2026-05-31T03:50:05Z https://www.peertechzpublications.org/oai-pmh

oai:www.peertechzpublications.org:10.17352/aur.000056 2026-01-30 PTZ.AUR:VOL10

Determinants of Blood Pressure Control among Hypertensive Patients in Nepal: A Cross-Sectional Study Kamala Timilsena BasnetHom Nath Chalise<p><strong>Background:</strong> Hypertension is a leading modifiable risk factor for cardiovascular morbidity and mortality worldwide. In Nepal, prevalence is rising, yet determinants of blood pressure (BP) control remain insufficiently understood. This study examined socio-demographic, lifestyle, and clinical factors associated with BP control among hypertensive patients attending a tertiary hospital.</p><p><strong>Methods:</strong> A descriptive cross-sectional study was conducted at the cardiology outpatient department of Bir Hospital, Kathmandu, between July and August 2018. A total of 360 hypertensive patients, aged ≥18 years with at least one year since diagnosis, were recruited using convenience sampling. Data on socio-demographics, hypertension knowledge, and lifestyle practices were collected using a validated bilingual questionnaire. BP was measured twice, and control was defined as &lt;140/90 mmHg. Logistic regression was applied to identify independent predictors of BP control.</p><p><strong>Results:</strong> The mean age of participants was 50.8 ± 15.3 years; 59.4% were female, 52.5% resided in rural areas, and 48.9% lived in joint families. Overall, 21.9% (79/360) of participants achieved BP control, while 78.1% (281/360) were uncontrolled. Logistic regression showed that rural residence (OR 0.47, 95% CI 0.27–0.84, p = 0.012), alcohol use (OR 0.28, 95% CI 0.13–0.58, p = 0.001), and family history of hypertension (OR 0.50, 95% CI 0.28–0.89, p = 0.021) were associated with poorer control. Conversely, joint family structure (OR 1.51, 95% CI 1.10–2.08, p = 0.011) and reported normal salt intake (~5 g/day) (OR 7.69, 95% CI 2.68–22.0, p &lt; 0.001) were positively associated with BP control.</p><p><strong>Conclusion:</strong> Socio-demographic and lifestyle factors strongly influence BP control in Nepal. Strengthening rural outreach, promoting family-based interventions, and delivering culturally appropriate counseling on alcohol reduction and dietary salt are essential. Future community-based longitudinal studies are recommended to validate these findings and inform national strategies.</p> Archive of Urological Research - Peertechz Publications 2026-01-30 Research Article https://doi.org/10.17352/aur.000056 en Copyright © Kamala Timilsena Basnet et al.