Adherence to medications and associated factors: A cross-sectional study among Palestinian hypertensive patients

Abstract Objective The aim of this study was to assess the prevalence of chronic kidney disease and to identify associated factors of chronic kidney disease among hypertensive patients. A cross-sectional study was conducted among selected 578 hypertensive patients. Data were collected using face to face interviewing questionnaires and from medical chart review. Binary logistic regression analyses were performed and analyzed using SPSS version 23.0. Result Of the total 578 hypertensive patients the prevalence of chronic kidney disease was found to be 128 (22.1%). Of these hypertensive patients, patients with uncontrolled blood pressure, overweight/obesity, dyslipidemia and diabetic mellitus, 43.3%, 33.7%, 27.3% and 28.2 respectively. After adjustment, the independent variables the significant associated factors of chronic kidney disease among hypertensive patients were age [AOR (95% CI 1.43 (1.07–1.81)], uncontrolled hypertension 4.434 [AOR (95% CI 9.45 (1.34, 14.73)], overweight/obese [AOR (95% CI 7.422 (2.72, 20.28)], dyslipidemia [AOR (95% CI) 13.749 (5.69, 33.215)], diabetic mellitus [AOR (95% CI) 2.137 (1.07, 4.26)]. In conclusion, the prevalence of chronic kidney disease was considerably high. The major associated factors of chronic kidney disease were age, uncontrolled hypertension, overweight/obese, diabetic mellitus and dyslipidemia.

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Knowledge on Stroke Warning Signs and Associated Factors Among Hypertensive Patients, Northwest Ethiopia: An Institution-Based Cross-Sectional Study

Vascular Health and Risk Management ◽

10.2147/vhrm.s333394 ◽

2021 ◽

Vol Volume 17 ◽

pp. 721-728

Author(s):

Adane Birhanu Nigat ◽

Moges Abate ◽

Agimasie Tigabu Demelash ◽

Nigusie Selomon Tibebu ◽

Chalie Marew Tiruneh ◽

...

Keyword(s):

Associated Factors ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

Warning Signs ◽

Sectional Study ◽

Cross Sectional ◽

Hypertensive Patients

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Treatment adherence among patients with hypertension: findings from a cross-sectional study

Clinical Hypertension ◽

10.1186/s40885-020-00151-1 ◽

2020 ◽

Vol 26 (1) ◽

Author(s):

Fahad M. Algabbani ◽

Aljoharah M. Algabbani

Keyword(s):

Medication Adherence ◽

Associated Factors ◽

Cross Sectional Study ◽

Adherence Rate ◽

Sectional Study ◽

Adherence To Treatment ◽

Antihypertensive Medications ◽

Cross Sectional ◽

Hypertensive Patients ◽

Adherence To Medication

Abstract Background Hypertension is a major risk factor for cardiovascular disease, which is the leading cause of mortality globally. Patient’s adherence to treatment is a cornerstone factor in controlling hypertension and its complications. This study assesses hypertension patients’ adherence to treatment and its associated factors. Methods This cross-sectional study conducted in Riyadh, Saudi Arabia. The study targeted outpatients aged ≥18 years who were diagnosed with hypertension. Participants were recruited using a systemic sampling technique. The two main measurements were assessing adherence rate of antihypertensive medications using Morisky scale and identifying predictors of poor medication adherence among hypertensive patients including socio-economic and demographic data, health status, clinic visits, medication side effects, medications availability, and knowledge. Descriptive and logistic regression analyses were performed to assess factors associated with poor adherence. Results A total of 306 hypertensive outpatients participated in this study. 42.2% of participants were adherent to antihypertensive medications. Almost half of participants (49%) who reported having no comorbidities were adherent to antihypertensive medications compared to participants with one or more than one comorbidities 41, 39% respectively. The presence of comorbid conditions and being on multiple medications were significantly associated with medication adherence (P-values, respectively, < 0.004, < 0.009). Patients with good knowledge about the disease and its complications were seven times more likely to have good adherence to medication (P < 0.001). Conclusions Non-adherence to medications is prevalent among a proportion of hypertensive patients which urges continuous monitoring to medication adherence with special attention to at risks groups of patients. Patients with comorbidities and on multiple medications were at high risk of medication non-adherence. Patients’ knowledge on the disease was one of the main associated factors with non-adherence.

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Uncontrolled hypertension and associated factors among adult hypertensive patients on follow-up at Jimma University Teaching and Specialized Hospital: cross-sectional study

Research Reports in Clinical Cardiology ◽

10.2147/rrcc.s132126 ◽

2017 ◽

Vol Volume 8 ◽

pp. 21-29 ◽

Cited By ~ 7

Author(s):

Bekele Tesfaye ◽

Dessalegn Haile ◽

Benalfew Lake ◽

Tefera Belachew ◽

Temamen Tesfaye ◽

...

