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...

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Main Authors: Hussein Alhawari, Zain Albdour, Sameeha Alshelleh, Joud Musleh, Tala Qouzah, Tala Qudisat, Diala Al‐Sukhon, Karam Albdour
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
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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.
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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
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