Healthy Lifestyle Practice and Associated Factors Among Diagnosed Hypertensive Patients in Selected Health Centers in Gelan Sub-City, Shaggar City, Oromia, Ethiopia
Abstract:
Background: Hypertension is the commonest non-communicable disease and the leading cause of cardiovascular disease in the world. An unhealthier lifestyle and changing environments cause a rapid increase in the incidence of hypertension across the world. Low and middle-income countries are disproportionally affected with the burden of hypertension. Healthy lifestyle approach is the most important intervention to overcome the burden of hypertension. However, there is limited evidence on the level of healthy lifestyle practice and associated factors among patients with hypertension.
Objective: This study aims to assess level of healthy lifestyle practice and associated factors among people diagnosed for hypertension in selected health center in Gelan sub-city, Shaggar city, Oromia, Ethiopia, 2024
Methods: An institution-based cross-sectional study design was conducted among 301 hypertensive patients older than 18 years who were on medical treatment at three selected health centers in Gelan sub-city from May to August 2024. All three health centers found in the sub-city was included to this study by quota sampling method. A systematic random sampling technique was employed. The data were collected by structured questionnaire, and administered by trained data collectors. Data were entered to Epi- Info 7.2.1.0, and exported to SPSS version 26 for analysis. Data were analyzed using descriptive statistics and multivariate logistic regression method to identify predictors of the outcome (p<0.05)
Results: The study included 301 respondents with 100% response rate.156 (51.8%) were females and mean age was 56 (±12.43 SD) years. The overall level of healthy lifestyle practice in this study was only 27.2%. The study found that the patients Age older than 55 years (AOR 2.34; 95% CI: 1.11, 4.93), formal education (AOR = 0.45; 95% CI: 0.22, 0.89), the patients who had hypertension with 5 to 10 years’ diagnosis time (AOR = 2.98: 95% CI: 1.10–8.04), and good knowledge about healthy lifestyle (AOR = 0.44: 95% CI: 0.25-0.78) have an independently associated with adherence to healthy lifestyle practices.
Conclusions: The Level of healthy lifestyle practice among hypertensive patients was low in this study. Age, education, duration of hypertension, and knowledge of lifestyle were identified as predictors of the outcome. Therefore, the health sector needs to develop intervention strategies to improve adherence to recommended healthy lifestyle for hypertensive patients.
