Monitoring one-year compliance to antihypertension medication in the Seychelles (original) (raw)
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Monitoring One-Year Compliance to Antihypertension Medication in the Seychelles. (Research)
Bulletin of the World Health Organization, 2002
Objective To examine the compliance to medication among newly diagnosed hypertensive patients screened from the general population of the Seychelles, a rapidly developing country. Methods Among the 1067 participants to a population-based survey for cardiovascular risk factors, hypertension was discovered in 50 (previously unaware of having hypertension and having blood pressure 5160/95 mmHg over 3 visits). These 50 patients were placed on a daily one-pill regimen of medication (bendrofluazide, atenolol, or a combination of hydrochlorothiazide and atenolol) and compliance to the regimen was assessed over 12 months using electronic pill containers. Satisfactory compliance was defined as taking the medication on 6 or 7 days a week on average (which corresponds to a mean compliance level of 586%). Findings In the first month, fewer than half (46%) of the new hypertension patients achieved satisfactory compliance, and only about one-quarter (26%) achieved this level by the twelfth month. Compliance was better among the 23 participants who regularly attended medical follow-up, with nearly three-quarters of these patients (74%) achieving satisfactory compliance during the first month and over one-half (55%) by the twelfth month. There was a direct association between mean 12-month compliance level and having a highly skilled occupation; having good health awareness; and regularly attending medical appointments. In contrast, there was an inverse relationship between mean compliance level and heavy drinking. Conclusion The low proportion of people selected from the general population who were capable of sustaining satisfactory compliance to antihypertension medication may correspond to the maximum effectiveness of medication interventions based on a screening and treatment strategy in the general population. The results stress the need for both high-risk and population approaches to improve hypertension control.
Hypertensive Patients Compliance with Medications in Marjan Teaching Hospital/ Babylon
Hypertension is a major public-health challenge worldwide and one in every three adults has high blood pressure poor or noncompliance produce uncontrolled hypertension that will lead to more complications. The objective of this study is to evaluate compliance of hypertensive adults with their treatment, this is a descriptive cross sectional study was conducted at the medical consultation clinics of Marjan Teaching Hospital during the period from January through July 2013, 323 hypertensive patients aged over 25 years were interviewed and assessed using a special questionnaire format based on Morisky 8-Item Medication Adherence Scale. Weight, height , and blood pressure were measured. The study showed that mean age of patients was 51.28 ± 9.81 years. Good compliance with treatment was present in only 24.8% of the sample and 57.9% had poor compliance. Nearly 90% of patients tend to measure their blood pressure at governmental clinics, 34.1% do not remember their last blood pressure reading; 33.4% do not know the normal reading and 21.3% tend to measure their blood pressure every 3 months or more and good control of blood pressure was present only in 22.3% of patients. In conclusion the study revealed a low rate of medication compliance and low level of blood pressure control with strong association between them. Compliance increased with higher level of education, presence of complication, longer duration of disease and the use of single medication.
2015
Background: Non-compliance to blood pressure-lowering medication is a major reason for poor control of hypertension worldwide. We assessed the level of compliance to anti-hypertensive therapy and identified factors contributing to poor compliance among hypertensives in Kano. Methodology: Three hundred and sixty outpatients were interviewed using a pre-tested, structured, mostly closed ended questionnaire in Murtala Mohammed Specialist Hospital in Kano, Nigeria. Results: Good compliance with drug treatment was observed in 54.2 % of the respondents and poor compliance among the remainder. Poor compliance was found to be mainly due to ignorance on need for regular treatment (32.7%), lack of funds to purchase drugs (32.7%) and side effects of drugs (12.1%). Patients with formal education, and higher monthly income were more compliant to treatment. In addition, those on single drugs were more compliant compared to those on two or more drugs. Poor compliance was found to be mainly due to ...
Compliance to antihypertensive medication: a cross-sectional study in Aligarh
International Journal Of Community Medicine And Public Health
Background: Hypertension is a global public health issue. Hypertensive heart disease is one of the top ten leading causes of death in the world. It was responsible for an estimated 1.1 million deaths worldwide in 2012. To prevent some of the complications of hypertension regular intake of the prescribed treatment in the form of medicines (pills) is essential. Poor compliance to anti-hypertensive therapy is usually associated with bad outcome of the disease and wastage of limited health care resources. With these viewpoints the study aimed to assess the level of compliance of hypertensive patients to their anti-hypertensive medications and to determine the socio-demographic correlates of compliance. Methods: This was community based cross sectional study conducted in urban and rural areas in Aligarh. A total of 350 hypertensive patients were selected using simple random sampling. A pretested semi-structured questionnaire was used. Compliance was measured by Morisky 8-item Medication ...
2021
Purpose: Hypertension is the biggest single contributing risk factor to global morbidity and mortality burden. Despite worldwide improvement in diagnosis and treatment options for hypertension, poor adherence remains an impediment to improving patients’ overall quality of life. This study sought to investigate adherence rates in hypertensive patients and the local factors that contribute to nonadherence. Methods: This was a hospital-based cross-sectional study conducted at the out-patient department of a hypertension specialist-led clinic in Kumasi-Ghana. The Morisky Medication Adherence Scale 8 was used to measure adherence to antihypertensive medications. Bivariate logistic regression analysis was done to measure the strength of the association between sociodemographic level, BP level, antihypertensive drug used and medication adherence score.
