Drug non-adherence in hypertensive patients in Morocco, and its associated risk factors

Essayagh, Touria; Essayagh, Meriem; Essayagh, Sanah

doi:10.1093/eurjcn/zvaa002

Cited by 6 publications

(4 citation statements)

References 19 publications

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“…This could be explained by the fact that women perceive their disease as more severe and have more worries about the disease. Similar results were encountered in a recent study by Essayagh et al 35 in patients with hypertension. Higher medication nonadherence was also found in Slovak male patients with coronary heart disease.…”

Section: Discussionsupporting

confidence: 92%

Association Between Illness Perception and Adherence to Treatment in Slovak Patients With Hypertension

et al. 2022

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BackgroundLack of adherence to treatment in patients with arterial hypertension leads to poor blood pressure control, increased morbidity and mortality, and increased costs to health and social care. Regular assessment of treatment adherence as well as factors influencing it is important to improve patient adherence and consequently increase treatment efficacy. Personal beliefs, particularly illness representations, are significant factors that influence adherence.ObjectiveThe aim of this study was to assess the associations between adherence to treatment, illness perception, and selected sociodemographic and clinical characteristics in patients with arterial hypertension.MethodsIn this cross-sectional observational study, 235 patients with arterial hypertension completed the Hill-Bone Compliance to High Blood Pressure Therapy Scale and the Brief Illness Perception Questionnaire. Associations between variables were assessed by Spearman ρ and multiple linear regression analysis.ResultsYounger age, male gender, overall number of drugs used, and poorer beliefs related to the timeline, treatment control, and understanding were associated with higher levels of nonadherence. The final regression model significantly (P ≤ .05) explained 19.4% of the variance in diet adherence, 5.0% in appointment keeping, and 17.8% in medication adherence.ConclusionComprehensive care aimed at regular evaluation of illness perceptions with an emphasis on increasing understanding of the disease and its treatment and reducing patient worries and negative emotions seems to be a relevant strategy for improving adherence to antihypertensive treatment in everyday clinical practice.

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Section: Discussionsupporting

confidence: 92%

Association Between Illness Perception and Adherence to Treatment in Slovak Patients With Hypertension

et al. 2022

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“…Overweight and obesity have been categorized according to the WHO body mass index classification 14 , 15 .…”

Section: Methodsmentioning

confidence: 99%

The prevalence and risk factors for anxiety and depression symptoms among migrants in Morocco

Essayagh

Essayagh²,

Essayagh

et al. 2023

Sci Rep

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Humanitarian migration can result in mental health issues among migrants. The objective of our study is to determine the prevalence of anxiety and depression symptoms among migrants and their risk factors. A total of 445 humanitarian migrants in the Orientale region were interviewed. A structured questionnaire was used in face-to-face interviews to collect socio-demographic, migratory, behavioral, clinical, and paraclinical data. The Hospital Anxiety and Depression Scale was used to assess anxiety and depression symptoms. Risk factors for anxiety and depression symptoms were identified using multivariable logistic regression. The prevalence of anxiety symptoms was 39.1%, and the prevalence of depression symptoms was 40.0%. Diabetes, refugee status, overcrowding in the home, stress, age between 18 and 20 years, and low monthly income were associated with anxiety symptom. The associated risk factors for depression symptoms were a lack of social support and a low monthly income. Humanitarian migrants have a high prevalence of anxiety and depression symptoms. Public policies should address socio-ecological determinants by providing migrants with social support and adequate living conditions.

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“…The European Society of Hypertension and the European Society of Cardiology (ESH/ESC) guidelines were used to classify hypertension. This guideline defines hypertension as systolic blood pressure of 140 mmHg or higher and/or diastolic blood pressure of 90 mmHg or higher, as well as self-reported hypertension [8][9][10]. Participants who stated they were hypertensive were asked if they were on pharmacological or non-pharmacological treatment and were managed accordingly.…”

Section: Definition Of Variablesmentioning

confidence: 99%

“…Overweight and obesity were defined according to the WHO classification of the body mass index. It was classified into two categories: (1) yes or (2) no [9,12].…”

Section: Definition Of Variablesmentioning

confidence: 99%

Disease burden among migrants in Morocco in 2021: A cross‑sectional study

Essayagh

Essayagh³

et al. 2023

PLoS ONE

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Background Morocco, traditionally an emigration country, has evolved into not only a transit country to Europe but also a country of residence for an increasing number of migrants, with 102,400 migrants in 2019. This is due to its geographic location, the induced effects of its "African policy," and the various laws adopted by Moroccan legislators in recent years. The purpose of this study is to determine the prevalence of communicable and noncommunicable diseases among migrants such as Hepatitis C virus (HCV), human immunodeficiency virus (HIV), diabetes, and hypertension. Methods We conducted a cross-sectional study in Oujda, Morocco, between November and December 2021. Face-to-face interviews with enrolled migrants aged 18 years and over, present in Oujda and attending an association, were carried out to collect socio-demographic data, lifestyle behaviors, and clinical parameters. Diabetes and hypertension were the primary outcomes. The Pearson’s chi-squared test and the student’s t-test were used to assess the bivariate associations between primary outcomes and categorical and continuous variables. In a multivariate model, we adjusted for predictors that were significant (p-value ≤0.05) in bivariate analysis to estimate Adjusted Odd Ratios (AOR) and 95% confidence intervals (CI). Results There were 495 migrants enrolled, with a male/female ratio of two and an average age of 27.3±11.5 years (mean±standard deviation), ranging from 18 to 76 years. Hepatitis C virus, human immunodeficiency virus, diabetes, and hypertension were found in 1%, 0.2%, 3.8%, and 27.7% of the population, respectively. Family history of diabetes was a risk factor for diabetes in the Oujda migrant population, with an Adjusted Odds Ratio (AOR) of 5.36; CI% [1.23–23.28]. Age (AOR of 1.1; CI% [1.06–1.13]) and African origin (AOR of 3.07; CI% [1.06–8.92]) were identified as risk factors for hypertension. Conclusion Migrants in Oujda are healthy. The high prevalence of hypertension, as well as the presence of HCV and HIV positive cases, emphasizes the importance of routine screening for hypertension, HCV, and HIV in order to detect and treat these diseases as early as possible.

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Drug non-adherence in hypertensive patients in Morocco, and its associated risk factors

Cited by 6 publications

References 19 publications

Association Between Illness Perception and Adherence to Treatment in Slovak Patients With Hypertension

Association Between Illness Perception and Adherence to Treatment in Slovak Patients With Hypertension

The prevalence and risk factors for anxiety and depression symptoms among migrants in Morocco

Disease burden among migrants in Morocco in 2021: A cross‑sectional study

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