Table 1

Characteristics of ambulatory patients with hypertension  at two visits, Ethiopia

CharacteristicsCurrent visitPrior visit
Demographics
 Age (mean, SD), year57 (14)
 Female (n, %)551 (63)
 Smoking (current smoker) (n, %)57 (6)
 Alcohol use (regularly or sometimes) (n, %)378 (43)
 Married (n, %)567 (65)
 Education (n, %)
  University/college education170 (20)
  Secondary education141 (16)
  Primary or no formal education557 (64)
Setting
 Specialised hospitals: both from Addis Ababa (n, %)
  Tikur Anbessa Hospital139 (16)
  St Paul's Hospital153 (17)
 General hospitals: all from Tigray, except Yekatit 12 from Addis Ababa (n, %)
  St Mary Axum Hospital139 (16)
  Mekelle Hospital152 (17)
  Lemlem Karl Maychew Hospital155 (17)
  Yekatit 12 Hospital159 (18)
Disease characteristics
 BP
Systolic BP (Mean, SD)139 (21)144 (22)
Diastolic BP (Mean, SD)84 (11)85 (13)
 Controlled BP (<140/90 mm Hg) (n, %)335 (37)231 (27)
 Controlled BP (<130/80 mm Hg with DM and/or kidney diseases, *otherwise <140/90 mm Hg) (n, %)268 (30)202 (24)
 Cardiometabolic comorbid illnesses (n, %)
  Diabetes mellitus227 (25)198 (22)
  Dyslipidaemia57 (6)45 (5)
  Renal diseases25 (3)23 (3)
  Heart failure / myocardial infarction72 (8)60 (7)
Antihypertensive treatment characteristics
 Drug class (n, %)
  ACE inhibitors503 (56)494 (55)
   Enalapril499 (56)492 (55)
   Lisinopril or captopril4 (0.4)2 (0.2)
  Beta blockers167 (19)166 (19)
   Atenolol148 (17)147(16)
   Propranolol, metoprolol or carvedilol19 (2)19 (2)
  Calcium channel blockers449 (50)439 (49)
   Nifedipine381 (43)389 (43)
   Amlodipine or felodipine68 (8)50 (6)
  Diuretics†498 (56)486 (54)
   Hydrochlorothiazide428 (48)421 (47)
   Furosemide76 (9)71 (8)
   Spironolactone72 (8)66 (7)
  Others (methyldopa, nitrates or losartan)19 (2)13 (1)
 Duration of therapy years (median, IQR)4 (7)
 Visit schedule in months (mean, SD)2.3 (2.0)
 Adherence (MMAS ≥7) (n, %)355 (40)
 Therapy (n, %)
  Monotherapy 343 (38) 363 (41)
  Multidrug therapy 550 (62) 521 (59)
 Treatment intensified in patients with uncontrolled BP at current visit (n=540)‡ (n, %)123 (23)
  • Mono/multidrug therapy is limited to antihypertensive medications.

  • *Otherwise: patients with hypertension without DM or kidney disease.

  • †Some patients had more than one type of diuretics.

  • ‡For 22 of 562 patients with uncontrolled BP at the current visit, the medication history was not complete. Treatment intensification could thus only be calculated for 540 patients.

  • BP, blood pressure; DM, diabetes mellitus; MMAS, Morisky Medication Adherence Scale.