Close Menu

Factors Affecting Blood Pressure Control among Hypertensive Patients Attending Primary Healthcare Facilities in Western Jamaica

Journal Authors: 


Objective: To identify patient-related factors that act as barriers to hypertension control.

Methods: A cross-sectional study of 365 patients diagnosed with primary hypertension attending primary healthcare facilities. Pre-tested questionnaire was administered; Blood Pressure and Body Mass Index were ascertained. Inferential statistics interpreted data; Chi-square and Fischer’s exact tests analysed differences in dichotomous variables. A p-value of ≤ 0.05 held statistical significance. Two Focus Group Discussions and ten in-depth interviews provided qualitative data.

Results: Of the 365 participants, only 30.1% had blood pressure readings within normal limits. Blood pressure was significantly higher in persons who last smoked under one year (p=0.018), persons who consumed alcohol (p=0.021), those reporting high stress levels (p=0.020) and those with weak support system (p=0.012; r=0.131).  Knowledge deficit was also significant where 55% believed that hypertension can be cured or was unsure and 28% denied personal responsibility in achieving control. Persons who were diagnosed 11 years or more were more likely to be uncontrolled (p = 0.010). Medication adherence (p=0.056), alternative medicine (p=0.476), diet (p=0.108), exercise (p=0.568) and obesity (p=0.941) showed no significant relationship.

Conclusion: Smoking, alcohol consumption, stress, level of awareness and support system are significant modifiable determinants to blood pressure control.  Clinicians oftentimes place much emphasis on medication adherence, diet and exercise however; these modifiable contributing factors are often overlooked in management of the condition. Addressing these issues could result in significant improvement in blood pressure control.

13 Sep, 2016
e-Published: 15 Sep, 2016

Pre-published Manuscript

This manuscript has been assigned to a volume and issue but has not yet been published. It is either being edited, typeset or is in the proof stage of publication.
In the pre-published stage, this manuscript may contain statements, opinions, and information that have errors in facts, figures, or interpretation. Any final changes in this manuscript will be made at the time of publication and will be reflected in the final electronic version of the issue. The editors and authors and their respective employees are not responsible or liable for the use of any such inaccurate or misleading data, opinion or information contained in the articles in this section.

Become a subscriber to access the full article.

Top of Page