{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T07:55:52Z","timestamp":1791186952131,"version":"4.1.0"},"reference-count":31,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Pregnancy\u2010Induced Hypertension (PIH) is a primary contributor to global maternal and perinatal mortality. This study determined the prevalence of PIH and identified its modifiable and non\u2010modifiable determinants among pregnant women attending antenatal care (ANC) in Asella Town, southeast Ethiopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A facility\u2010based cross\u2010sectional study was conducted in December 2023 across three public health facilities. Systematic random sampling selected 834 pregnant women with a gestational age greater than 20 weeks. Data were collected through structured interviewer\u2010administered and medical chart reviews. Statistical analyses were performed using STATA Software, version 17.0 (StataCorp LLC, College Station, TX, USA). Variables with a\n                      <jats:italic>p<\/jats:italic>\n                      \u2010value less than 0.25 in bivariable analysis were fitted into a multivariable logistic regression model. Statistical significance was declared at a two\u2010sided\n                      <jats:italic>p<\/jats:italic>\n                      \u2010value less than 0.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 834 sampled individuals, 794 completed the study (95.2% response rate). The PIH prevalence was 5.2% (95% CI: 3.7%, 7.0%). Multivariable analysis identified several factors associated with higher odds of PIH: no formal education (AOR\u2009=\u20095.44, 95% CI: 1.47\u201320.19), multiple pregnancy (AOR\u2009=\u20093.69, 95% CI: 1.07\u201312.7), family history of chronic hypertension (AOR\u2009=\u20094.04, 95% CI: 1.51\u201310.8), presence of edema (AOR\u2009=\u20093.84, 95% CI: 1.37\u201310.7), and alcohol consumption within the past 12 months (AOR\u2009=\u20096.19, 95% CI: 1.11\u201334.4). Conversely, receiving nutritional counseling during ANC was associated with reduced odds of developing PIH (AOR\u2009=\u20090.27, 95% CI: 0.09\u20130.79).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>PIH remains a notable health concern among pregnant women in Asella town, showing prevalence comparable to national averages. The identified factors emphasize the interplay between non\u2010modifiable traits and modifiable behaviors. Strengthening routine ANC services through standardized nutritional counseling may serve as an effective, accessible preventive approach in low\u2010resource primary care settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.73189","type":"journal-article","created":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T06:37:30Z","timestamp":1788331050000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence and Determinants of Pregnancy\u2010Induced Hypertension Among Women Attending Antenatal Care in Asella Town, Southeast Ethiopia: A Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"9","author":[{"given":"Birtukan","family":"Ahmed","sequence":"first","affiliation":[{"name":"Arsi Zonal Health Department Arsi Zone Health Bureau Asella Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7240-7238","authenticated-orcid":false,"given":"Ayalneh","family":"Demissie","sequence":"additional","affiliation":[{"name":"Department of Public Health College of Health Sciences Arsi University Asella Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4714-4506","authenticated-orcid":false,"given":"Biniam","family":"Belete","sequence":"additional","affiliation":[{"name":"Department of Public Health College of Health Sciences Arsi University Asella Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1010-7931","authenticated-orcid":false,"given":"Addis","family":"Wordofa","sequence":"additional","affiliation":[{"name":"Department of Public Health College of Health Sciences Arsi University Asella Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Bekele","sequence":"additional","affiliation":[{"name":"ASTU Student Health Center Adama Science and Technology University Adama Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tesfa","family":"Gebremeskel","sequence":"additional","affiliation":[{"name":"Department of Paediatrics College of Health Sciences Arsi University Asella Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,1]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(14)70227-X"},{"key":"e_1_2_15_3_1","volume-title":"WHO Recommendations for Prevention and Treatment of Pre\u2010Eclampsia and Eclampsia","author":"World Health Organization","year":"2011"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.preghy.2014.01.003"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)68397-9"},{"issue":"12","key":"e_1_2_15_6_1","first-page":"949","article-title":"The Global Prevalence of Hypertension in Pregnancy","volume":"103","author":"Duley L.","year":"2013","journal-title":"South African Medical Journal"},{"issue":"1","key":"e_1_2_15_7_1","first-page":"347","article-title":"A Multisite Study of Hypertensive Disorders of Pregnancy in India, Mozambique, Nigeria, and Pakistan","volume":"18","author":"Bellad M. 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L.","year":"2014","journal-title":"BJOG"},{"key":"e_1_2_15_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38380.674340.E0"},{"key":"e_1_2_15_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000451"},{"key":"e_1_2_15_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d1875"},{"key":"e_1_2_15_24_1","volume-title":"Ethiopia Demographic and Health Survey 2016","author":"Central Statistical Agency (CSA) [Ethiopia] and ICF","year":"2017"},{"key":"e_1_2_15_25_1","unstructured":"Asella Town Administration Health Office \u201cAnnual Health Service Report \u201d Asella Ethiopia;2023."},{"issue":"4","key":"e_1_2_15_26_1","article-title":"Pregnancy Induced Hypertension and Associated Factors Among Pregnant Women Receiving Antenatal Care Service at Jimma Town Public Health Facilities, South West Ethiopia","volume":"10","author":"Tesfaye A.","year":"2018","journal-title":"Journal of Gynecology and Women's Health"},{"issue":"2","key":"e_1_2_15_27_1","first-page":"1118","article-title":"Pregnancy Induced Hypertension and Associated Factors Among Pregnant Women in Kara Mara Hospital, Jijiga, Eastern Ethiopia","volume":"6","author":"Liyew M.","year":"2018","journal-title":"Medical Journal of Obstetrics and Gynecology"},{"issue":"3","key":"e_1_2_15_28_1","first-page":"147","article-title":"Hypertensive Disorders of Pregnancy in Jimma University Specialized Hospital","volume":"21","author":"Wolde Z.","year":"2011","journal-title":"Ethiopian Journal of Health Sciences"},{"key":"e_1_2_15_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-015-0502-7"},{"key":"e_1_2_15_30_1","article-title":"Prevalence and Associated Factors of Pregnancy\u2010Induced Hypertension Among Pregnant Women Attending ANC in Mettu Karl Hospital, Southwest Ethiopia","volume":"63","author":"Jiregna T.","year":"2019","journal-title":"Journal of Health, Medicine and Nursing"},{"issue":"11","key":"e_1_2_15_31_1","article-title":"Determinants of Pre\u2010Eclampsia Among Pregnant Women in Tigray Region, Northern Ethiopia: A Case\u2010Control Study","volume":"12","author":"Grum T.","year":"2017","journal-title":"PLOS ONE"},{"key":"e_1_2_15_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-443-06930-7.50035-9"}],"container-title":["Health Science Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hsr2.73189","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/hsr2.73189","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hsr2.73189","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T07:42:28Z","timestamp":1791186148000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hsr2.73189"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":31,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1002\/hsr2.73189"],"URL":"https:\/\/doi.org\/10.1002\/hsr2.73189","archive":["Portico"],"relation":{},"ISSN":["2398-8835","2398-8835"],"issn-type":[{"value":"2398-8835","type":"print"},{"value":"2398-8835","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"2025-12-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e73189"}}