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Journal of Transplantation
Volume 2015 (2015), Article ID 746563, 5 pages
Research Article

Factors Associated with Uncontrolled Hypertension among Renal Transplant Recipients Attending Nephrology Clinics in Nairobi, Kenya

1Department of Clinical Medicine and Therapeutics, University of Nairobi (UoN), P.O. Box 60337-00200, Nairobi, Kenya
2Kenyatta National Hospital (KNH), Nairobi, Kenya

Received 25 March 2015; Revised 6 June 2015; Accepted 1 July 2015

Academic Editor: Gaetano Ciancio

Copyright © 2015 Mary N. Kubo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objective. To determine the factors associated with poor blood pressure control among renal transplant recipients in a resource-limited setting. Methods. A cross-sectional study was carried out on renal transplant recipients at the Kenyatta National Hospital. Sociodemographic details, blood pressure, urine albumin : creatinine ratio, and adherence using the MMAS-8 questionnaire were noted. Independent factors associated with uncontrolled hypertension were determined using logistic regression analysis. Results. 85 subjects were evaluated. Mean age was 42.4 (SD ± 12.2) years, with a male : female ratio of 1.9 : 1. Fifty-five patients (64.7%) had uncontrolled hypertension (BP ≥ 130/80 mmHg). On univariate analysis, male sex (OR 3.7, 95% CI 1.4–9.5, ), higher levels of proteinuria (), and nonadherence to antihypertensives (OR 18, 95% CI 5.2–65.7, ) were associated with uncontrolled hypertension. On logistic regression analysis, male sex (adjusted OR 4.6, 95% CI 1.1–19.0, ) and nonadherence (adjusted OR 33.8, 95% CI 8.6–73.0, ) were independently associated with uncontrolled hypertension. Conclusion. Factors associated with poor blood pressure control in this cohort were male sex and nonadherence to antihypertensives. Emphasis on adherence to antihypertensive therapy must be pursued within this population.