{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:43:45Z","timestamp":1785422625116,"version":"3.56.0"},"reference-count":52,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T00:00:00Z","timestamp":1778025600000},"content-version":"unspecified","delay-in-days":125,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1463423626101133_as1\">\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>This study aimed to assess knowledge, lifestyle behaviours, and sociodemographic associations regarding hypertension control among adults in urban Ghana.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423626101133_as2\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Hypertension is a major contributor to cardiovascular morbidity and mortality in Ghana. However, data on population-level knowledge of its risk factors and related lifestyle behaviours in urban settings remain limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423626101133_as3\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A cross-sectional analytical survey was conducted between August 2023 and September 2024 across four urban regions. Using stratified convenience sampling, 7096 adults aged 18\u201367\n                      <jats:sup>+<\/jats:sup>\n                      years were recruited. Data on sociodemographic, lifestyle behaviours, and hypertension knowledge were collected via a structured questionnaire.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423626101133_as4\">\n                    <jats:title>Findings:<\/jats:title>\n                    <jats:p>\n                      Participants had a mean age of 37.27 (\u00b18.73) years, with a majority being female (63.85%) and married (97.66%). Educational attainment varied. Females constituted most hypertensive cases, particularly for stage 2 hypertension, while males had a notably higher prevalence of pre-hypertension among those aged 27\u201353 years. Age and body mass index showed significant positive correlations with systolic and diastolic blood pressure (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.01). Men were significantly more likely to smoke and consume alcohol (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.01). Logistic regression indicated that regular exercise reduced the odds of hypertension diagnosis (OR = 0.72, CI: 0.54\u20130.96), while older age increased the odds. The study underscores the need for targeted public health strategies. Priorities include promoting physical activity and weight management, alongside smoking\/alcohol cessation programs tailored for high-risk men. Early intervention for younger adults with pre-hypertension and enhanced educational outreach for less-educated groups are crucial.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1463423626101133","type":"journal-article","created":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T08:08:48Z","timestamp":1778054928000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Assessing knowledge and lifestyle behaviours for hypertension management among adults in urban Ghana: a cross-sectional study"],"prefix":"10.1017","volume":"27","author":[{"given":"Theodora","family":"Ojangba","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04ypx8c21","id-type":"ROR","asserted-by":"publisher"}],"name":"Zhengzhou University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Solomon","family":"Boamah","sequence":"additional","affiliation":[{"name":"Ghana Health Service, Juaboso District Health Directorate"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yudong","family":"Miao","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04ypx8c21","id-type":"ROR","asserted-by":"publisher"}],"name":"Zhengzhou University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shen","family":"Zhanlei","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04ypx8c21","id-type":"ROR","asserted-by":"publisher"}],"name":"Zhengzhou University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Dormatey","sequence":"additional","affiliation":[{"name":"Crops Research Institute (CSIR), Kumasi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dongfang","family":"Zhu","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04ypx8c21","id-type":"ROR","asserted-by":"publisher"}],"name":"Zhengzhou University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Dedi","sequence":"additional","affiliation":[{"name":"Ghana Health Service, Adaklu District Health Directorate"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenyong","family":"Dong","sequence":"additional","affiliation":[{"name":"Department of Hypertension, Henan Provincial People\u2019s Hospital, People\u2019s Hospital of Zhengzhou University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiuping","family":"Zhao","sequence":"additional","affiliation":[{"name":"Henan Key Laboratory for Health Management of Chronic Diseases, Central China Fuwai Hospital, Central China Fuwai Hospital of Zhengzhou University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baoyong","family":"Hua","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04ypx8c21","id-type":"ROR","asserted-by":"publisher"}],"name":"Zhengzhou University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,5,6]]},"reference":[{"key":"S1463423626101133_ref26","doi-asserted-by":"publisher","DOI":"10.1097\/00043764-200201000-00004"},{"key":"S1463423626101133_ref5","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jhh.1001923"},{"key":"S1463423626101133_ref34","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2020.582234"},{"key":"S1463423626101133_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2017.11.075"},{"key":"S1463423626101133_ref13","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-6-13"},{"key":"S1463423626101133_ref18","unstructured":"Der, M and Marie-Antoinette, R (2017) Knowledge, Attitude and Practices Towards Hypertension among Adults in the Nandom District of the Upper West Region of Ghana. 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Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e53"}}