Background: Despite the availability and improvement in diagnostic and therapeutic interventions with proven benefits in reducing cardiovascular morbidity and mortality control rates of hypertension remain poor and grossly inadequate. Approximately one billion individuals are living with uncontrolled hypertension worldwide. Uncontrolled hypertension among hypertensive patients on treatment in Ethiopia ranges from 11.4 % to 69.9%. Therefore the aim of this study was to determine the magnitude and associated factors of uncontrolled hypertension among hypertensive patients in Ayder comprehensive specialized hospital Tigray Ethiopia 2018. Result: Prevalence of uncontrolled hypertension was found 52.5%. Overweight (AOR = 4.527 95% CI: 2.247-9.123) co- morbidity (AOR = 2.112 95% CI: 1.218-3.662) non-adherence to anti-hypertensive medication (AOR = 2.062 95% CI: 1.030-4.129) non-adherence to physical activity (AOR = 1.931 95% CI: 1.074-3.470) and non-adherence to alcohol abstinence (AOR = 2.093 95% CI: 1.109-3.948) are independent predictors of uncontrolled hypertension.
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