Lifestyle Modification Practice and Associated Factors among Hypertensive Adults under Treatment in West Wollega Zone hospitals, Oromia Regional State, Ethiopia, 2023
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Epidemiology and Biostatistics, Jimma University, Jimma, Ethiopia
Popul. Med. 2026;8(Supplement Supplement 1):
ABSTRACT
INTRODUCTION:
Hypertension affects one-third of adults globally, necessitating pharmacological treatment and lifestyle modifications. However, lifestyle modifications practice remains low in Ethiopia. This study aims to investigate the lifestyle modification practices and identify associated factors among hypertensive adults under treatment, adults in West Wollega Zone hospitals, Oromia, Ethiopia.
METHODS:
This study employed a cross-sectional design. A total of 743 participants of selected governmental and private hospitals among hypertensive adult patients, recruited through random sampling. Data was collected through structured questionnaires, assessing socio-demographic, health, behavior, information source, and adherence to recommended lifestyle practices. Statistical analyses were performed using SPSS software, applying descriptive statistics and logistic regression to identify factors associated with lifestyle modifications. A significance level of p < 0.05 was set for all analyses to determine the impact of various predictors on lifestyle practice.
RESULTS:
This study evaluated lifestyle modification practices and their associated factors among hypertensive adults in West Wollega Zone hospitals, Ethiopia. From 730(98 %) involving study participants found that only 31.37% practice recommended lifestyle modifications. Significant factors included: co-morbidity (AOR=14.19, 95% CI: 8.51-23.65), formal education (AOR=3.63, 95% CI: 2.14-6.15), urban residency (AOR=3.42, 95% CI: 2.12-5.52), median wealth index (AOR=3.98, 95% CI: 1.76-9.34), rich wealth index (AOR=1.94, 95% CI: 1.14-3.50), age ≥ 65 years (AOR=0.61, 95% CI: 0.38-0.99), receiving information from healthcare professionals (AOR=0.43, 95% CI: 0.34-0.94), and being on treatment for over ten years (AOR=0.13, 95% CI: 0.04-0.38). These findings underscore the need for targeted interventions to enhance lifestyle adherence among hypertensive patients in the region.
CONCLUSIONS:
Lifestyle modification is crucial for managing hypertension, but adherence remains low. Factors like co-morbidity, education, wealth, age and duration since diagnosis influence practices. Targeted interventions enhance patient education and support.