Community hypertension in Pearl River Delta of Guangdong Province: medication adherence and its influential factors
10.3760/cma.j.issn.1674-0815.2018.02.001
- VernacularTitle:珠江三角洲地区社区高血压患者服药依从性及其影响因素分析
- Author:
Man ZHANG
1
;
Haoxiang WANG
;
Zhipeng YANG
;
Zhijie HUANG
;
Wensen OU
;
Wenlin WU
;
Baoxin CHEN
;
Yongyi ZHONG
;
Jinming WANG
;
Yongqing MIAO
;
Jiaji WANG
Author Information
1. 广州医科大学公共卫生学院
- Keywords:
Hypertension;
Medication adherence;
Community health services;
Influential factors
- From:
Chinese Journal of Health Management
2018;12(2):97-102
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate medication adherence and its influencing factors in community-based hypertensive patients in the Pearl River Delta of Guangdong Province, and lay the foundation for the development of targeted compliance interventions. Methods Between July 2015 and October 2016, a multi-stage cluster sampling method was used to conduct a community-based diagnostic survey in the Pearl River Delta region.A total of 1 829 community-based hypertension patients in this survey population were used to investigate medication adherence, the factors of which were derived through a multi-factor logistics regression analysis.Results The average medication-adherence score of hypertensive patients surveyed in this study was (4.6 ± 1.8), and patients with good medication adherence accounted for 62.82%(1 149/1 829).There were significant differences in medication adherence among patients according to their age, household registration types, marital status, level of education, employment status, medical payment methods,per capita monthly household income,drinking status,and family history of hypertension (P<0.05).Multivariate logistic regression analysis found that medication adherence was affected substantially by the type of household registration:local household types (OR= 0.537, 95% CI: 0.415-0.695); education level: college,bachelor and above (OR=2.139,95% CI:1.100-4.160); employment status: self-paying (OR=0.591, 95% CI: 0.376-0.930); and a family history of hypertension (OR= 1.279, 95% CI: 1.012-1.617).Conclusions It is necessary to pay more attention to medication adherence in patients with hypertension in communities.Given the influencing factors and characteristics illuminated by this study,it is suggested that various measures be taken to prevent and intervene in poor medication adherence, to improve the curative effect of hypertensive patients in communities.
