Introduction: Hypertension is an overwhelming global challenge. Appropriate lifestyle modifications are the cornerstone for the prevention and control of hypertension. In this regard, lacks of knowledge and poor attitude toward lifestyle modification have been a major setback. Therefore this study aims to assess the level of Lifestyle modification practice and associated factors among adult hypertensive patients in public health facilities, Sidama region Hawassa, Ethiopia

Objective: To assess the level of Lifestyle modification practice and associated factors among adult hypertensive patients in public health facilities, Sidama region Hawassa,Ethiopia

Methods: Institutional-based cross-sectional study was conducted among 492 hypertensive

patients in Hawassa city public health facilities, from 10 June to 30 July 2025. The pre-tested

structured questionnaire was used, and the data was collected through an interview. The data was analyzed using SPSS version 26. A multivariate logistic regression model was used to determine independent predictors of practice of lifestyle modifications among hypertensive patients. Adjusted odds ratio (AOR) at 95% confidence interval (CI) was used for predicting the independent effect of each variable on the outcome variables.

Result: The study revealed that 46.1% (95% CI: 41.9-52.1) of participants had good practice of life style modification. Factors such as good knowledge (AOR: 1.99, 95% CI: 1.32, 3.00), age (AOR =2.68, 95%CI: 1.16-6.19) and having a family history of hypertension (AOR=1.68; 95% CI: 1.08 2.61) were statistically significant in association with life style modification practice.

Conclusion and recommendation: This study showed there is poor level of practice on life style modification among of adult hypertensive patients. So, correct measures need to be taken from the time of diagnosis, especially at clinics where follow up takes place and the level of understanding by patients should be assessed.

Key words: Lifestyle modification, hypertension, knowledge, attitude, practice, Hawassa City

  Melkamsew Ejigu (Md)