ORIGINAL ARTICLES

Beliefs And Perceptions Of Hypertensive Patients Regarding Socio-Cultural Factors On Blood Pressure Control In Two Rural Communities Of Ekiti State

An Exploratory Qualitative Study
Azeez Ibrahim 1
Olagoke ERINOMO 2
Gbadebo Oladimeji AJANI 2
Ibrahim Sebutu BELLO 3
Ayodele Kamaldeen ALABI 2
Oluwafunmilayo Adenike OGUNTOYE 2
Olanrewaju Olawale MUSBAU 4
Kayode Rasaq ADEWOYE 2
Felix Archibong 5
Afiong Oboko OKU 6
Ndifreke UDONWA 6
Omotayo Folorunsho AFOLAYAN 7

1Afe-Babalola university Ado-Ekiti, Ekiti-state.

2Afe Babalola University

3Obafemi Awolowo University

4Federal University Oye Ekiti

5University of Calabar Teaching Hospital

6University of Calabar

7Federal Medical Center, Ikole Ekiti, Ekiti State, Nigeria.

Published: July 31, 2026

Abstract

Introduction: Achieving optimal blood pressure control remains a challenge, especially in rural setting and could be due to sociocultural factors influencing patient's beliefs and biomedical understanding of blood pressure control. Hence, this study explored hypertensive patient's beliefs and perceptions regarding blood pressure control in two rural communities of Ekiti State, Southwest Nigeria.

Materials and Methods: This cross-sectional qualitative study explored four focus group discussions with open ended questions on 16 hypertensive patients who were purposively recruited. All the conversations were audio-recorded, transcribed verbatim and thematically analyzed.

Results: The only theme was participants' perceptions of sociocultural factors influencing their blood pressure and five sub-themes including access to healthcare services, health literacy, dietary and lifestyle behaviors, medication adherence, family and social support. Majority of participants claimed they have unlimited access to healthcare facility, could read the information on hypertension, and were aware of dietary food for optimal blood pressure but cost, long waiting time, unavailability of drugs at healthcare facility, lack of information and certain cultural practices and traditional food during social events were barriers to achieving optimal blood pressure.

Conclusion: Misconceptions of certain sociocultural factors were influencing management of hypertension in rural communities of Ekiti State. Therefore, it is important to institute measures to overcome these misconceptions and barriers and facilitate consistent adherence to biomedical treatment to improve blood pressure control.

database

Data Availability

The datasets for this study would be made available from the correspondence author on a reasonable request

Author Biographies

OE

Olagoke ERINOMO

Afe Babalola University

Department of Pathology

GA

Gbadebo Oladimeji AJANI

Afe Babalola University

Department of Medicine

IB

Ibrahim Sebutu BELLO

Obafemi Awolowo University

Department of Family Medicine

AA

Ayodele Kamaldeen ALABI

Afe Babalola University

Department of Community Medicine

OO

Oluwafunmilayo Adenike OGUNTOYE

Afe Babalola University

Department of Medicine

OM

Olanrewaju Olawale MUSBAU

Federal University Oye Ekiti

Department of Community Medicine

KA

Kayode Rasaq ADEWOYE

Afe Babalola University

Department of Community Medicine 

FA

Felix Archibong

University of Calabar Teaching Hospital

Department of Family Medicine

AO

Afiong Oboko OKU

University of Calabar

Department of Community Medicine

NU

Ndifreke UDONWA

University of Calabar

Department of Family Medicine

OA

Omotayo Folorunsho AFOLAYAN

Federal Medical Center, Ikole Ekiti, Ekiti State, Nigeria.

Department of Family Medicine

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Published in Vol. 9 No. 1: African Journal of Tropical Medicine and Biomedical Research, July 2026

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Ibrahim A, ERINOMO O, AJANI GO, BELLO IS, ALABI AK, OGUNTOYE OA, et al. Beliefs And Perceptions Of Hypertensive Patients Regarding Socio-Cultural Factors On Blood Pressure Control In Two Rural Communities Of Ekiti State: An Exploratory Qualitative Study. Afr. J. Trop. Med. Biomed. Res. [Internet]. 2026 Jul. 31 [cited 2026 Aug. 27];9(1):77–87. Available from: https://ajtmbr.org.ng/index.php/home/article/view/hypertension-beliefs-ekiti

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