Determinants Of Uncontrolled Hypertension In Gweru City, Zimbabwe, 2015.
Volume 2 - Issue 10, October 2018 Edition
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Tshuma Sisasenkosi C.
hypertension, knowledge, risk factors, urban, service factors
Hypertension in Zimbabwe was ranked highest among non-communicable diseases recorded in the out-patients registers in 2006. This study was aimed at investigating the determinants of uncontrolled hypertension in Gweru urban among patients aged 45-80years. An unmatched 1:1 case-control study design was used. Data was collected through interview-guided questionnaires from outpatients registered on the chronic disease registers at the 7 City Council Clinics of Gweru in 2015. The majority of the study participants were female (77%), males (23%) and 72% of the participants were 60years and above. Knowledge on hypertension was poor with 86% of participants stating that hypertension is curable. Independent risk factors in the study included being unhappy with clinic services (OR 4.6 95% CI 1.7039-12.5185) eating fried food (OR 2.77 95% CI 1.0185-7.5363), experiencing side effects (OR 3.2 95% CI 1.168-9.1866) and factors less likely to lead to uncontrolled hypertension included being less than 60years (OR 0.49 95% CI 0.2298-0.5162), having only primary education OR 0.36 95% CI 0.1378-0.9509), receiving health education (OR 0.42 95% CI 0.1841-0.9638), traveling short distances to the clinic (OR 0.22 95% CI 0.0905-0.5188), exercising often (OR 0.36 95% CI 0.1474-0.9036) being married (OR 0.65 95% CI 0.2888-0.7855) and having a treatment partner (OR 0.06 95% CI 0.0234-0.1754). It is therefore recommended that health staff should sensitize hypertensive patients on the risks of having uncontrolled hypertension. Also the patients should be educated that the anti-hypertensive medication works in combination with life style modifications.
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