Self-Reported Hypertension and Associated Factors Among Adults in Butambala District, Central Uganda: A Community-Based Prevalence Study
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Date
2023-11-08
Journal Title
Journal ISSN
Volume Title
Publisher
Integrated Blood Pressure Control
Abstract
Background: The prevalence of hypertension (HTN) differs among regions and income groups, showing a substantial increase in
low- and middle-income countries. The development of hypertension is modulated by modifiable lifestyle factors, and uncontrolled
hypertension poses a risk for the onset of cardiovascular diseases.
Objective: To determine the community-level point-prevalence and factors associated with self-reported HTN among adults in
Butambala district, central Uganda.
Methods: A community-based cross-sectional study was conducted among adults aged ≥18 years in Budde subcounty, central
Uganda. Data on sociodemographic characteristics and behavior were collected using a semistructured questionnaire. Self-reported
HTN was assessed using a single question: “Do you have high blood pressure?” Bivariate and multivariate logistic regression analyses were performed to identify predictors of self-reported HTN.
Results: A total of 565 participants (53.5% female) with a median age of 38 years (IQR: 26–52) were included in the study. The
prevalence of self-reported hypertension was 18.9%. Factors independently associated with HTN were age 60 years or older (aOR: 2.9, 95% CI: 1.64–5.23, p<0.001), female sex (aOR: 3.3, 95% CI: 2.3–6.3, p<0.001), being widowed (aOR: 10.4, 95% CI: 1.25–87.14, p=0.03), secondary (aOR: 0.4, 95% CI: 0.20–0.85, p=0.016) and tertiary (aOR: 0.2, 95% CI: 0.09–0.64, p=0.005) education,unemployment (aOR: 3.0, 95% CI: 1.11–7.96, p=0.03), tobacco use (aOR: 2.9, 95% CI: 1.83–4.53, p<0.001), having had at least one blood pressure measurement during antenatal visit (aOR: 4.7, 95% CI: 1.97–11.33, p<0.001) or medical checkup (aOR: 10.7, 95% CI: 6.06–18.
Conclusion: We observed a high prevalence of self-reported HTN affecting approximately one in five participants. More efforts are
required to enhance routine screening, health education, and accessibility to HTN services in rural areas, with a particular emphasis on implementing HTN prevention and control strategies to effectively reduce the prevalence of HTN
Description
Keywords
self-reported hypertension, high blood pressure, blood pressure, Uganda
Citation
Kato, A. M., Kibone, W., Okot, J., Baruch Baluku, J., & Bongomin, F. (2023). Self-reported hypertension and associated factors among adults in Butambala District, Central Uganda: a community-based prevalence study. Integrated Blood Pressure Control, 71-80.