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

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/m(2), 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.