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High rate of hypertension control among treated patients attending a teaching primary healthcare centre in Jordan
  1. Othman Beni Yonis1,
  2. Yousef Khader1,
  3. Abdulhakeem Okour1,
  4. Mousa Al Omari1,
  5. Thekraiat Al Quran1,
  6. Adi Khassawneh2,
  7. Baha Al-Mashikhi3,
  8. Mohamid Shawkat3
  1. 1 Public Health and Community Medicine, Jordan University of Science and Technology, Irbid, Jordan
  2. 2 Department of Public Health and Community Medicine, Jordan University of Science and Technology, Irbid, Jordan
  3. 3 Family Medicine Residency Program, Jordan University of Science and Technology, Irbid, Jordan
  1. Correspondence to Dr Othman Beni Yonis, Department of Public Health, Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan; oabaniyonis{at}just.edu.jo

Abstract

Introduction The purpose of this study was to determine the hypertension control rate and its associated factors among treated patients attending a teaching primary healthcare centre in Jordan.

Study design We conducted a retrospective cohort study of 286 patients with HTN, treated with medications, who attended Jordan University of Science and Technology primary healthcare centre in Irbid, Jordan, from July through September 2018. Data were abstracted from the patient's medical records and personal interviews. Multivariate logistic regression analysis was used to examine independent factors associated with hypertension control.

Results Blood pressure control rate was 90.9% and was significantly higher among patients who were married (p=0.02), with higher income level (p<0.01), non-smokers (p=0.01), free of diabetes mellitus or dyslipidaemia (p=0.048), highly consuming fruits and vegetables (p<0.01), non-obese (p<0.01), adherent to blood pressure medications (p=0.02) and among patients on lower number of antihypertensive medications (p=0.01). Multivariate analysis with adjusted OR of factors associated with hypertension control were higher fruit and vegetable intake (p<0.01), higher income level (p=0.02) and medication adherence (p<0.01).

Conclusion Participants in this study achieved a relatively high rate of blood pressure control. Associated factors with this rate were higher fruit and vegetable intake, higher income level and medication adherence. For better hypertension control, patients should be advised to adhere to their medications and consume more fruits and vegetables besides other lifestyle changes.

  • hypertension control
  • high rate
  • primary healthcare centre

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Footnotes

  • Contributors OBY, the corresponding author, planned and supervised the study and wrote the manuscript. YK and AO: performed the analytic calculations, discussed the results and contributed to writing the manuscript. MAO: participated in formulating the questionnaire, discussed the results and contributed to writing the manuscript. TAQ and AK: abstracted data from the patient’s medical records, discussed the results and contributed to writing the manuscript. BAM and MS: interviewed patients, filled the questionnaires, accessed the medical records and worked on data entry.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Ethics approval The study was approved by the Institutional Review Board of JUST University.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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