Interpersonal Factors Influencing Hypertension Control: A Cross-Sectional Study Among Hypertensive Patients in the Ashanti Region, Ghana
Sambah, Francis, McBain-Rigg, Kristin, Seidu, Abdul Aziz, and Emeto, Theophilus I. (2025) Interpersonal Factors Influencing Hypertension Control: A Cross-Sectional Study Among Hypertensive Patients in the Ashanti Region, Ghana. Health Science Reports, 8 (3). e70519.
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Abstract
Background and Aims: Hypertension, a leading noncommunicable disease, significantly contributes to global morbidity and mortality. Despite its prevalence, managing and controlling hypertension in Ghana faces numerous challenges. This study aimed to assess interpersonal factors hindering hypertension management in Ghana's Ashanti region. Methods: Using a pretested questionnaire, we collected quantitative data from 350 hypertensive patients receiving care at the Komfo Anokye Teaching Hospital. Descriptive and inferential statistics were used for data analysis. Results: Medication nonadherence was prevalent (56.3%), with moderate knowledge of hypertension (49.7%) and high physical inactivity (66.6%). Patients with tertiary education (adjusted odds ratios [AOR] = 6.151, 95% CI = 1.240–30.505; p = 0.03), moderate (AOR = 2.540, 95% CI = 1.016–6.350; p = 0.05), and higher self-efficacy/ability (AOR = 2.632, 95% CI = 1.030–6.725; p = 0.04) had enhanced ability to manage their hypertension condition. Conversely, divorced/separated individuals (AOR = 0.073, 95% CI = 0.008–0.700; p = 0.02), those with a family income exceeding GHS 2000.00 (AOR = 0.081, 95% CI = 0.012–0.532; p = 0.009), disease duration exceeding 15 years (AOR = 0.293, 95% CI = 0.092–0.930; p = 0.04), adequate hypertension knowledge (AOR = 0.312, 95% CI = 0.110–0.879; p = 0.03), and higher perceived barriers (AOR = 0.312, 95% CI = 0.159–0.611; p = 0.001) had lower odds of successful management. Conclusion: Interpersonal factors play a huge role in hypertension management in the Ashanti Region of Ghana. Targeted health education and self-management are recommended in improving medication adherence and adopting healthier lifestyles among these patients from Komfo Anokye Teaching Hospital. More qualitative research is needed to deepen understanding and inform effective intervention strategies.
| Item ID: | 88251 |
|---|---|
| Item Type: | Article (Research - C1) |
| ISSN: | 2398-8835 |
| Keywords: | Ashanti region, Ghana, hypertension, interpersonal barriers, noncommunicable disease |
| Copyright Information: | © 2025 The Author(s). Health Science Reports published by Wiley Periodicals LLC. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. |
| Date Deposited: | 07 Apr 2026 01:37 |
| FoR Codes: | 42 HEALTH SCIENCES > 4206 Public health > 420606 Social determinants of health @ 100% |
| SEO Codes: | 20 HEALTH > 2004 Public health (excl. specific population health) > 200401 Behaviour and health @ 100% |
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