Keyword(s):

Associated Factors ◽

Cross Sectional Study ◽

University Teaching ◽

Uncontrolled Hypertension ◽

Sectional Study ◽

Cross Sectional ◽

Hypertensive Patients ◽

Specialized Hospital ◽

Jimma University

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Evaluation of Medication Adherence and Associated Factors in Hypertensive Patients in Bangalore, India; A Cross-Sectional Study

International Journal of Pharmaceutical Investigation ◽

10.5530/ijpi.2021.4.76 ◽

2021 ◽

Vol 11 (4) ◽

pp. 426-431

Author(s):

Amar Prashad Chaudhary ◽

Jeswin George ◽

Kaveri Kadowade ◽

Lubna Faiyza ◽

Rabiya Anjum ◽

...

Keyword(s):

Medication Adherence ◽

Associated Factors ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Hypertensive Patients

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Prevalence and associated factors of chronic kidney disease among adult hypertensive patients in Tigray teaching hospitals: A cross-sectional study

10.21203/rs.2.13012/v1 ◽

2019 ◽

Author(s):

Degena Bahrey ◽

Gebreamlak Gebremedhn ◽

Teklewoini Mariye ◽

Alem Girmay ◽

Woldu Aberhe ◽

...

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Associated Factors ◽

Cross Sectional Study ◽

Uncontrolled Hypertension ◽

Teaching Hospitals ◽

Sectional Study ◽

Diabetic Mellitus ◽

Cross Sectional ◽

Hypertensive Patients

Abstract Objective: The aim of this study was to assess the prevalence of chronic kidney disease and to identify associated factors of chronic kidney disease among hypertensive patients. A cross-sectional study was conducted among selected five hundred seventy eight hypertensive patients. Data were collected using face to face interviewing questionnaires and from medical chart review. Binary logistic regression analyses were performed and analyzed using SPSS version 23.0. Result: Of the total 578 hypertensive patients the prevalence of chronic kidney disease was found to be 128 ( 22.1%). Of these hypertensive patients, patients with uncontrolled blood pressure, overweight/obesity, dyslipidemia and diabetic mellitus, 43.3%, 33.7% , 27.3 % and 28.2 respectively. After adjustment, the independent variables the significant associated factors of chronic kidney disease among hypertensive patients were age [AOR (95% CI = 1.43 (1.07-1.81) ] , uncontrolled hypertension 4.434 [AOR ( 95%CI =9.45 (1.34, 14.73) ] , overweight/obese [AOR ( 95%CI =7.422 ( 2.72, 20.28) ] , dyslipidemia [AOR (95% CI) = 13.749 (5.69, 33.215)], diabetic mellitus [AOR (95% CI) = 2.137 (1.07, 4.26)]. In conclusion, the prevalence of chronic kidney disease was considerably high. The major associated factors of chronic kidney disease were age, uncontrolled hypertension, overweight/obese, diabetic mellitus and dyslipidemia.

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Drug Compliance and Its Associated Factors Among Hypertensive Patients in Pakistan: A Cross-sectional Study

Hospital Pharmacy ◽

10.1177/0018578718758971 ◽

2018 ◽

Vol 53 (6) ◽

pp. 389-392

Author(s):

Kashif Ali ◽

Syed Omair Adil ◽

Najeebullah Soomro ◽

Ayisha Bibi ◽

Sadaf Kalam

Keyword(s):

Blood Pressure ◽

Cardiovascular Disease ◽

Associated Factors ◽

Cross Sectional Study ◽

Drug Adherence ◽

Sectional Study ◽

Drug Compliance ◽

Cross Sectional ◽

Hypertensive Patients ◽

High Compliance

The drug compliance and its associated factors were investigated among hypertensive patients attending the outpatient department of National Institute of Cardiovascular Disease (NICVD), Karachi, from September 2014 to March 2015. Data were collected retrospectively from 300 hypertensive patients taken treatment for >1 year. Half of the patients (51%) were >55 years of age with the predominance of males (52.70%). Most respondents (47%) had had ischemic heart disease (IHD), 30% had diabetes, 47% had both IHD and diabetes, while only a small number of subjects (18%) reporting no comorbidity. Most respondents (82%) reported that they took medicine regularly. Drug compliance was found significantly higher in males (55.70%) as compared with females (44.30%) ( P = .025). Similarly, drug compliance was found significantly higher in patients who monitored their blood pressure (BP) regularly (59.30%) as compared with the patients who did not monitor their BP regularly (40.70%) ( P = .001). Most respondents (46.30%) with hypertension (HTN) duration ≤5 years had significantly higher drug compliance as compared with the patients with HTN duration of 6 to 10 years and ≥11 years, that is, 33.30% and 20.30%, respectively ( P = .018). In conclusion, the rate of drug adherence is not up to the mark in hypertensive patients, with high compliance reported in only half of the respondents.

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