Hypertension and Drug Adherence in the Elderly

Burnier, Michel; Polychronopoulou, Erietta; Wuerzner, Grégoire

doi:10.3389/fcvm.2020.00049

Cited by 81 publications

(69 citation statements)

References 96 publications

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“…Several studies have also concluded that symptoms of depression are significantly correlated to adherence to antihypertensive medication and that self-efficacy/confidence—the fourth construct within the Health Belief Model (HBM)—mediates this association in African Americans [ 59 , 60 , 61 ]. Though our study did not seek to determine this mediating factor, the corroborated association between depression and adherence to antihypertensive medication [ 56 , 62 , 63 ] is significant in that it allows for a wide-reaching approach to addressing both hypertension-related complications and curtailing mental health conditions such as depression in adherence to antihypertensive medication among older adults. Further interventional studies are required to address depression and adherence to antihypertensive medication and lifestyle recommendations within the older African American population.…”

Section: Discussionmentioning

confidence: 99%

Adherence to Hypertension Medications and Lifestyle Recommendations among Underserved African American Middle-Aged and Older Adults

Adinkrah

Bazargan

Wisseh

et al. 2020

IJERPH

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Background: For African American middle-aged and older adults with hypertension, poor adherence to medication and lifestyle recommendations is a source of disparity in hypertension outcomes including higher rates of stroke in this population relative to whites. Aims: To study demographic, social, behavioral, cognitive, and medical predictors of adherence to medication and lifestyle recommendations among underserved African American middle-aged and older adults with hypertension. Methods: This was a community-based cross-sectional survey in South Los Angeles with 338 African American middle-aged and older adults with hypertension who were 55 years or older. Age, gender, continuity of care, comorbidity, financial difficulty, self-rated health, depression, educational attainment, adherence knowledge, and adherence worries were the independent variables. Data was analyzed using linear regression with two outcomes, namely, adherence to medication (measured by the first 9 items of the Blood Pressure Self-Care Scale) and adherence to lifestyle recommendations (measured by the second 9 items of the Blood Pressure Self-Care Scale). Results: There were about twice more females than males, with a total mean age of 70 years (range 55–90 years). Various demographic, social, behavioral, and medical factors predicted adherence to medication but not adherence to lifestyle recommendations. Females with hypertension with higher continuity of care, less financial strain, higher knowledge, less negative general beliefs, and concerns about antihypertensive medications had higher adherence to antihypertensive medications. The presence of depressive symptoms, reduced knowledge, and disease management worries were associated with a reduced adherence to lifestyle recommendations. Conclusions: There seem to be fewer demographic, social, behavioral, cognitive, and medical factors that explain adherence to lifestyle recommendations than adherence to medication in economically disadvantaged underserved African American middle-aged and older adults with hypertension. More research is needed on factors that impact adherence to lifestyle recommendations of African American middle-aged and older adults with hypertension.

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Section: Discussionmentioning

confidence: 99%

Adherence to Hypertension Medications and Lifestyle Recommendations among Underserved African American Middle-Aged and Older Adults

Adinkrah

Bazargan

Wisseh

et al. 2020

IJERPH

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“…In developed countries, 60% of individuals after age 65 suffer from HTN (4). As one of the largest developing countries, China is challenged even more by HTN as a growing urgency in public health.…”

Section: Introductionmentioning

confidence: 99%

Hypertension Prevalence Rates Among Urban and Rural Older Adults of China, 1991–2015: A Standardization and Decomposition Analysis

Lin

2021

Front. Public Health

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Objectives: The prevalence of hypertension (HTN) among older adults is becoming an important issue in public health in China as it is now stepping into the super-aged society with high pressure of a chronic disease burden. With urban–rural differences in population composition and health facilities, this study aimed to assess the gaps in the prevalence trends of HTN among older adults by considering demographic factors such as age, gender, education level, and regional differences during 1991–2015 in China.Methods: We adopted the consistent sampling design and measure of HTN of the cross-longitudinal surveys of the China Health and Nutrition survey, and we compared the HTN prevalence rates between urban and rural older adults by taking each wave of the survey as a cross-sectional sample of the Chinese population by the following and supplementary samples. The classic standardization and decomposition analysis method was utilized with four factor-specific rates, and contributions were calculated, i.e., age, gender, education, and region, which reflects the aspect of demographic and social development differences between urban and rural areas of China.Results: The prevalence rates of HTN of the whole of older adults were increasing in 1991–2015. However, the gaps of prevalence rates of HTN between urban and rural areas show different trends accompanied by the health policies launched by the government. Namely, the gap was narrowed during 1993–1997 and then enlarged during 1997–2011 and narrowing again. Those trends reflect the policy effects with the health resource allocation and utilization of health services for urban and rural older adults.Conclusions: With the four factors of decomposition analysis, the differences reflect the results of health policy effects, considering the urban–rural discrepancy on older adults with different demographic characteristics. Hence, the differentiated policies should be considered with the urban–rural population, such as HTN prevention and the population health promotion.

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“…Non-adherence leads to increased hospitalization length and risk of death. Some of the solutions include assessing the respondent's therapeutic needs, simplifying the therapeutic regimen, using long-acting medications, and supporting families and health workers (Burnier et al, 2020). Medication adherence in elderly respondents is explained by the role of the family and health workers, in addition to excellent self-motivation.…”

Section: Discussionmentioning

confidence: 99%

Description of medication adherence in hypertensive respondents at Mandalika Mataram elderly social centre

2021

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Introduction: Elderly people are at high risk of non-adherence to hypertensive therapy due to changes in body function and ageing processes. Objectives: The purpose of this study is to explore medication adherence among hypertensive respondents at the Mandalika Mataram NTB Elderly Social Centre. Methods: This study is descriptive observational with a purposive sampling technic. The sample consisted of 30 respondents who met the inclusion criteria. Data were collected using the Modified Morisky Adherence Scale (MMAS-8). Results: The results showed that adherence among participants was high (23.3%), moderate (56.1%), and low (20.0%). Respondent adherence was associated with the role of health workers in monitoring drug therapy. Non-adherence was several factors, including side effects of the drug, complex drug regimens, and ageing.

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Hypertension and Drug Adherence in the Elderly

Cited by 81 publications

References 96 publications

Adherence to Hypertension Medications and Lifestyle Recommendations among Underserved African American Middle-Aged and Older Adults

Adherence to Hypertension Medications and Lifestyle Recommendations among Underserved African American Middle-Aged and Older Adults

Hypertension Prevalence Rates Among Urban and Rural Older Adults of China, 1991–2015: A Standardization and Decomposition Analysis

Description of medication adherence in hypertensive respondents at Mandalika Mataram elderly social centre

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