Assessment of the Magnitude and Determinants of Hypetension among Outpatient Attedants at Health Centers in Akaki Kality Sub-City, Addis Ababa, Ethiopia
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Date
2017-05
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Addis Abeba Universty
Abstract
Background: - Fatalities from hypertension in East Africa are increasing even though it decreased in western industrial regions. Older age, female, illiterate, smoking, physical inactivity and high waist circumferences are major risk factors for the development of hypertension. The prevalence of Hypertension among federal ministry civil servants in Addis Ababa was found to be high; which is an indication for institution based hypertension-screening programs. This study aimed to collect and organize the data about prevalence and associated factors of hypertension.
Objective: - To assess the prevalence and major associated factors of hypertension among Outpatient attendants at Health Centers in Akaki Kality Sub-City.
Methodology: - Cross-sectional study was conducted on 401 outpatient attendants whose age were greater or equal to 18 years from the four Government Health Centers in Akaki Kality sub-city. Systematic random Sampling was used to select study subjects from each Health Center. The data were collected by face-to-face interview. A structured pre tested questionnaire was used for data collection. The questionnaire was adopted from WHO STEPWISE survey and included additional information. In addition, blood pressure was measured using manual sphygmomanometer and stethoscope, Weight by adult weight scale, Height by tape meter and BMI was calculated.
Results: - The overall prevalence of hypertension was found to be 14% (95% CI: 13.653-14.347); of which 30 (53.57%) were males (P- value > 0.05). Based on this data, alcohol drinkers were 11.844 times more likely to be hypertensive compared to non-alcohol drinkers (AOR= 11.844, 95% CI: 3.596-39.014). Cigarette smokers were 16.511 times more likely to be hypertensive compared to non-cigarette smokers (AOR= 16.511, 95% CI: 4.775-57.084). Khat chewers were 6.964 times more likely to be hypertensive compared to non-chat chewers (AOR= 6.964, 95% CI: 1.773-26.889). BMI (AOR=1.320, 95% CI: 1.149-1.516) and age (AOR=1.040, 95% CI: 1.004-1.077) were also significantly associated with hypertension.
Conclusion: - The prevalence of hypertension is 14% among OPD attendants in Akaki Kality health centres. Alcohol drinking, cigarette smoking, Khat chewing, BMI ≥ 25 kg/m2 and Age ≥ 44 years old are major determinants identified by this study.
Keywords: prevalence, associated factors, hypertension, Ethiopia
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Keywords
prevalence, associated factors, hypertension, Ethiopia