title: Identification of psychosocial factors of noncompliance in hypertensive patients.
abstract: This cross-sectional study was aimed to identify the predictors of medication noncompliance in hypertensive patients. The study was conducted at the Family Medicine Clinic, Hospital Universiti Sains Malaysia, Kelantan, Malaysia, which is a university-based teaching hospital. All hypertensive patients aged 40 or over-registered from January to June 2004, who had been on treatment for at least 3 months, were screened. Previously validated self-administered questionnaires were used to assess the compliance and psychosocial factors. A total of 240 hypertensive patients were recruited in the study. Of these, 55.8% were noncompliant to medication. Logistic regression showed that age (adjusted odds ratio (OR): 0.96; 95% confidence interval (CI): 0.92-0.997; P: 0.035), patient satisfaction (adjusted OR: 0.97; 95% CI: 0.93-0.998; P: 0.036) and medication barrier (adjusted OR: 0.95; 95% CI: 0.91-0.987; P: 0.009) were significant predictors of medication noncompliance. Therefore, younger age, poor patient satisfaction and medication barrier were identified as independent psychosocial predictors of medication noncompliant in hypertensive patients.
authors.affiliation: Department of Pharmacy, Hospital Universiti Sains Malaysia, Kelantan, Malaysia. norul@kb.usm.my
authors.forename: N B
authors.initials: NB
authors.lastname: Hassan
authors.forename: C I
authors.initials: CI
authors.lastname: Hasanah
authors.forename: K
authors.initials: K
authors.lastname: Foong
authors.forename: L
authors.initials: L
authors.lastname: Naing
authors.forename: R
authors.initials: R
authors.lastname: Awang
authors.forename: S B
authors.initials: SB
authors.lastname: Ismail
authors.forename: A
authors.initials: A
authors.lastname: Ishak
authors.forename: L H
authors.initials: LH
authors.lastname: Yaacob
authors.forename: M Y
authors.initials: MY
authors.lastname: Harmy
authors.forename: A H
authors.initials: AH
authors.lastname: Daud
authors.forename: M H
authors.initials: MH
authors.lastname: Shaharom
authors.forename: R
authors.initials: R
authors.lastname: Conroy
authors.forename: A R A
authors.initials: AR
authors.lastname: Rahman
mesh_terms: D000328:Adult; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D017060:Patient Satisfaction; D011379:Prognosis; D012189:Retrospective Studies; D012307:Risk Factors; D011795:Surveys and Questionnaires; D016312:Treatment Refusal / Q000523:psychology*
chemical_list: D000959:Antihypertensive Agents