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Blood Pressure and Blood Glucose Control and Associated Factors Among Adults with Hypertension at Three Public Hospitals in Southern Ethiopia

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Abstract

Introduction

There is inadequate information on blood pressure (BP) and FBG (Blood pressure and Fasting blood glucose) control among adult hypertensive patients in Southern Ethiopia.

Aim

To determine the level and factors associated with poor BP and FBG control among adult hypertensive patients on regular follow-up at three public hospitals

Results

We included 406 adult hypertensives with mean age of 55.87 ± 11.03 years. Mean systolic BP was 134.46 ± 13.44 mmHg; and mean diastolic BP was 82.10 ± 9.44 mmHg. More than eight out of 205 (86.2%) of patients did not achieve BP and FBG target level. Having body mass index 18–24.9 kg/m2, Adjusted odds ratio (AOR) = 0.317 (95% C.I. for AOR, 0.135–0.740, p = 0.008); having no comorbidity, AOR = 0.425 (95% C.I. for AOR, 0.232–0.779, p = 0.006); physically activity, AOR = 0.303 (95% C.I., 0.110–0.829, p = 0.020); having low perceived health risk, AOR = 0.095 (95% C.I., 0.014–0.632, p = 0.015); taking monotherapy, AOR = 3.34 (95% C.I. for AOR, 1.121–10.524, p = 0.033); and history of hospitalization, AOR = 7.048 (95% C.I. for AOR, 2.486–19.954, p = 0.000) were associated with poor BP and FBG control.

Conclusions

The level of BP and FBG control was low. Improving screening of hypertensive patients for diabetes; addressing obesity and mental health; strengthening healthy life style interventions and enhancing appropriate dose intensification of prescribed anti-hypertensives by responsible bodies are critical to improve BP and FBG control.

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Acknowledgements

We would like to thank all patients participated in this study for their valuable dedication to provide information, We would also like to thank Arba Minch University college of medicine and health sciences and Tehran University medical sciences, department of pharmacoeconomics and Pharmaceutical Administration staffs for their technical and material support during this manuscript development.

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Authors and Affiliations

  1. Department of Pharmacy, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia

    Mende Mensa Sorato

  2. Tehran University of Medical Sciences, Tehran, Iran

    Mende Mensa Sorato

  3. Department of Pharmacoeconomics and Pharmaceutical Administration, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran

    Majid Davari & Abbas Kebriaeezadeh

  4. Isfahan Cardiovascular Research Center, WHO Collaborating Center in EMR, Isfahan University of Medical Sciences, Isfahan, Iran

    Nizal Sarrafzadegan

  5. College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia

    Tamiru Shibru

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  1. Mende Mensa Sorato
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Correspondence to Mende Mensa Sorato.

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The study was approved by Tehran University of medical sciences, Faculty of pharmacy, department of pharmacoeconomics, and pharmaceutical administration ethical review board with Approval ID: IR.TUMS.MEDICINE.REC.1399.674 and Arba Minch University College of medicine and health sciences Institutional review board with Reference number: IRB/T10/2012. After clarifying the study objective and confidentiality of the information; verbal informed consent was obtained from each respective hospital before data collection.

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All Authors read and approved the manuscript. MM conceived the research, framed the format design and developed the manuscript for publication; MD participated in data analysis and reviewed the manuscript and AK reviewed the manuscript and write-up process; NS and TS, participated in literature review and polished the language of the manuscript.

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Sorato, M.M., Davari, M., Kebriaeezadeh, A. et al. Blood Pressure and Blood Glucose Control and Associated Factors Among Adults with Hypertension at Three Public Hospitals in Southern Ethiopia. High Blood Press Cardiovasc Prev 29, 287–304 (2022). https://doi.org/10.1007/s40292-022-00516-7

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