Effective control of blood pressure is necessary to avert the risk of cardiovascular diseases from uncontrolled hypertension. Despite evidence on the benefits of hypertension control, rates of control in Ghana remain low. This study assessed the patient-level factors that influence hypertension control among adults in Accra, Ghana. A total of 360 hypertensive patients from two hospitals in Accra, Ghana were enrolled in the study. Patient socio-demographic characteristics were tabulated and associations between patient characteristics and hypertension control were estimated using chi-square tests and logistic regression. Less than a quarter of the patients had a controlled blood pressure. The patient’s sex [AOR = 3.53 (95% CI:1.73–7.25], educational at junior high school [AOR = 3.52(95% CI 1.72–7.22)], senior and junior high school [AOR = 2.64 (95% CI 1.40–6.66_] and AOR = 3.06 (95% CI 1.03–6.67)] and presence of a comorbidity [AOR = 2.41 (95% CI 1.32; 4.42)] predicted BP control among patients. Dyslipidaemia [AOR = 0.31, [0.11–0.89)] an increased pill burden, and length of diagnosis of 2–5 years (AOR = 0.27 (0.1–0.73)] however, were associated with reduced BP control [AOR = 0.32(95% CI: 0.18–0.57)]. The majority of patients reported forgetfulness, side effects of medication and high pill burden as reasons for missing their medications. Knowledge of hypertension among patients is low. Sex, formal education and the presence of comorbidity and more specifically dyslipidaemia influences blood pressure control. High pill burden and 2–5 years since diagnosis negatively affects the attainment of blood pressure control.

中文翻译：

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加纳阿克拉成年人中影响高血压控制的患者水平因素

有效控制血压对于避免不受控制的高血压所致心血管疾病的风险是必要的。尽管有证据表明控制高血压有好处，但加纳的控制率仍然很低。这项研究评估了加纳阿克拉成年人中影响高血压控制的患者水平因素。来自加纳阿克拉两所医院的总共360名高血压患者参加了这项研究。将患者的社会人口统计学特征制成表格，并使用卡方检验和逻辑回归估计患者特征与高血压控制之间的关联。不到四分之一的患者血压得到控制。患者的性别[AOR = 3.53（95％CI：1.73-7.25]，初中文化程度[AOR = 3.52（95％CI 1.72–7.22）]，高中和初中[AOR = 2。67）]和合并症[AOR = 2.41（95％CI 1.32; 4.42）]的存在可预测患者的血压控制。血脂异常[AOR = 0.31，[0.11-0.89）]增加药丸负担，诊断时间为2-5年（AOR = 0.27（0.1-0.73）]，但与血压控制降低相关[AOR = 0.32（95） ％CI：0.18–0.57）]。大多数患者报告健忘，药物副作用和高药丸负担是他们缺少药物的原因；患者对高血压的了解程度低；性别，正规教育和合并症的存在等等尤其是血脂异常会影响血压控制，较高的药丸负担和诊断后的2-5年会对血压控制的实现产生负面影响。67）]和合并症[AOR = 2.41（95％CI 1.32; 4.42）]的存在可预测患者的血压控制。血脂异常[AOR = 0.31，[0.11-0.89）]增加药丸负担，诊断时间为2-5年（AOR = 0.27（0.1-0.73）]，但与血压控制降低相关[AOR = 0.32（95） ％CI：0.18–0.57）]。大多数患者报告健忘，药物副作用和高药丸负担是他们缺少药物的原因；患者对高血压的了解程度低；性别，正规教育和合并症的存在等等特别是血脂异常会影响血压控制，较高的药丸负担和诊断后的2-5年会严重影响血压的控制。药物副作用和高药丸负担是造成药物缺乏的原因。患者中高血压的知识很低。性别，正规教育以及合并症（尤其是血脂异常）的存在会影响血压控制。自从诊断以来，高药丸负担和2至5年会对血压控制的实现产生负面影响。药物副作用和高药丸负担是造成药物缺乏的原因。患者中高血压的知识很低。性别，正规教育和合并症（尤其是血脂异常）的存在会影响血压控制。高药丸负担和诊断后的2-5年对实现血压控制产生负面影响。