Barriers to Medication Adherence among Hypertensive Patients in Deprived Rural Areas

Mamaghani, Ebrahim Aliafsari; Hasanpoor, Edris; Maghsoodi, Esmaiel; Soleimani, Fatemeh

doi:10.4314/ejhs.v30i1.11

Cited by 19 publications

(31 citation statements)

References 21 publications

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“…The heterogeneity obtained in this study was quite high; this could be due to differences in the population of the research subjects. The largest number of samples is in the [18], as many as 1208, and the smallest number of samples as many as 117. The results of data analysis from this study showed that there was no relationship between gender and adherence to medication for hypertension patients.…”

Section: B Meta-analysis Of the Relationship Between Gender And Medication Adherence Of Hypertensive Patientsmentioning

confidence: 99%

“…The pooled odds ratio value is 1.14 with a 95% confidence interval of 0.91 -1.4. The assumption of most research studies that there is no relationship between gender and adherence to treatment for hypertension patients suggests that women and men have equal opportunities to adhere to hypertension treatment [18]). There is no difference between the level of compliance of women and men, especially by adjusting the level of education.…”

Section: B Meta-analysis Of the Relationship Between Gender And Medication Adherence Of Hypertensive Patientsmentioning

confidence: 99%

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Meta-Analysis: Relationship of Age, Gender, and Education Level with Medication Adherence of Hypertension Patients

Barlian¹,

Husaini²,

Akbar³

et al. 2021

Int. j. health med. sci.

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Compliance of hypertension patients is an important factor that determines the success of the treatment program. Several studies show the low level of compliance of patients with hypertension. Socio demographic factors (age, gender, education level) are one of the factors that affect treatment compliance. Based on preliminary studies in several journals, there are inconsistencies or differences in research results on the variables of age, gender, and education level on treatment compliance of patients with hypertension. To analyze the relationship tendency between age, gender, education level with treatment compliance of hypertension patients. Meta-analysis by searching the databases of Google Scholar, Garuda, PubMed, Proquest. After going through the identification and selection stages, 18 articles were included in the meta-analysis. Pooled Odds Ratio (POR) was calculated using the random-effect and fixed-effect models for data analysis according to the heterogeneity test using Review Manager 5.4. The POR value for age variables was 1.03 (95% CI 1.01-1.04), gender 1.15 (95% CI 0.97-1.37), and education level 1.30 (95% CI 0.84-2.02). Age has a relationship with medication adherence with a small tendency, while gender and education level have no relationship with medication adherence in patients with hypertension.

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Section: B Meta-analysis Of the Relationship Between Gender And Medication Adherence Of Hypertensive Patientsmentioning

confidence: 99%

Section: B Meta-analysis Of the Relationship Between Gender And Medication Adherence Of Hypertensive Patientsmentioning

confidence: 99%

Meta-Analysis: Relationship of Age, Gender, and Education Level with Medication Adherence of Hypertension Patients

Barlian¹,

Husaini²,

Akbar³

et al. 2021

Int. j. health med. sci.

View full text Add to dashboard Cite

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“…This validated questionnaire was used to assess patient's adherence level towards antihypertensive medication. The MMAS-8 has been demonstrated to have good concurrent and predictive validity and might function as a screening tool in outpatient settings as has been widely used in various other studies to measure medication adherence [9,15] . Hence, MMAS-8 was used in this study for its validity, quick and easy to complete.…”

Section: Data Collection Toolmentioning

confidence: 99%

“…Adherence to recommended antihypertensive medications is central to adequately control hypertension resulting in reduced cardiovascular morbidity and mortality and lower healthcare costs [6]. Socio-economic factors, healthcare system-related factors, context-dependent factors, physician/treatment-related factors, and patient-related factors were found to influence medication adherence [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Factors influencing antihypertensive medication adherence among hypertensive patients: A cross-sectional study in two selected Eritrean hospitals

