Factors related to medication adherence in patients with hypertension based on cross-sectional study strategy
10.3969/j.issn.1006-2483.2024.05.012
- VernacularTitle:基于横断面研究策略的高血压患者用药依从性相关因素分析
- Author:
Ruyi LI
1
;
Jing YAO
2
;
Zhihua SONG
1
Author Information
1. Meilong Community Health Service Center , Minhang District , Shanghai 201104 , China
2. Huadong Hospital Affiliated to Fudan University , Shanghai 201104 , China
- Publication Type:Journal Article
- Keywords:
Hypertension;
Complications;
Perceived risk;
Medication adherence
- From:
Journal of Public Health and Preventive Medicine
2024;35(5):51-55
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the relationship between perceived risk of complications of hypertension and medication adherence among patients with known hypertension. Methods Data were collected using a structured administrative questionnaire that mainly included information on basic demographic information, smoking history, access to healthcare services, duration of antihypertensive treatment, number of concurrent medications, and their perceived risk of complications related to hypertension. Morisk Medication Adherence Scale (MMAS-8) was used to measure the patients' antihypertensive medication adherence, and multivariate logistic regression analysis was used to identify independent factors related to adherence. Results Nearly half (48.8%) of the participants had uncontrolled hypertension, and more than one fifth (22.3%) of the patients had high adherence to antihypertensive medication. Independent factors highly associated with antihypertensive medication adherence were higher education level (OR:1.71, 95% CI: 1.06-2.75), never smoking (OR: 1.62 , 95% CI: 1.06-2.46), easy access to health care (OR: 1.91, 95% CI : 1.10-3.35), lower average treatment duration (OR: 0.96, 95% CI: 0.92-0.99), and higher perceived risk of hypertension-related complications (OR: 2.34 , 95% CI: 1.52-3.60). Conclusion High perceived risk of hypertension-related complications is significantly correlated with adherence to antihypertensive treatment.
