Prevalence and risk factors associated with uncontrolled blood pressure in rural areas in Settat City, Morocco.

ABSTRACT

Introduction: high blood pressure, commonly known as hypertension, is one of the most widespread chronic diseases in the world. It is a serious problem whose management is essential to maintain stable blood pressure levels in the short term, and to prevent neuro-cardio-vascular complications in the long term. This study aims firstly to explore the characteristics of uncontrolled blood pressure among patient´s residents of rural areas in Settat City, and secondly to determine its prevalence and identify associated risk factors. Methods: this is a cross-sectional, descriptive, and analytical study which took place between March and August 2023, and targeted a population of hypertensive patients following up at primary healthcare facilities in rural areas in Settat City. A questionnaire was developed and evaluated to ensure its reliability before being administered to study participants, anthropometric measurements and blood pressure readings were also taken. Results: four hundred hypertensive patients were surveyed, 53% (212) of whom had uncontrolled blood pressure, with a mean age of 56.94 (±13.10 years), and a marked female preponderance, illustrated by 72.3% (289) were female. The risk factors associated with uncontrolled blood pressure were male gender (aOR 2.53, 95% CI 1.13-5.65), monthly income (aOR 5.64, 95% CI 3.04-10.46), diabetes (aOR 3.16, 95% CI 1.77-5.63), monotherapy (aOR 8.42, 95% CI 2.85-24.90), poor compliance with medication (aOR 7.48, 95% CI 4.21-13.29), and stress (aOR 2.22, 95% CI 1.14-4.33). Conclusion: the level of blood pressure control was unsatisfactory in this population, underscoring the imperative of educating hypertensive patients about management measures and reinforcing the quality of primary health services.