Abstract:
Background: Despite being preventable disease, hypertension falls among top ten leading
causes of death globally. Hypertension, which is the most prevalent and independent
cardiovascular risk factor in the general population, is extremely common problem in
diabetics. To date to the best of our knowledge there was no study done in DTGH to assess
the prevalence of hypertension and associated factors among adult diabetes patients.
Objective: To assess the prevalence of hypertension and associated factors among adult
diabetes patients in Debre Tabor General Hospital, Debre Tabor, Ethiopia, 2019.
Methods: Cross sectional study design was conducted on 228 diabetes patients selected by
systematic random sampling. Face to face interview and observation techniques were used to
collect data. Data were entered into Epi-data version 4.4.1 and exported to SPSS Version 20
for further analysis. Descriptive statistics was used to summarize data. A bivariate binary
logistic regression model was used to select candidate variables for the final model.
Multivariable binary logistic regression analysis was used to identify independently
associated factors of hypertension among diabetes patients. Adjusted odds ratio and 95% CI
were used to assess association between variables and statistical significance respectively.
Results: The overall prevalence of hypertension among diabetes clients in this study was
53.5% with 95% CI [47.7%-60.2%].Urban [AOR=2.6(1.3-5.4)], having family history of
hypertension[AOR=3.2(1.3-7.7)],suffering from overt diabetes for more than five
years(AOR=7.5(2.7-21.4)], not controlled Fasting blood sugar [AOR=4.5(2.1-9.8)], not
frequently consuming fruits[AOR=2.7(1.1-6.5)] not frequently consuming
vegetables[AOR=7.9(3.6-17.2)]) frequently adding salt to food(AOR=3.8(1.1-13.8)] and
body mass index(Kg/m2) 25(AOR=2.9(1.4-6)] were independently associated with HTN.
Conclusion and recommendation: The prevalence of hypertension among diabetes
patients in this study was high (53.5%). Therefore it is better to design strategies for diabetes
clients to lower their blood pressure in addition to anti-hypertensive medication and home to
home blood pressure screening program for diabetic patients should be considered
