| Summary: | Hypertension prevalence is increasing globally and has become a major issue of disease as it is a major
cause for cerebrovascular, kidney and cardiovascular diseases. Even among treated patients, there is a disproportional
of blood pressure control causing a major public health challenge. This study is aimed to decide on the prevalence
of uncontrolled hypertension and its associated factors among hypertensive patient attending hypertension
clinic at primary health clinics in Tuaran district. This study is justified by the fact that uncontrolled hypertension
leads to high mortality, morbidity and even premature death. Methods: This study is a cross-sectional study among
460 hypertensive patients attending three primary health clinics in Tuaran district, Sabah. Data were collected using
structured modified questionnaires through interviews, physical examinations and patient’s medical records. Types
of data collected include socio-demography, lifestyle behavior, physical examination, co-morbidity status and medical
adherence. Data analysis done using SPSS version 24.0. Results: Prevalence of uncontrolled hypertension was
45.9%. The study found that factors significantly associated with uncontrolled hypertension with p<0.05 were lower
medication adherence (OR 1.834, 95% CI: 1.256, 2.678), presence of diabetes mellitus (OR 3.436, 95% CI: 2.104,
5.613), high BMI status (OR 1.975, 95% CI: 1.305, 2.990) and male gender (OR 2.1, 95% CI: 1.442, 3.061). Conclusion:
The prevalence of uncontrolled hypertension was found in nearly half of the study population. The present
of other associated factors such as lower hypertensive medication compliance, diabetes mellitus and obesity had a
higher impact on uncontrolled hypertension patients in the study group. Further study is needed to address attitude
change, extra guidance, coaching and empowerment issues in the treatment of hypertensive patients.
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