Cross-sectional study of prevalence and determinants of uncontrolled hypertension among South African adult residents of Mkhondo municipality
- Masilela, Charity, Pearce, Brendon, Ongole, Joven Jebio, Adeniyi, Oladele Vincent, Benjeddou, Mongi
- Authors: Masilela, Charity , Pearce, Brendon , Ongole, Joven Jebio , Adeniyi, Oladele Vincent , Benjeddou, Mongi
- Date: 2020
- Subjects: Blood pressure control , Dyslipidaemia , Uncontrolled hypertension
- Language: English
- Type: article , text
- Identifier: http://hdl.handle.net/11260/4481 , vital:44124 , https://doi.org/10.1186/s12889-020-09174-7
- Description: Achieving the blood pressure treatment target in individuals with hypertension is a serious global health challenge. Furthermore, the actual burden of uncontrolled hypertension is poorly understood, especially in the developing countries. Therefore, this study comprehensively examined the prevalence and factors associated with uncontrolled hypertension in individuals receiving care at the primary healthcare facilities in the rural areas of Mkhondo Municipality in the Mpumalanga Province, South Africa. Methods: In this cross-sectional study, 329 individuals attending care for hypertension were recruited from January 2019 to June 2019 at three primary healthcare centres, namely, Piet Retief hospital, Mkhondo town clinic and Thandukukhanya community health centre. Uncontrolled hypertension was defined as systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg in accordance with the South African Hypertension Society guideline (2014). Multiple logistic regression (Forward LR method) analysis was used to identify the significant determinants of uncontrolled hypertension. Results: The majority of the participants were 55 years old and above (69.0%), Zulus (81.2%), non-smokers (84.19%) and had been diagnosed with hypertension for more than a year prior to the study (72.64%). The overall prevalence of uncontrolled hypertension was 56.83% (n = 187) with no significant difference between sexes, 57.38% male versus 56.88% female, respectively. In the multiple logistic regression model analysis after adjusting for confounding variables, obesity (AOR = 2.90; 95% CI 1.66–5.05), physical activity (AOR = 4.79; 95% CI 2.15–10.65) and HDL-C (AOR = 5.66; 95% CI 3.33–9.60) were the significant and independent determinants of uncontrolled hypertension in the cohort. Conclusion: The high prevalence of uncontrolled hypertension in the study setting can be largely attributed to obesity, physical activity and dyslipidaemia. Treatment will require the collaborative efforts of individuals, clinicians and health authorities. All these determinants should be addressed decisively so as to achieve the treatment blood pressure targets in the study population.
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- Authors: Masilela, Charity , Pearce, Brendon , Ongole, Joven Jebio , Adeniyi, Oladele Vincent , Benjeddou, Mongi
- Date: 2020
- Subjects: Blood pressure control , Dyslipidaemia , Uncontrolled hypertension
- Language: English
- Type: article , text
- Identifier: http://hdl.handle.net/11260/4481 , vital:44124 , https://doi.org/10.1186/s12889-020-09174-7
- Description: Achieving the blood pressure treatment target in individuals with hypertension is a serious global health challenge. Furthermore, the actual burden of uncontrolled hypertension is poorly understood, especially in the developing countries. Therefore, this study comprehensively examined the prevalence and factors associated with uncontrolled hypertension in individuals receiving care at the primary healthcare facilities in the rural areas of Mkhondo Municipality in the Mpumalanga Province, South Africa. Methods: In this cross-sectional study, 329 individuals attending care for hypertension were recruited from January 2019 to June 2019 at three primary healthcare centres, namely, Piet Retief hospital, Mkhondo town clinic and Thandukukhanya community health centre. Uncontrolled hypertension was defined as systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg in accordance with the South African Hypertension Society guideline (2014). Multiple logistic regression (Forward LR method) analysis was used to identify the significant determinants of uncontrolled hypertension. Results: The majority of the participants were 55 years old and above (69.0%), Zulus (81.2%), non-smokers (84.19%) and had been diagnosed with hypertension for more than a year prior to the study (72.64%). The overall prevalence of uncontrolled hypertension was 56.83% (n = 187) with no significant difference between sexes, 57.38% male versus 56.88% female, respectively. In the multiple logistic regression model analysis after adjusting for confounding variables, obesity (AOR = 2.90; 95% CI 1.66–5.05), physical activity (AOR = 4.79; 95% CI 2.15–10.65) and HDL-C (AOR = 5.66; 95% CI 3.33–9.60) were the significant and independent determinants of uncontrolled hypertension in the cohort. Conclusion: The high prevalence of uncontrolled hypertension in the study setting can be largely attributed to obesity, physical activity and dyslipidaemia. Treatment will require the collaborative efforts of individuals, clinicians and health authorities. All these determinants should be addressed decisively so as to achieve the treatment blood pressure targets in the study population.
