scholarly journals A Review on Prevalence of Medication Adherence among Hypertensive Patients in India

2021 ◽  
Vol 8 (7) ◽  
pp. 30-35
Author(s):  
Satish S ◽  
Minnu Sara Sam ◽  
A R Shabaraya
Keyword(s):  
Blood Pressure ◽  
Medication Adherence ◽  
Public Health Problem ◽  
Pressure Control ◽  
Antihypertensive Medications ◽  
Hypertensive Patients ◽  
Adherence To Medication ◽  
Cardio Vascular Disease ◽  
Poor Blood Pressure Control ◽  
Cardio Vascular

Prevalence of hypertension is increasing exponentially in India. Hence hypertension has become a crucial public health problem in India. High blood pressure (BP) could be a major risk factor for cardio vascular disease and better control can result in prevention of 300,000 of the 1.5 million annual deaths from cardiovascular diseases in India. Various studies among Indian patients evident that not adherence to their antihypertensive regimen and this might end in poor blood pressure control. Adherence to medication among the hypertensive people from the current studies is poor. A comprehensive strategy to enhance adherence to antihypertensive medications is the need of the hour. In this article an attempt has been made to compile all the research evidence on prevalence of Medication Adherence among hypertensive patients in India. Keywords: Medication, Adherence, Prevalence, Hypertension, India.

scholarly journals Medication Adherence and Blood Pressure Control: A Scientific Statement From the American Heart Association

Hypertension ◽  
2021 ◽  
Author(s):  
Niteesh K. Choudhry ◽  
Ian M. Kronish ◽  
Wanpen Vongpatanasin ◽  
Keith C. Ferdinand ◽  
Valory N. Pavlik ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Medication Adherence ◽  
Blood Pressure Control ◽  
Heart Association ◽  
Pressure Control ◽  
Medication Nonadherence ◽  
Antihypertensive Medications ◽  
Poor Blood Pressure Control ◽  
Scientific Statement ◽  
The Individual

The widespread treatment of hypertension and resultant improvement in blood pressure have been major contributors to the dramatic age-specific decline in heart disease and stroke. Despite this progress, a persistent gap remains between stated public health targets and achieved blood pressure control rates. Many factors may be important contributors to the gap between population hypertension control goals and currently observed control levels. Among them is the extent to which patients adhere to prescribed treatment. The goal of this scientific statement is to summarize the current state of knowledge of the contribution of medication nonadherence to the national prevalence of poor blood pressure control, methods for measuring medication adherence and their associated challenges, risk factors for antihypertensive medication nonadherence, and strategies for improving adherence to antihypertensive medications at both the individual and health system levels.

scholarly journals The association between medication adherence and blood pressure control among hypertensive patients attending a tertiary hospital in south-south Nigeria

2021 ◽  
Vol 9 (4) ◽  
pp. 965
Author(s):  
Lillian N. Ozumba ◽  
Geraldine U. Ndukwu
Keyword(s):  
Blood Pressure ◽  
Medication Adherence ◽  
Family Medicine ◽  
Blood Pressure Control ◽  
Teaching Hospital ◽  
Pressure Control ◽  
Bivariate Analysis ◽  
Hypertensive Patients ◽  
Port Harcourt ◽  
Poor Blood Pressure Control

Background: Hypertension is a common disease among adults. It is a global health condition that requires drugs and lifestyle changes for its management and control. Despite this, the rate of hypertension related deaths has been increasing in prevalence across the world. The purpose of this paper is to determine the association between medication adherence and blood pressure control among hypertensive patients in Family Medicine Clinic, University of Port Harcourt Teaching Hospital, Rivers State, Nigeria.Methods: A hospital based cross-sectional study was conducted in Family Medicine Clinic, University of Port Harcourt Teaching Hospital. Systematic sampling method was used to select 400 participants. A structured questionnaire namely Morisky Medication Adherence Scale-4 was adapted and used for data collection in this study. Bivariate analysis was done using Chi square test and odd ratio.Results: A total of 400 (118 males and 282 females) adult hypertensive patients participated in this study. Majority of the participants had poor adherence to medication treatment 71.2% (n=285), whereas the remaining ones 28.8% (n=115) had good adherence. Similarly, most of the participants, 77.2% (n=309) had poor blood pressure control while the remainder 22.8% (n=91) experienced the opposite. The bivariate analysis showed that good medication adherence was significantly associated with good blood pressure control.Conclusions: Medication adherence was low especially among those with poor blood pressure control. This link was statistically significant therefore doctor-patient interaction with emphasis on medication adherence is advocated. 

scholarly journals Treatment adherence and blood pressure outcome among hypertensive out-patients in two tertiary hospitals in Sokoto, Northwestern Nigeria

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Rasaq Adisa ◽  
Olumide Ayodeji Ilesanmi ◽  
Titilayo Oyelola Fakeye
Keyword(s):  
Blood Pressure ◽  
Cigarette Smoking ◽  
Treatment Adherence ◽  
Pressure Control ◽  
Patient Specific ◽  
Lifestyle Modifications ◽  
Antihypertensive Medications ◽  
Chi Square ◽  
Cross Sectional ◽  
Adherence To Medication

