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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Main Authors: 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
Format: Article
Language:English
Published: Wiley 2017-01-01
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.
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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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