title: Adherence to antihypertensive treatment and its determinants among urban slum dwellers in Kolkata, India.
abstract: A cross-sectional study was conducted to determine the prevalence and predictors of adherence to modern antihypertensive pharmacotherapy among slum dwellers in Kolkata, India. Prevalence of adherence based on patient self-reports of consuming ≥80% of the prescribed medications over a recall period of 1 week was found to be 73% (95% confidence interval = 68%-78%). Compared with their counterparts, the following patients were more likely to be adherent to treatment: patients hypertensive for ≥5 years (2.98 times), those whose hypertension was detected during checkups for conditions related to hypertension (2.35 times), those living with ≤4 family members (2.01 times), those with family income of ≥3000 rupees (2.56 times), those who were getting free drugs (4.16 times), patients perceiving current blood pressure to be under control (2.23 times), and those satisfied with current treatment (3.77). Those adherent to their prescribed medications were 1.71 times more likely to achieve adequate control of hypertension compared with those who were not adherent.
authors.affiliation: Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST), Kerala, India.
authors.forename: Subhasis
authors.initials: S
authors.lastname: Bhandari
authors.affiliation: Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST), Kerala, India.
authors.forename: P Sankara
authors.initials: PS
authors.lastname: Sarma
authors.affiliation: Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST), Kerala, India kavumpurathu@yahoo.com.
authors.forename: Kavumpurathu R
authors.initials: KR
authors.lastname: Thankappan
mesh_terms: D000328:Adult; D000368:Aged; D000959:Antihypertensive Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D001794:Blood Pressure; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D006973:Hypertension / Q000188:drug therapy* / Q000453:epidemiology; D007194:India / Q000453:epidemiology; D008297:Male; D055118:Medication Adherence; D008875:Middle Aged; D011204:Poverty Areas; D015995:Prevalence; D057566:Self Report; D012959:Socioeconomic Factors
chemical_list: D000959:Antihypertensive Agents