Self-reported adherence to therapeutic regimens among patients with hypertension

Al-Daken, Laila; Eshah, Nidal F.

doi:10.1080/10641963.2016.1247164

Cited by 31 publications

(36 citation statements)

References 34 publications

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“…Compliance behavior is a core connotation and an important premise of the self-management of hypertension. In this study, 77.2% of the participants reported compliance with medication, which is much higher than previous findings in China and slightly lower than Al-Daken and Eshah’s [ 40 ] study in developed countries (82.8%). The differences might be due to the distinction of study population and assessment method of medication compliance.…”

Section: Discussioncontrasting

confidence: 83%

Prevalence and Associated Factors of Compliance Behaviors among Middle-Aged and Older Hypertensive Patients in China: Results from the China Health and Retirement Longitudinal Study

Liu

Yang

Zhou

et al. 2020

IJERPH

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Partial or total non-adherence has been recognized as major issues in the long-term management of hypertension. This study aims to investigate the prevalence and associated factors of compliance behaviors among Chinese middle-aged and older hypertensive patients. A sample of 6308 hypertensive patients aged ≥45 years was obtained from the 2015 China Health and Retirement Longitudinal Study (CHARLS) data. Two compliance behaviors were involved including medication and blood pressure monitoring. Stratified binary logistic regression analysis was employed to examine the associated factors. 77.2% of the participants reported medication compliance, and 40.7% complied with blood pressure monitoring. Better medication compliance associated with older age, overweight or obesity, one or ≥3 complications, no drinking, living in urban areas, and health education. Better blood pressure monitoring compliance associated with older age, overweight or obesity, ≥3 complications, normal activities of daily living (ADL), no smoking, sleep duration of 6–8 h, better cognitive function, living in urban areas, education level of middle school or above, and health education. Chinese middle-aged and older hypertensive patients experienced unoptimistic compliance behaviors, especially for blood pressure monitoring. Special attention and targeted interventions are urgent for the high-risk population of poor compliance behaviors, such as rural individuals, low educational population, and younger hypertensive patients.

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Section: Discussioncontrasting

confidence: 83%

Prevalence and Associated Factors of Compliance Behaviors among Middle-Aged and Older Hypertensive Patients in China: Results from the China Health and Retirement Longitudinal Study

Liu

Yang

Zhou

et al. 2020

IJERPH

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“…Indeed, previous studies have shown that women tend to be more committed to treatment than men . Particularly in the hypertension field, antihypertensive drug adherence scores have shown to be significantly higher among women . Interestingly, although hypertension guidelines propose the use of fixed‐dose combinations as a strategy to improve adherence, no difference in the consumption of such pills between patients with adequate and inadequate BP control was detected in our study.…”

Section: Discussioncontrasting

confidence: 63%

Blood pressure control and cardiovascular risk profile in hypertensive patients under specialist care in Argentina: Results from the CHARTER study

Marín

Barochiner

Rodríguez

et al. 2019

J of Clinical Hypertension

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Worldwide, hypertension control rate is far from ideal. Some studies suggest that patients treated by specialists have a greater chance to achieve control. The authors aimed to determine the BP control rate among treated hypertensive patients under specialist care in Argentina, to characterize patients regarding their cardiovascular risk profile and antihypertensive drug use, and to assess the variables independently associated with adequate BP control. The authors included adult hypertensive patients under stable treatment, managed in 10 specialist centers across Argentina. Office BP was measured thrice with a validated oscillometric device. Adequate BP control was defined as an average of the three readings <140/90 mm Hg (and <150/90 in patients older than 80 years). The authors estimated the proportion of adequate BP control and the variables independently associated with it through a multiple conditional logistic regression model. Among the 1146 included patients, 48.2% were men with a mean age of 63.5 (±13.1) years old. Mean office BP was 135.3 (±14.8)/80.8 (±10) mm Hg, with a 64.8% (95% CI: 62%‐67.6%) of adequate control. The mean number of antihypertensive drugs was 2.1 per participant, the commonest being angiotensin receptor blockers and calcium channel blockers. In multivariable analysis, only female sex was a predictor of adequate BP control (OR 1.33 [95% CI 1.02‐1.72], P = .04). In conclusion, almost 65% of hypertensive patients treated in specialist centers in Argentina have adequate BP control. The challenge for future research is to define strategies in order to translate this control rate to the primary care level, where most patients are managed.

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“…Along with access to effective and inexpensive medicines, increasing patients' awareness toward the importance of adherence to medications, and healthy behaviors is essential in controlling the disease and reducing its complications (1)(2)(3). Despite being aware of this fact, poor adherence to antihypertensive treatment has been a global challenge and its prevalence varies from 10% to more than 60% in different regions (4)(5)(6).…”

Section: Introductionmentioning

confidence: 99%

Treatment Adherence in Patients with Hypertension: A Cross Sectional Study from Southeast of Iran

Sadeghi

Ahmadipour

2018

Shiraz E-Med J

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Background: Poor adherence to antihypertensive treatment has been a global challenge. It is necessary for health care providers to identify the factors affecting treatment adherence. Objectives: The present study aimed to investigate the adherence to treatment and its related factors in patients with hypertension. Methods: A cross sectional study carried out from September 2017 to March 2018 on 600 patients with hypertension who were covered by urban community health centers in Kerman, Iran. The Persian version of Morisky medication adherence scale (P-MMAS-8) and hypertensive treatment adherence scale (HTAS) were used for assessing adherence to the medication and treatment, respectively. Data was analyzed by SPSS software version 19.0 using Independent t-test, ANOVA and logistic regression. Results: The mean age of participants was 56.44 ± 12.3 years, with the majority of them (70.0%) being female. Poor adherence to medication and treatment was found in 304 (50.7%) and in 238 (39.7%) patients, respectively. Age, level of education, and the presence of concurrent medical disease and psychological disorder significantly predicted the adherence to treatment. Conclusions: Poor adherence was common among hypertensive patients in our primary health care setting. Therefore, it is necessary for our health care providers to identify the factors associated with poor adherence to be intervened timely.

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Self-reported adherence to therapeutic regimens among patients with hypertension

Cited by 31 publications

References 34 publications

Prevalence and Associated Factors of Compliance Behaviors among Middle-Aged and Older Hypertensive Patients in China: Results from the China Health and Retirement Longitudinal Study

Prevalence and Associated Factors of Compliance Behaviors among Middle-Aged and Older Hypertensive Patients in China: Results from the China Health and Retirement Longitudinal Study

Blood pressure control and cardiovascular risk profile in hypertensive patients under specialist care in Argentina: Results from the CHARTER study

Treatment Adherence in Patients with Hypertension: A Cross Sectional Study from Southeast of Iran

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