Characteristics of Inpatient Hypertension Cases and Factors Associated with Admission Outcomes in Ashanti Region, Ghana: An Analytic Cross-Sectional Study
Background. Hypertension remains a cause of morbidity and mortality in the Ashanti Region of Ghana. It has been featured in the top ten causes of OPD attendance, admissions, and deaths since 2012. We investigated the sociodemographic characteristics and spatial distribution of inpatient hypertensive...
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Wiley
2017-01-01
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Series: | International Journal of Hypertension |
Online Access: | http://dx.doi.org/10.1155/2017/6537956 |
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author | Kenneth Nuamah Harriet Affran Bonful Joseph Danso Yeboah Ebenezer Antwi Amankwaah Daniel Boakye Samuel Kwame Owusu Adwoa Aduako Owusu Freddie Amponsah Fred Adomako-Boateng Alexis Nang-Beifubah Margaret Gyapong Anthony Ofosu Bertha Garshong Evelyn K. Ansah |
author_facet | Kenneth Nuamah Harriet Affran Bonful Joseph Danso Yeboah Ebenezer Antwi Amankwaah Daniel Boakye Samuel Kwame Owusu Adwoa Aduako Owusu Freddie Amponsah Fred Adomako-Boateng Alexis Nang-Beifubah Margaret Gyapong Anthony Ofosu Bertha Garshong Evelyn K. Ansah |
author_sort | Kenneth Nuamah |
collection | DOAJ |
description | Background. Hypertension remains a cause of morbidity and mortality in the Ashanti Region of Ghana. It has been featured in the top ten causes of OPD attendance, admissions, and deaths since 2012. We investigated the sociodemographic characteristics and spatial distribution of inpatient hypertensives and factors associated with their admission outcomes. Methods. A 2014 line list of 1715 inpatient HPT cases aged ≥25 years was used for the cross-sectional analytic study. Accounting for clustering, all analyses were performed using the “svy” command in Stata. Frequencies, Chi-square test, and logistic regression analysis were used in the analysis. Arc view Geographic Information System (ArcGIS) was used to map the density of cases by place of residence and reporting hospital. Results. Mean age of cases was 58 (S.D 0.0068). Females constituted 67.6% of the cases. Age, gender, and NHIS status were significantly associated with admission outcomes. Cases were clustered in the regional capital and bordering districts. However, low case densities were recorded in the latter. Conclusion. Increasing NHIS access can potentially impact positively on hypertension admission outcomes. Health educational campaigns targeting men are recommended to address hypertension-related issues. |
format | Article |
id | doaj-art-bb1f7d8abdcb437e9f5e84aea13792ad |
institution | Kabale University |
issn | 2090-0384 2090-0392 |
language | English |
publishDate | 2017-01-01 |
publisher | Wiley |
record_format | Article |
series | International Journal of Hypertension |
spelling | doaj-art-bb1f7d8abdcb437e9f5e84aea13792ad2025-02-03T01:29:59ZengWileyInternational Journal of Hypertension2090-03842090-03922017-01-01201710.1155/2017/65379566537956Characteristics of Inpatient Hypertension Cases and Factors Associated with Admission Outcomes in Ashanti Region, Ghana: An Analytic Cross-Sectional StudyKenneth Nuamah0Harriet Affran Bonful1Joseph Danso Yeboah2Ebenezer Antwi Amankwaah3Daniel Boakye4Samuel Kwame Owusu5Adwoa Aduako Owusu6Freddie Amponsah7Fred Adomako-Boateng8Alexis Nang-Beifubah9Margaret Gyapong10Anthony Ofosu11Bertha Garshong12Evelyn K. Ansah13Ashanti Regional Health Directorate, P.O. Box 1908, Kumasi, GhanaDepartment of Epidemiology and Disease Control, School of Public Health, University of Ghana, P.O. Box LG 13, Legon, Accra, GhanaSekyere Central District Health Directorate, P.O. Box 