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We sought to evaluate associations between prospective BP control and 24 putative factors within socio\u2010demographic, biological, and organizational domains. This is a cohort study involving 1867 (65%) adults with hypertension and 1006 (35%) with both hypertension and diabetes mellitus at five public hospitals. Clinic BP was measured every 2\u00a0months for 18\u00a0months of follow\u2010up. A multivariate logistic regression analysis was fitted via generalized linear mixed models to identify factors associated with clinic BP\u00a0\u2265\u00a0140\/90\u00a0mm\u00a0Hg at each clinic visit during follow\u2010up. Mean age of study participants was 58.9\u00a0\u00b1\u00a016.6\u00a0years and 76.8% were females. Proportions with controlled BP increased from 46.3% at baseline to 59.8% at month 18, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.0001. Eight factors with adjusted OR (95% CI) associated prospectively with uncontrolled BP were male gender: 1.37 (1.09\u20101.72), secondary education: 1.32 (1.00\u20101.74), non\u2010adherence to antihypertensive treatment: 1.03 (1.00\u20101.06), fruit intake: 0.94 (0.89\u20101.00), duration of hypertension diagnosis: 1.01 (1.00\u20101.02), hypertension with diabetes mellitus: 2.05 (1.72\u20102.46), number of antihypertensive medications: 1.63 (1.49\u20101.79), and estimated glomerular filtration rate (mL\/min rise): 0.82 (0.76\u20100.89). Interventions aimed at addressing modifiable factors associated with poorly controlled BP would be critical in prevention of cardiovascular diseases among Ghanaians.<\/jats:p>","DOI":"10.1111\/jch.13873","type":"journal-article","created":{"date-parts":[[2020,4,30]],"date-time":"2020-04-30T19:22:04Z","timestamp":1588274524000},"page":"949-958","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Longitudinal control of blood pressure among a cohort of Ghanaians with hypertension: A multicenter, hospital\u2010based study"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7274-5093","authenticated-orcid":false,"given":"Fred S.","family":"Sarfo","sequence":"first","affiliation":[{"name":"Department of Medicine Kwame Nkrumah University of Science &amp; Technology Kumasi Ghana"},{"name":"Department of Medicine Komfo Anokye Teaching Hospital Kumasi 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