World Family Medicine Journal/Middle East Journal of Family Medicine, 2015
Hypertension is considered as one of the most frequent chronic illnesses and the most important cardiovascular risk factor in developed countries. Despite the fact that many advances in the management of hypertension have been made, still noncompliance with prescribed therapeutic drugs is considered a major barrier in clinical control and management of hypertension drug therapy. This study aimed to determine the most prevalent factors related to non-compliance to antihypertensive treatment. Design: A questionnaire-based cross-sectional study focused on factors thought to be responsible for non-compliance with hypertensive medication, in patients referred to outpatient medical clinic at Prince Zaid Military Hospital, Jordan. Participants: 471 patients attended the outpatient medical clinic during the period from June, 2011-December, 2011. Results: The study revealed that about 24% of the enrolled patients were non-compliant to the hypertensive treatment in which (80.7%) reported that lack of information regarding importance of taking drugs, drug prescription regimen for more than one dose per day accounted for (71.9%) while primary and secondary education levels (70.2%) were more than the illiterate and higher education. The number of medications among non-compliant patients accounted for (62.2) for more than one medication and unavailability of drug (59.6%), forgetfulness (55.3%) and drug side effects (50.9%) and absence of symptoms (44.7 %) was the least reported factor of non-compliance.
Level of Adherence to Antihypertensive Medications Among Adult Hypertensive Patients in Riyadh City
Innovative Journal of Medical and Health Science, 2019
Background: In 2015, there were 1.13 billion individuals living with hypertensionaround the globe. The predominance of hypertension worldwide is of about 40%. InSaudi Arabia, it reached 3.2% among those aged between 15-24 years, 51.2% amongthose aged 55-64 years and up to 70% among those aged 65 years and more. Hypertensioncauses 7.5 million deaths, about 12.8% of the total deaths every year. Adherenceto medication is essential for maintaining life for hypertensive patients.Objective: This study aimed to assess the level of adherence to hypertension medicationsand to determine factors affecting the compliance of hypertensive patients totheir antihypertensive drugs.Methods: we have conducted a descriptive cross-sectional study in Riyadh city population,Saudi Arabia. This study was conducted during the period from December2018 to January 2019. The participants were selected by random sampling. Samplingincluded the different geographical areas of the city. The total sample included216 ...
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2018
Introduction: Hypertension (HTN) is a chronic Cardiovascular Disease (CVD) characterised by persistently raised Blood Pressure (BP >140/90 mmHg), leading to various complications and currently causing the highest mortality, worldwide. The risks of morbidity and mortality related to HTN can be diminished by proper compliance to pharmacotherapy. Aim: To assess the compliance to treatment of HTN and to study its correlation with various sociodemographic variables, presence of other comorbidities, BP control, duration of disease and knowledge about duration of continuation of antihypertensives. Materials and Methods: A cross-sectional study was conducted in a district of Gujarat, India for a period of one year. A sample size of 400 was calculated. Hypertensive patients attending Non Communicable Disease (NCD) clinics at the tertiary care hospital and Community Health Centres (CHCs) of Jamnagar district, Gujarat, India selected by simple random sampling, formed the study population. Data were collected from patients using a predesigned, pretested and semistructured questionnaire. The data were analysed by MedCalc 10.4.8.0 software applying Chi-square test. results: The rate of treatment compliance observed was 359 (89.8%). Among the non compliant patients, 28 (68.3%) had poor compliance whereas 13 (31.7%) had discontinued the treatment. Compliance to treatment showed highly significant association (p<0.001) with age, type of family, educational status, socioeconomic status, locality of residence, health insurance status and knowledge about hypertensive treatment. Patients with improper knowledge about treatment were more likely to be non compliant. It was observed the duration of illness was inversely proportional to the treatment compliance and this was statistically significant (p<0.05). Significant statistical association (p<0.05) was also observed between marital status and occupation of the patient and compliance. The other reasons of non compliance were forgetfulness, financial reasons and it was also observed that patients did not like to carry their medications when away from home. It was observed that only 10 (24.4%) of the non compliant patients had controlled BP as compared to 150 (41.9%) in the compliant patients. conclusion: The findings of the study suggest measures should be taken for proper awareness among patients regarding HTN, its treatment and complications. Log book maintenance and other measures for checking compliance should be adopted.
Patient Preference and Adherence
Background: Recent research suggests that poor adherence to antihypertensive medication (AHM) is a major problem in the management of hypertension. This study was therefore designed to evaluate the frequency of AHM and associated risk factors in patients attending a national referral hospital in Asmara, Eritrea. Methods: A total of 335 respondents (females: 222 (66.3%) participated in this crosssectional study. Adherence to Medication was evaluated using a modified version of the Medication Adherence Report Scale (MARS). Additional data were abstracted from patients' medical records and a WHO STEPwise questionnaire. Results: The mean (±SD) age of the study participants was 59.65 (±12.20) years (females: 56.82 (±9.95) vs males: 57.17 (±9.60) years, p-value=0.001). Similarly, the median (IQR) for diastolic blood pressure (DBP) and systolic blood pressure (SBP) were 85.00 mmHg (IQR: 80.00-90.00 mmHg) and 145.00 mmHg (IQR: 130.00-160.00 mmHg), respectively. Overall, 246 (73.4%) and 244 (72.8%) participants had poor knowledge and poor adherence to AHM, respectively. In the multivariate analysis, factors associated with increased odds of poor adherence to AHM included sex (females: adjusted odds ratio (aOR): 4.