Idris¹,

Wolday²,

Abraham³

et al. 2021

J Clin Images Med Case Rep

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Objective: Hypertension is a major modifiable cause of cardiovascular and cerebrovascular disease affecting more than one billion individuals worldwide. Adherence to recommended antihypertensive medications is central to control hypertension. The purpose of this study was to assess medication adherence and its influencing factors among hypertensive patients in Halibet and Hazhaz Hospitals in Asmara, Eritrea. Methods: Hospital-based cross-sectional study was conducted among 360 hypertensive patients in Halibet and Hazhaz Hospitals of Asmara from February through May 2018. A convenience sampling was used to select study participants. Data related to medication adherence were collected using a structured 8-item Morisky Medication Adherence Scale. Data were analyzed using SPSS version 22. A bivariate and multivariate analysis was done to determine independent predictors of medication adherence among hypertensive patients. Adjusted odds ratio (at 95% CI) and p value < 0.05 was used to assert the effect of the independent variables. Results: Out of 360 patients enrolled in the study, two hundred forty nine (69.2%) had good medication adherence and the remaining 30.8% had poor adherence. The study found that Being female (AOR (95% CI): 1.8 (0.63, 4.85), p<0.05), having Monthly income ≥ 1000 nakfa (AOR (95% CI): 2.85 (0.76, 5.61), , p<0.05), having comorbid disease (AOR (95% CI): 2.7 (0.98, 4.23), p<0.05), family history of hypertension (AOR (95% CI): 2.12 (0.78, 5.76), p <0.05), longer duration of hypertension (AOR (95% CI): 1.32 (0.65, 4.89), p< 0.05), BP < 140/90 mmHg (AOR (95% CI): 2.4 (1.41, 8.73), P<0.05), and taking only one pill per day (AOR (95% CI): 2.7 (0.97, 6.84),P<0.05) were factors significantly influenced good medication adherence. Conclusion: Medication adherence among hypertensive patients was relatively high in this study. Increasing adherence counseling and patient education about the disease and its treatment are important measures to scale-up adherence status of patients.

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“…One study reported that a signi cantly higher proportion of the group that was adherent named their drugs correctly and could also mention indication, dosage, timing, and duration of its use [6]. Furthermore, issues like not having somebody to help keep track of when to take medications, having the urge to take medication only when in discomfort and fear of side effects such as dizziness and headache have also been recorded as drivers to poor adherence to antihypertensive medications [7].…”

Section: Introductionmentioning

confidence: 99%

Effects of medication knowledge on medication adherence among hypertensive patients at Matero level one hospital, Lusaka City, Zambia: A cross sectional study

Kampamba

Abanur

Hikaambo

et al. 2021

Preprint

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Background: Medication adherence is the mainstay to good treatment outcomes. Failure to adhere to medication in hypertensive patients may lead to considerable deterioration of the disease resulting in increased costs of healthcare and mortality. Knowledge about the name of the drug, indications and side effects may enhance medication adherence. Therefore, the aim of this study was to assess effects of medication knowledge on medication adherence among hypertensive patients. Methods: This was a cross-sectional study that involved 120 hypertensive patients. A structured questionnaire was used to collect data on demographic characteristics. Adherence was assessed using the 8-item Morisky Medication Adherence Scale while patient’s medication knowledge was assessed using a 7-item scale. Multiple logistic regression was used to assess factors associated with medication adherence. Results: The mean age of participants was 59 years (SD ±14.9) and 10 (8.3%), 42 (35%) and 68(56.7%) had adequate, average and poor medication knowledge respectively. The prevalence of adherence in this study was 37.5%. In multivariable logistic regression analysis, uncontrolled blood pressure (BP) (AOR: 0.38, CI: 0.16-0.90) was associated with lower likelihood of adhering to medication.Conclusion: The adherence level to treatment was low and medication knowledge of hypertensive patients was generally poor. Uncontrolled BP was associated with non-adherence. Patients with uncontrolled hypertension should be given health education and counselling regarding their condition to improve medication adherence.

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Barriers to Medication Adherence among Hypertensive Patients in Deprived Rural Areas

Cited by 19 publications

References 21 publications

Meta-Analysis: Relationship of Age, Gender, and Education Level with Medication Adherence of Hypertension Patients

Meta-Analysis: Relationship of Age, Gender, and Education Level with Medication Adherence of Hypertension Patients

Factors influencing antihypertensive medication adherence among hypertensive patients: A cross-sectional study in two selected Eritrean hospitals

Effects of medication knowledge on medication adherence among hypertensive patients at Matero level one hospital, Lusaka City, Zambia: A cross sectional study

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