Browsing by Author "Ali, Abdirahman Mohamed"

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    Prevalence And Risk Factors Associated with Chronic Kidney Disease among Hypertensive Patients in Wajir County, Kenya.
    (Kenyatta University, 2024-12) Ali, Abdirahman Mohamed
    Chronic Kidney Disease (CKD) is a significant public health challenges both locally and globally, with its prevalence increasing, particularly in developing countries especially in Sub Saharan Africa. CKD is common among older adults and is strongly associated with medical conditions such as hypertension, diabetes and obesity. However, to our knowledge there is no published data on prevalence of CKD and risk factors associated among the hypertensive adult patients in Wajir County. This study aimed at estimating the prevalence and establishing risk factors associated with CKD among hypertensive patients in Wajir County and sought to recommend viable preventive measures. An analytical cross-sectional study was conducted among sampled 293 hypertensive patients. This study utilized consecutive sampling where the subject who meet the selection criteria were interviewed. Structured questionnaires were administered for data collection. Key findings revealed that nearly half of hypertensive patients have CKD (45.40%), highlighting a critical health concern in the region. The study revealed most CKD cases were in early stages (Stages1 and 2), some had progressed to severe stages (Stages 4 and 5). Regression analysis identified several demographic and clinical factors associated with CKD development, including age, gender, and education, and employment status, family history of CKD, stroke history, and difficulty in medication compliance. Moreover, analysis of results revealed that notable associations, with individuals aged 51-60 years having significantly higher odds of developing CKD compared to younger counterparts (OR=2.462, CI 2.623-44.612, P-value < 0.001), and females being more susceptible than males (OR=5.928, CI 0.401-0.921, P-value < 0.001). Clinical factors like uncontrolled blood pressure and difficulty in taking medication also emerged as key risk factors; hypertensive patients non compliant to medication are at a significantly higher risk of CKD (OR=3.036, CI 2.948-6.937, P-value< 0.001) and CKD (OR=5.271, CI 3.816-11.838, P-value < 0.001), history of stroke (OR=3.283, CI 2.182-2.910, P-value < 0.001), BMI between 25 and 29.9 (OR=2.462, CI 2.381-6.712, P-value < 0.001), and proteinuria (OR=2.722, CI 2.361-4.381, P-value < 0.001) were identified as significant contributors to CKD development. The study concludes that there is high prevalence of CKD among hypertensive adults in Wajir County. With nearly half of hypertensive patients also suffering from CKD, these poses significant public health concern at hand in Wajir County. In view of these findings, the study recommends that the county government of Wajir should focus on viable preventing measures such as targeted screening programs of CKD in hypertensive population, health education on medication compliance and engaging in healthy behavior like exercise.