Assessment Of Prevalence And Associated Factors Of Uncontrolled Blood Pressure Among Hypertensive Patients Who Are On Medications In All Africa Leprosy Tuberculosis And Rehabilitation Training Center (alert) Hospital Addis Ab

Background: Hypertension (HTN) is one of the key preventable causes of morbidity and mortalityrnworldwide if it is not detected early and treated appropriately. The prevalence rate of hypertensionrnis on the rise in developing countries with no improvement in awareness and blood pressure (BP)rncontrol rates. Majority of studies in Africa had shown that less than a third of patients achieverntreatment goals. rnObjective: This study aimed to assess the prevalence and associated factors of uncontrolled bloodrnpressure among adult hypertensive patients on medication at chronic follow-up unit in All AfricarnLeprosy Tuberculosis and Rehabilitation Training center (ALERT) hospital, Addis Ababa,rnEthiopia, 2020. rnMethods: Hospital-based cross-sectional study was conducted from July, 6 – October, 6/2020. Arntotal of 355 participants were selected using a simple random sampling method. Data was collectedrnusing an interviewer-administered structured questionnaire, medical document review, andrnanthropometric measurements. Bivariable and multivariable logistic regression were used to assessrnthe association between independent and dependent variables. The output of the analysis isrnpresented using odds ratio (OR) with 95% confidence interval (CI). rnResults: Prevalence of uncontrolled blood pressure was 69.3% (95% CI: 64.2 – 74.1%). Differentrntypes of co-morbid conditions were present in 145 (40.8%) of the total respondents and 57 (16.1%)rnof the respondents had diabetes mellitus (DM). Age ≤ 75 years (AOR= 2.11, 95% CI: 1.04 – 4.28),rnoverweight (AOR = 2.67, 95% CI: 1.40 – 5.09), co-morbidity (AOR = 9.49, 95% CI: 3.26 – 27.63)rnand non-adherent to physical activity (AOR=4.02, 95% CI: 1.91 – 8.49) were found to be thernindependent predictors of uncontrolled blood pressure. rnConclusion: The prevalence of uncontrolled BP was found very high. Promoting physical activity,rnweight reduction and preventing comorbidity may help to control high blood pressure amongrnhypertensive patients on treatment.

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