title: Patterns and determinants of treatment compliance among hypertensive patients.
abstract: Logistic regression analysis was used to identify predictors of pharmacological and lifestyle compliance among hypertensive patients. Patients attending health insurance clinics for prescription refills were randomly selected and interviewed (n = 316). Blood pressure was controlled for 53.2% of patients but 25.9% were non-compliant with medication. Common barriers to compliance were: feelings of normal blood pressure, forgetfulness, drug holidays and drug side-effects. Patients were non-compliant with smoking cessation (43.6%), weight reduction (59.3%), and dietary salt (22.4%) and fat restriction (26.5%). Misconceptions about smoking cessation and costs of preparing special dishes were common. Independent predictors of compliance were: controlled blood pressure, diet modification, drug side-effects, and perceptions of management benefits and susceptibility to related complications.
authors.affiliation: Department of Community Medicine, Faculty of Medicine, University of Alexandria, Alexandria, Egypt.
authors.forename: R M
authors.initials: RM
authors.lastname: Youssef
authors.forename: I I
authors.initials: II
authors.lastname: Moubarak
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000959:Antihypertensive Agents / Q000145:classification / Q000627:therapeutic use; D004041:Dietary Fats / Q000009:adverse effects; D004534:Egypt; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D006973:Hypertension / Q000209:etiology / Q000523:psychology* / Q000628:therapy*; D008019:Life Style; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D009765:Obesity / Q000150:complications / Q000517:prevention & control; D010349:Patient Compliance / Q000523:psychology* / Q000706:statistics & numerical data; D010353:Patient Education as Topic; D012307:Risk Factors; D040242:Risk Reduction Behavior; D012907:Smoking / Q000009:adverse effects; D000074606:Smoking Prevention; D012959:Socioeconomic Factors; D017673:Sodium Chloride, Dietary / Q000009:adverse effects; D011795:Surveys and Questionnaires
chemical_list: D000959:Antihypertensive Agents; D004041:Dietary Fats; D017673:Sodium Chloride, Dietary