Abstract Background Treatment adherence play important roles in blood pressure control leading to reduction in morbidity and mortality. This study therefore assessed adherence to pharmacological and non-pharmacological therapies among ambulatory hypertensive patients. Reasons for treatment non-adherence, and association between adherence and blood pressure were also investigated. Methods Cross-sectional questionnaire-guided interview and retrospective review of medical records of 605-patients from two-tertiary healthcare institutions in Sokoto, Northwestern Nigeria. Nine-item modified Morisky adherence scale was used to assess medication adherence. Overall adherence score to lifestyle modifications was obtained from the total scores from 4-domains of non-pharmacological measures including cigarette smoking and alcohol cessation, salt-restriction and exercise. Patient-specific adherence education was provided at contact to resolve the knowledge gap(s). Clinical-parameters were retrieved at contact and subsequent 2-months appointment. Descriptive statistics, Chi-square and Student’s t-test were used for analysis at p < 0.05. Results Fifty-four (8.9%) patients were adherent to medications. Forgetfulness (404; 35.2%) was the most common reason for medication non-adherence. Use of buddy/companion reminder (605, 30.2%) top the list of adherence education. Overall adherence to lifestyle modifications was 36(6.0%). Mean systolic blood pressure (SBP) at contact was 149.6 ± 22.5 versus 134.2 ± 15.8 mmHg at 2-months with a 10% reduction. There were significant associations in baseline SBP for patients with or without adherence to medication, cigarette smoking cessation, and exercise (p < 0.05). Conclusions Overall adherence to antihypertensive medications and lifestyle modifications is suboptimal, underscoring the need for continuous patient-specific adherence education to ensure better therapeutic outcomes.

scholarly journals Adherence to Antihypertensive Medications and Its Determinants in Hypertensive Patients - A Complete Review

2021 ◽  
Vol 8 (2) ◽  
pp. 42-48
Author(s):  
Satish S ◽  
Manju Jose ◽  
A R Shabaraya
Keyword(s):  
Medication Adherence ◽  
Lifestyle Changes ◽  
Early Mortality ◽  
Control Blood Pressure ◽  
Antihypertensive Medications ◽  
Related Factors ◽  
Hypertensive Patients ◽  
Adherence To Medication ◽  
Common Barriers ◽  
Global Health Problem

Hypertension is a global health problem, it causes complications of cardiovascular diseases, stroke, and renal failure leading to early mortality and disability. Adherence to antihypertensive medications helps to control blood pressure levels. WHO defines adherence as ''the extent to which a person's behavior taking medication, following a diet, and / or executing lifestyle changes-corresponds with agreed recommendations from a health care provider. Poor adherence is the major cause of uncontrolled BP. Common barriers to adherence are under the patient's control, so that attention to them is a necessary and important step in improving adherence. The factors driving patients’ adherence to medication are multifactorial, but can be grouped under five main domains including socioeconomic factors, healthcare system related factors, disease related factors, therapy-related factors and patient-related factors. Identifying factors that affect medication adherence is the first step towards improving adherence. This article covers various factors influencing medication non adherence among hypertensive patients. Keywords: Hypertension, medication adherence.

scholarly journals A Clinical Prediction Model of Medication Adherence in Hypertensive Patients in a Chinese Community Hospital in Beijing

2020 ◽  
Vol 33 (11) ◽  
pp. 1038-1046 ◽  
Author(s):  
Wenjuan Gao ◽  
Hong Liu ◽  
Caiying Ge ◽  
Xinying Liu ◽  
Hongyan Jia ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Predictive Model ◽  
Community Hospital ◽  
Antihypertensive Drugs ◽  
Pressure Control ◽  
Smoking History ◽  
Operating Characteristics ◽  
Antihypertensive Medications ◽  
Hypertensive Patients ◽  
Factors Affecting

Abstract BACKGROUND Hypertension remains a global health problem. Since, there is a significant positive correlation between antihypertensive medication adherence and blood pressure control, it is therefore of great importance to elucidate the determinants of adherence to antihypertensive medications among hypertensive patients. METHODS Hereby, we retrospectively analyzed the medical records of a hypertensive cohort recruited from a community hospital in Beijing, China, to investigate the factors affecting adherence to antihypertensive medications using decision trees. In addition, all data were assigned into a training set (75%) and testing set (25%) by the random number seed method to build and validate a compliance predictive model. We identified that how many times patients became nonadherent to antihypertensive medications in the year before the first prescription, types of antihypertensive drugs used in the year before the first prescription, body weight, smoking history, total number of hospital visits in the past year, total number of days of medication use in the year before enrollment, age, total number of outpatient follow-ups in the year after the first prescription, and concurrent diabetes greatly affected the compliance to antihypertensive medications. RESULTS The compliance predictive model we built showed a 0.78 sensitivity and 0.69 specificity for the prediction of the compliance to antihypertensive medications, with an area under the representative operating characteristics curve of 0.810. CONCLUSIONS Our data provide new insights into the improvements of the compliance to antihypertensive medications, which is beneficial for the management of hypertension, and the compliance predictive model may be used in community-based hypertension management.

Factors associated with multimorbidity and its link with poor blood pressure control among 223,286 hypertensive patients

2014 ◽  
Vol 177 (1) ◽  
pp. 202-208 ◽  
Author(s):  
Martin C.S. Wong ◽  
Harry H.X. Wang ◽  
Clement S.K. Cheung ◽  
Ellen L.H. Tong ◽  
Antonio C.H. Sek ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Blood Pressure Control ◽  
Pressure Control ◽  
Hypertensive Patients ◽  
Factors Associated ◽  
Poor Blood Pressure Control

scholarly journals Medication Adherence and Blood Pressure Control Among Hypertensive Patients With Coexisting Long-Term Conditions in Primary Care Settings

Medicine ◽  
2016 ◽  
Vol 95 (20) ◽  
pp. e3572 ◽  
Author(s):  
Yu Ting Li ◽  
Harry H.X. Wang ◽  
Kirin Q.L. Liu ◽  
Gabrielle K.Y. Lee ◽  
Wai Man Chan ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Primary Care ◽  
Medication Adherence ◽  
Blood Pressure Control ◽  
Pressure Control ◽  
Long Term Conditions ◽  
Hypertensive Patients ◽  
Primary Care Settings
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