Compiled Body of Works in Field Epidemiology
| dc.contributor.advisor | Abdulnasir Abegaro | |
| dc.contributor.author | Yohanis Tesfaye | |
| dc.date.accessioned | 2025-08-12T18:02:32Z | |
| dc.date.available | 2025-08-12T18:02:32Z | |
| dc.date.issued | 2024-07-05 | |
| dc.description.abstract | Background: Uncontrolled hypertension accounts for nearly 1 billion, accounts 66.8% in developed and 61.6% in developing countries, sub-Saharan Africa (SSA) is estimated 70% and Ethiopia ranges from 37-63%. Blood pressure control rates are critically low, with 30% of individuals achieving control at levels of 140/90mmHg.And the impact of social determinants on hypertension attributed mortality in the context of developing countries is not well understood, particularly in Ethiopia studies conducted on prevalence and determinants of uncontrolled HTN is limited and none research was conducted as Sheger city. Thus, the aim of the study was to determine the prevalence and determinants of uncontrolled hypertension at Sheger city. Methods and materials: Cross-sectional study was conducted from March 1–April 30, 2024, at Sheger city. Simple random was used for selection of study health facilities and Systematic random sampling was used to select 354 participants. Uncontrolled hypertension is a reading ≥ 140/90 mmHg for those aged ≤ 60 years ,while BP ≥ 150/90 mmHg for those>60years. Demographic data, socioeconomic status and clinical characteristics were collected through face-to-face interviews and medical examinations. Data collected to and cleaned by kobo tool box and it was imported to SPSS version 26 for analysis. A descriptive statistics and binary and multivariate logistic regression model (AOR, 95% CI and p-value < 0.05) was used to determine the determinants of uncontrolled hypertension. Result: From the total respondents, 185 (52%) were males. The mean age of the respondents was 55 years (SD +12.9) years, which range from 25-98 years and more than half (62%) had age > 50 years old. Prevalence of uncontrolled hypertension was found 89%. Alcohol consumption (AOR = 5.65, 95% CI: 1.05-23.63), saturated fat consumption 4-7 days/week (AOR = 16.52, 95% CI: 1.70–160.94) and Coffee consumption (AOR = 3.79, 95% CI: 1.11–12.97) were independent predictors of uncontrolled hypertension. However, salt reduction (AOR = 0.20, 95% CI: 0.01–0.98), grains eating habit 4-7days/week (AOR = 0.08, 95% CI: 0.01–0.45), fruit eating habit (AOR=0.03, 95% CI: 0.010.11) were independent protective factors for uncontrolled hypertension. Conclusion: The prevalence of uncontrolled hypertension was found high. Alcohol, coffee, high saturated fat consumptions were the independent predictors of uncontrolled hypertension. So that health care professionals and other stakeholders should promote alcohol abstinence and Dietary Approaches to Stop Hypertension. Prompt identification and management of hypertensive patients are critical for effectively controlling hypertension. | |
| dc.identifier.uri | https://etd.aau.edu.et/handle/123456789/6393 | |
| dc.language.iso | en_US | |
| dc.publisher | Addis Ababa University | |
| dc.subject | Uncontrolled hypertension | |
| dc.subject | Prevalence | |
| dc.subject | Determinants | |
| dc.subject | Sheger city Ethiopia | |
| dc.title | Compiled Body of Works in Field Epidemiology | |
| dc.type | Thesis |