36, Nsuta, Ashanti, GhanaAshanti Regional Health Directorate, P.O. Box 1908, Kumasi, GhanaAshanti Regional Health Directorate, P.O. Box 1908, Kumasi, GhanaAshanti Regional Health Directorate, P.O. Box 1908, Kumasi, GhanaSuntreso Government Hospital, P.O. Box 14775, Kumasi, GhanaPolicy Planning Monitoring and Evaluation Division, Ghana Health Service, PMB Ministries, Accra, GhanaAshanti Regional Health Directorate, P.O. Box 1908, Kumasi, GhanaAshanti Regional Health Directorate, P.O. Box 1908, Kumasi, GhanaResearch Development Division, Ghana Health Service, P.O. Box MB-190, Accra, GhanaPolicy Planning Monitoring and Evaluation Division, Ghana Health Service, PMB Ministries, Accra, GhanaResearch Development Division, Ghana Health Service, P.O. Box MB-190, Accra, GhanaResearch Development Division, Ghana Health Service, P.O. Box MB-190, Accra, GhanaBackground. Hypertension remains a cause of morbidity and mortality in the Ashanti Region of Ghana. It has been featured in the top ten causes of OPD attendance, admissions, and deaths since 2012. We investigated the sociodemographic characteristics and spatial distribution of inpatient hypertensives and factors associated with their admission outcomes. Methods. A 2014 line list of 1715 inpatient HPT cases aged ≥25 years was used for the cross-sectional analytic study. Accounting for clustering, all analyses were performed using the “svy” command in Stata. Frequencies, Chi-square test, and logistic regression analysis were used in the analysis. Arc view Geographic Information System (ArcGIS) was used to map the density of cases by place of residence and reporting hospital. Results. Mean age of cases was 58 (S.D 0.0068). Females constituted 67.6% of the cases. Age, gender, and NHIS status were significantly associated with admission outcomes. Cases were clustered in the regional capital and bordering districts. However, low case densities were recorded in the latter. Conclusion. Increasing NHIS access can potentially impact positively on hypertension admission outcomes. Health educational campaigns targeting men are recommended to address hypertension-related issues.http://dx.doi.org/10.1155/2017/6537956 |
spellingShingle | Kenneth Nuamah Harriet Affran Bonful Joseph Danso Yeboah Ebenezer Antwi Amankwaah Daniel Boakye Samuel Kwame Owusu Adwoa Aduako Owusu Freddie Amponsah Fred Adomako-Boateng Alexis Nang-Beifubah Margaret Gyapong Anthony Ofosu Bertha Garshong Evelyn K. Ansah Characteristics of Inpatient Hypertension Cases and Factors Associated with Admission Outcomes in Ashanti Region, Ghana: An Analytic Cross-Sectional Study International Journal of Hypertension |
title | Characteristics of Inpatient Hypertension Cases and Factors Associated with Admission Outcomes in Ashanti Region, Ghana: An Analytic Cross-Sectional Study |
title_full | Characteristics of Inpatient Hypertension Cases and Factors Associated with Admission Outcomes in Ashanti Region, Ghana: An Analytic Cross-Sectional Study |
title_fullStr | Characteristics of Inpatient Hypertension Cases and Factors Associated with Admission Outcomes in Ashanti Region, Ghana: An Analytic Cross-Sectional Study |
title_full_unstemmed | Characteristics of Inpatient Hypertension Cases and Factors Associated with Admission Outcomes in Ashanti Region, Ghana: An Analytic Cross-Sectional Study |
title_short | Characteristics of Inpatient Hypertension Cases and Factors Associated with Admission Outcomes in Ashanti Region, Ghana: An Analytic Cross-Sectional Study |
title_sort | characteristics of inpatient hypertension cases and factors associated with admission outcomes in ashanti region ghana an analytic cross sectional study |
url | http://dx.doi.org/10.1155/2017/6537956 |
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