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Hypertension / Hypertension Management · Journal article
Blood Pressure · August 10, 2026
Early or partial results. Treat as a signal, not a conclusion.
This cross-sectional analysis of Kenyan survey data reports that women with hypertension who perceive moderate or poor health are significantly more likely to report using BP medication than those perceiving good health, whereas no such association was found in men. The overall reported medication use is low (32% women, 36.4% men), and the study cannot establish causation or rule out reverse causation (poor health driving medication use).
Cross-sectional analysis of nationally representative survey data. Persons living with hypertension in Kenya, identified and stratified by gender. Exact inclusion and exclusion criteria not stated; presumed to be respondents to the 2022 KDHS with a diagnosis or report of hypertension.. Compared with: Self-reported health status (good vs moderate vs poor). Kenya (national survey).
Only 32.0% of women and 36.4% of men reported consistent BP medication use Women reporting moderate health had significantly higher odds of BP medication use (aOR = 1.8, 95% CI: 1.4–2.4) compared to those with good perceived health Women reporting poor health had significantly higher odds of BP medication use (aOR = 1.9, 95% CI: 1.2–3.0)
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This finding suggests that health perception differs by gender in its association with BP medication use in Kenya. However, the low overall medication use rate and the cross-sectional nature mean clinicians should view this as descriptive of the problem rather than as evidence for an intervention. Gender-specific approaches to hypertension management education may be warranted, but efficacy is not demonstrated here.
Cross-sectional analysis of survey data identifying associations between self-reported health and medication use, without causal inference or intervention testing; descriptive of a real-world population but subject to confounding and reverse causation.
As stated by the source record.
Quoted from the source exactly as published.
This finding suggests that health perception differs by gender in its association with BP medication use in Kenya. However, the low overall medication use rate and the cross-sectional nature mean clinicians should view this as descriptive of the problem rather than as evidence for an intervention. Gender-specific approaches to hypertension management education may be warranted, but efficacy is not demonstrated here.
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Background. While existing studies established an association between self-reported health status and healthcare service utilisation, its association with Blood Pressure (BP) medication use among persons living with hypertension remains under-explored. This study examines the association between self-reported health status and BP medication use among persons living with hypertension in Kenya.Methods. We analysed data from the 2022 Kenya Demographic and Health Survey (KDHS). The primary outcome was BP medication use, while the main independent variable was self-reported health status. Logistic regression models were fitted to assess the association between self-reported health status and BP medication use.Results. We found that only 32.0% of women and 36.4% of men in this study reported consistent BP medication use. Women who reported moderate or poor health were significantly more likely to use BP medication compared to those who perceived their health as good (aOR = 1.8, 95% CI: 1.4-2.4; aOR = 1.9, 95% CI: 1.2-3.0) respectively. However, no significant association between self-reported health status and BP medication use was found among men. Women aged 20-24 years (aOR = 0.4, 95% CI: 0.2-0.9) and men aged 25-34 years (aOR = 0.2, 95% CI: 0.06-0.9) were less likely to use BP medication. Furthermore, women (aOR = 2.0, 95% CI: 1.1-3.8) and men (aOR = 2.0, 95% CI: 1.0-3.8) with diabetes were more likely to use BP medication.Conclusion. These findings emphasise the need for gender specific health education and behaviour change interventions t to improve hypertension management.
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