Prevalence of Hypertension and Associated Factors among Adult DM Patients in Debre Tabor General Hospital (DTGH), Northwest Ethiopia, 2019.

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