%) had pre hypertension with mean age of 40.30±14.32 years. Out of total, 25 (4.2%) subjects had hypertension stage 1 with mean age of 45.82±11.48 years and 13 (2.2%) subjects had hypertension stage 2 with mean age of 53.77±16.02 years. Out of total 271 subjects who had pre hypertension, 150 (55.3%) were males. Hypertension stage 1 and 2 were almost equally distributed among both gender. A blood pressure category and gender difference was statically significant. Out of total 38 hypertensive subjects, 19 (50%) subjects were in the age group of 40-59 years.Conclusions: Prevalence of hypertension among rural population was 6.4%. 

scholarly journals Compliance to antihypertensive medication: a cross-sectional study in Aligarh

2017 ◽  
Vol 4 (10) ◽  
pp. 3698 ◽  
Author(s):  
Mariyam Khwaja ◽  
M. Athar Ansari ◽  
Saira Mehnaz
Keyword(s):  
Social Class ◽  
Rural Areas ◽  
Hypertensive Heart Disease ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Public Health Issue ◽  
Global Public Health ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hypertensive Patients

Background: Hypertension is a global public health issue. Hypertensive heart disease is one of the top ten leading causes of death in the world. It was responsible for an estimated 1.1 million deaths worldwide in 2012. To prevent some of the complications of hypertension regular intake of the prescribed treatment in the form of medicines (pills) is essential. Poor compliance to anti-hypertensive therapy is usually associated with bad outcome of the disease and wastage of limited health care resources. With these viewpoints the study aimed to assess the level of compliance of hypertensive patients to their anti-hypertensive medications and to determine the socio-demographic correlates of compliance. Methods: This was community based cross sectional study conducted in urban and rural areas in Aligarh. A total of 350 hypertensive patients were selected using simple random sampling. A pretested semi-structured questionnaire was used. Compliance was measured by Morisky 8-item Medication Adherence scale. Analysis was done using proportions and Chi-square test. Results: The overall compliance of study population was 23.7%. It was found to be significantly associated with gender, education, social class and associated co morbidities. Education, higher social class and duration of hypertension were found to be the main facilitators to adherence. The barriers to adherence were cost of drug and more number of pills per day. Conclusions: Patient education, family counselling and social support networks should be strengthened in health promotion programs in order to enhance compliance of hypertensive patients with the therapeutic regimen and to improve their quality of life. 

scholarly journals Drug compliance among hypertensive patients in Kassala, Eastern Sudan

2000 ◽  
Vol 6 (1) ◽  
pp. 100-105
Author(s):  
A. G. El Zubier ◽  
A. A. Husain ◽  
I. A. Suleimati ◽  
Z. A. Hamid
Keyword(s):  
Blood Pressure ◽  
Antihypertensive Drugs ◽  
Compliance Rate ◽  
Pressure Control ◽  
Cross Sectional Study ◽  
Drug Compliance ◽  
Cross Sectional ◽  
Uncontrolled Blood Pressure ◽  
Hypertensive Patients ◽  
Eastern Sudan

A cross-sectional study of hypertensive patients was conducted and drug compliance was estimated. Factors associated with compliance, status of blood pressure control and occurrence of complications were assessed. Compliance was 59.6% as measured with the pill count method. We found 92% of compliant patients had controlled blood pressure in comparison with 18% of non-compliant patients, and 30.1% of the compliant patients had complications in comparison with 46.3% of the non-compliant patients. While the compliance rate was reasonable, 36.8% of patients were non-compliant because they could not afford to buy antihypertensive drugs. Inability to buy drugs was negatively and significantly associated with compliance. These patients experienced uncontrolled blood pressure and other complications

Analisis Faktor Determinan yang berhubungan dengan Kepatuhan Rekomendasi Modifikasi Gaya Hidup Pasien Hipertensi

2020 ◽  
Vol 7 (2) ◽  
pp. 256-263
Author(s):  
Abdul Qodir
Keyword(s):  
Blood Pressure ◽  
Lifestyle Modification ◽  
Multivariate Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
Lifestyle Modifications ◽  
Chi Square ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Consecutive Sampling ◽  
Knowledge Practice

Penatalaksanaan farmakologis dan non farmakologis dipercaya dapat mengontrol tekanan darah dan mencegah komplikasi, tetapi banyak pasien hipertensi tekanan darahnya tidak terkontrol. Hal tersebut dikarenakan kepatuhan yang buruk dalam melaksanakan rekomendasi gaya hidup. Penelitian ini bertujuan untuk menganalisis determinan faktor yang berhungan dengan kepatuhan melaksanakan rekomendasi modifikasi gaya hidup. Penelitian ini menggunakan metode cross-sectional di pukesmas dinoyo Kota Malang tahun 2019. Teknik pengambilan sampel menggunakan Consecutive Sampling. Kuesioner yang digunakan meliputi : karakteristik demografi, pengetahuan dan rekomendasi mofifikasi gaya hidup pasien hipertensi. Hubungan antara rekomendasi modifikasi gaya hidup dengan variabel independen dianalisis menggunakan uji chi square dan analisis regresi logistik. 140 pasien hipertensi berpartisipasi dalam penelitian ini (60 laki-laki, 80 wanita). Prevalensi kepatuhan adalah 28,6 %. Tingkat pengetahuan berhubungan signifikan  dengan kepatuhan melaksanakan rekomendasi gaya hidup (p=0,00). Jenis kelamin, usia, dan tingkat pendidikan tidak mempunyai hubungan signifikan dengan kepatuhan rekomendasi modifikasi gaya hidup (p= 0,06; p=0,21; p=0,87). Pengetahuan mempunyai hubungan yang signifikan dengan kepatuhan rekomendasi modifikasi gaya hidup. Management of pharmacological and non-pharmacological is believed to control blood pressure and prevent complications,  but many hypertensive patients have uncontrolled blood pressure. This is due to poor adherence to recommended lifestyle modifications. This study was aimed to determine the factors associated with adherence to recommended lifestyle modifications of hypertensive patients. A cross-sectional study was conducted in Pukesmas Dinoyo Malang in 2019. Consecutive Sampling was used to select study subjects. The questionnaire included information about demographic characteristics, knowledge, practice of lifestyle-modification measures. Associations between adherence to lifestyle modification and independent variables were analyzed using chi square and multivariate logistic regression analysis. 140 hypertensive patients participated in the study (60 men, 80 women). The prevalence of adherence was 28.6%. The level of knowledge was significant associated with adherence to recommended lifestyle modifications (p = 0.00). Genders , age, and educational level were no significant associated with to recommended lifestyle modifications (p= 0.06; p=0.21; p=0.87). Knowledge was significant associated with adherence to recommended lifestyle modifications of hypertensive patients.

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