Prevalence and risk factors for poor medication adherence among chinese hypertensive patients
- Author:
Yue ZHAO
1
Author Information
- Publication Type:Journal Article
- Keywords: Hypertension; Medication adherence; Risk factor; Self-efficacy
- From: Chinese Pharmaceutical Journal 2015;50(6):559-562
- CountryChina
- Language:Chinese
- Abstract: OBJECTIVE: To investigate the magnitude of poor medication adherence among Chinese hypertensive patients, and investigate the risk factors associated with antihypertensive medication adherence. METHODS: The pharmacist conducted the cross-sectional study in a comprehensive teaching hospital via face-to-face interview, using some questionnaires and scales. RESULTS: The 62 (26.3%), 51 (21.6%) and 123 (52.1%) of the hypertensive patients showed low, moderate and high medication adherence. In the univariate analysis, patients' antihypertensive adherence was associated with the factors of age (P=0.033), employment (P=0.021), family history (P=0.016), duration of hypertension (P=0.002), combination of antiplatelet/antilipemic agents (P=0.001), forgetfulness (P < 0.001), medical cost (P < 0.001), side effects (P=0.020), concerns of long-term effects (P=0.024), other problems caused by drugs (P=0.005), and self-efficacy (P < 0.001). In the multivariate analysis, the factors of duration of hypertension and self-efficacy were identified to independently affect medication adherence among Chinese hypertensive patients. CONCLUSION: Medication adherence among Chinese hypertensive patients is far from optimal, and the pharmacists should take effective interventions to improve patients' adherence on the basis of the risk factors.
