Gender Differences in Blood Pressure Control Among Hypertensive Patients: A Cross‐Sectional Study at a Tertiary Hospital
ABSTRACT Our study aims to assess gender differences in blood pressure (BP) control among hypertensive patients in Jordan and identify factors influencing these differences. We conducted a cross‐sectional study at Jordan University Hospital (JUH), collecting data from 601 hypertensive patients follo...
Saved in:
Main Authors: | , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wiley
2025-01-01
|
Series: | The Journal of Clinical Hypertension |
Subjects: | |
Online Access: | https://doi.org/10.1111/jch.14975 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
_version_ | 1832576408321261568 |
---|---|
author | Hussein Alhawari Zain Albdour Sameeha Alshelleh Joud Musleh Tala Qouzah Tala Qudisat Diala Al‐Sukhon Karam Albdour |
author_facet | Hussein Alhawari Zain Albdour Sameeha Alshelleh Joud Musleh Tala Qouzah Tala Qudisat Diala Al‐Sukhon Karam Albdour |
author_sort | Hussein Alhawari |
collection | DOAJ |
description | ABSTRACT Our study aims to assess gender differences in blood pressure (BP) control among hypertensive patients in Jordan and identify factors influencing these differences. We conducted a cross‐sectional study at Jordan University Hospital (JUH), collecting data from 601 hypertensive patients following up in JUH clinics. Patients were eligible if they were >18 years old, diagnosed with hypertension, taking anti‐hypertensive medication for at least 6 months, and had no chronic kidney disease. BP control was defined as systolic BP <140 mmHg and diastolic BP <90 mmHg. Poor BP control was observed in 59.1% of females and 62.7% of males. Females demonstrated better BP control, even though they had lower incomes, lower education levels, and higher BMIs compared to males. Among females, good medication adherence (p = 0.042) was linked to improved control, while stress and a history of preeclampsia were negatively associated (p = 0.01 and p = 0.030, respectively). Among males, concurrent systemic medication use (p = 0.025) was a positive predictor of BP control, whereas smoking negatively impacted BP control (p = 0.019). Home BP monitoring was common but did not improve control in either gender. In conclusion, females showed better outcomes in BP management, largely due to treatment adherence. A history of preeclampsia and high stress was linked to poorer control in females. Both genders were aware of normal BP levels, but females were more preemptive in maintaining control. To improve hypertension care, we should consider these differences when treating patients. |
format | Article |
id | doaj-art-5d336a982f5d4fac902d70004a93f3dc |
institution | Kabale University |
issn | 1524-6175 1751-7176 |
language | English |
publishDate | 2025-01-01 |
publisher | Wiley |
record_format | Article |
series | The Journal of Clinical Hypertension |
spelling | doaj-art-5d336a982f5d4fac902d70004a93f3dc2025-01-31T05:38:37ZengWileyThe Journal of Clinical Hypertension1524-61751751-71762025-01-01271n/an/a10.1111/jch.14975Gender Differences in Blood Pressure Control Among Hypertensive Patients: A Cross‐Sectional Study at a Tertiary HospitalHussein Alhawari0Zain Albdour1Sameeha Alshelleh2Joud Musleh3Tala Qouzah4Tala Qudisat5Diala Al‐Sukhon6Karam Albdour7Department of Internal Medicine Faculty of Medicine University of Jordan Amman JordanFaculty of Medicine University of Jordan Amman JordanDepartment of Internal Medicine Faculty of Medicine University of Jordan Amman JordanFaculty of Medicine University of Jordan Amman JordanFaculty of Medicine University of Jordan Amman JordanFaculty of Medicine University of Jordan Amman JordanFaculty of Medicine University of Jordan Amman JordanFaculty of Medicine University of Jordan Amman JordanABSTRACT Our study aims to assess gender differences in blood pressure (BP) control among hypertensive patients in Jordan and identify factors influencing these differences. We conducted a cross‐sectional study at Jordan University Hospital (JUH), collecting data from 601 hypertensive patients following up in JUH clinics. Patients were eligible if they were >18 years old, diagnosed with hypertension, taking anti‐hypertensive medication for at least 6 months, and had no chronic kidney disease. BP control was defined as systolic BP <140 mmHg and diastolic BP <90 mmHg. Poor BP control was observed in 59.1% of females and 62.7% of males. Females demonstrated better BP control, even though they had lower incomes, lower education levels, and higher BMIs compared to males. Among females, good medication adherence (p = 0.042) was linked to improved control, while stress and a history of preeclampsia were negatively associated (p = 0.01 and p = 0.030, respectively). Among males, concurrent systemic medication use (p = 0.025) was a positive predictor of BP control, whereas smoking negatively impacted BP control (p = 0.019). Home BP monitoring was common but did not improve control in either gender. In conclusion, females showed better outcomes in BP management, largely due to treatment adherence. A history of preeclampsia and high stress was linked to poorer control in females. Both genders were aware of normal BP levels, but females were more preemptive in maintaining control. To improve hypertension care, we should consider these differences when treating patients.https://doi.org/10.1111/jch.14975adherencegender differenceshypertension‐womenpatient education |
spellingShingle | Hussein Alhawari Zain Albdour Sameeha Alshelleh Joud Musleh Tala Qouzah Tala Qudisat Diala Al‐Sukhon Karam Albdour Gender Differences in Blood Pressure Control Among Hypertensive Patients: A Cross‐Sectional Study at a Tertiary Hospital The Journal of Clinical Hypertension adherence gender differences hypertension‐women patient education |
title | Gender Differences in Blood Pressure Control Among Hypertensive Patients: A Cross‐Sectional Study at a Tertiary Hospital |
title_full | Gender Differences in Blood Pressure Control Among Hypertensive Patients: A Cross‐Sectional Study at a Tertiary Hospital |
title_fullStr | Gender Differences in Blood Pressure Control Among Hypertensive Patients: A Cross‐Sectional Study at a Tertiary Hospital |
title_full_unstemmed | Gender Differences in Blood Pressure Control Among Hypertensive Patients: A Cross‐Sectional Study at a Tertiary Hospital |
title_short | Gender Differences in Blood Pressure Control Among Hypertensive Patients: A Cross‐Sectional Study at a Tertiary Hospital |
title_sort | gender differences in blood pressure control among hypertensive patients a cross sectional study at a tertiary hospital |
topic | adherence gender differences hypertension‐women patient education |
url | https://doi.org/10.1111/jch.14975 |
work_keys_str_mv | AT husseinalhawari genderdifferencesinbloodpressurecontrolamonghypertensivepatientsacrosssectionalstudyatatertiaryhospital AT zainalbdour genderdifferencesinbloodpressurecontrolamonghypertensivepatientsacrosssectionalstudyatatertiaryhospital AT sameehaalshelleh genderdifferencesinbloodpressurecontrolamonghypertensivepatientsacrosssectionalstudyatatertiaryhospital AT joudmusleh genderdifferencesinbloodpressurecontrolamonghypertensivepatientsacrosssectionalstudyatatertiaryhospital AT talaqouzah genderdifferencesinbloodpressurecontrolamonghypertensivepatientsacrosssectionalstudyatatertiaryhospital AT talaqudisat genderdifferencesinbloodpressurecontrolamonghypertensivepatientsacrosssectionalstudyatatertiaryhospital AT dialaalsukhon genderdifferencesinbloodpressurecontrolamonghypertensivepatientsacrosssectionalstudyatatertiaryhospital AT karamalbdour genderdifferencesinbloodpressurecontrolamonghypertensivepatientsacrosssectionalstudyatatertiaryhospital |