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The impact of HIV knowledge and attitudes on HIV testing acceptance among patients in an emergency department in the Eastern Cape, South Africa
- Ryan, Sofia, Hahn, Elizabeth, Rao, Aditi, Mwinnyaa, George, Black, John, Nyanisa, Yandisa, Quinn, Thomas C, Hansoti, Bhakti, Maharaj, Roshen, Mvandaba, Nomzamo
- Authors: Ryan, Sofia , Hahn, Elizabeth , Rao, Aditi , Mwinnyaa, George , Black, John , Nyanisa, Yandisa , Quinn, Thomas C , Hansoti, Bhakti , Maharaj, Roshen , Mvandaba, Nomzamo
- Date: 2020
- Subjects: HIV testing , Emergency departments
- Language: English
- Type: article , text
- Identifier: http://hdl.handle.net/11260/4473 , vital:44123 , https://doi.org/10.1186/s12889-020-09170-x
- Description: Transmission of HIV in South Africa continues to be high due to a large proportion of individuals living with undiagnosed HIV. Uptake of HIV testing is influenced by a multitude of factors including the patient’s knowledge and beliefs about HIV. Methods: This study sought to quantify the impact of knowledge and attitudes on HIV testing acceptance in an emergency department by co-administering a validated HIV knowledge and attitudes survey to patients who were subsequently offered HIV testing. During the study period 223 patients were interviewed and offered HIV testing. Individuals reporting more negative overall attitudes (p = 0.006), higher levels of stigma to HIV testing, and individuals who believed their test was confidential were more likely to accept an HIV test. Interventions focused on improving patient perceptions around testing confidentiality will likely have the greatest impact on testing acceptance in the emergency department.
- Full Text:
- Authors: Ryan, Sofia , Hahn, Elizabeth , Rao, Aditi , Mwinnyaa, George , Black, John , Nyanisa, Yandisa , Quinn, Thomas C , Hansoti, Bhakti , Maharaj, Roshen , Mvandaba, Nomzamo
- Date: 2020
- Subjects: HIV testing , Emergency departments
- Language: English
- Type: article , text
- Identifier: http://hdl.handle.net/11260/4473 , vital:44123 , https://doi.org/10.1186/s12889-020-09170-x
- Description: Transmission of HIV in South Africa continues to be high due to a large proportion of individuals living with undiagnosed HIV. Uptake of HIV testing is influenced by a multitude of factors including the patient’s knowledge and beliefs about HIV. Methods: This study sought to quantify the impact of knowledge and attitudes on HIV testing acceptance in an emergency department by co-administering a validated HIV knowledge and attitudes survey to patients who were subsequently offered HIV testing. During the study period 223 patients were interviewed and offered HIV testing. Individuals reporting more negative overall attitudes (p = 0.006), higher levels of stigma to HIV testing, and individuals who believed their test was confidential were more likely to accept an HIV test. Interventions focused on improving patient perceptions around testing confidentiality will likely have the greatest impact on testing acceptance in the emergency department.
- Full Text:
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