title: Comparative analysis of non-adherence to medication treatment for systemic arterial hypertension in urban and rural populations.
abstract: OBJECTIVE
  to evaluate the indexes and the main factors associated with non-adherence to medication treatment for systemic arterial hypertension between urban and rural areas.
  
  
  METHODS
  analytical study based on an epidemiological survey with a sample of 247 hypertensive residents of rural and urban areas, with application of a socio-demographic and economic questionnaire, and treatment adherence assessment. The Pearson's Chi-square test was used and the odds ratio (OD) was calculated to analyze the factors related to non-adherence.
  
  
  RESULTS
  the prevalence of non-adherence was 61.9% and it was higher in urban areas (63.4%). Factors significantly associated with non-adherence were: male gender (OR=1.95; 95% CI 1.08-3.50), age 20-59 years old (OR=2.51; 95% CI 1.44-4.39), low economic status (OR=1.95; 95% CI 1.09-3.47), alcohol consumption (OR=5.92, 95% CI 1.73-20.21), short time of hypertension diagnosis (OR=3.07; 95% CI 1.35-6.96) and not attending the health service for routine consultations (OR=2.45; 1.35-4.42).
  
  
  CONCLUSIONS
  the socio-demographic/economic characteristics, lifestyle habits and how to relate to health services were the factors that presented association with non-adherence regardless of the place of residence.
authors: Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
authors: Patricia
authors: P
authors: Magnabosco
authors: Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
authors: Eliana Cavalari
authors: EC
authors: Teraoka
authors: Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
authors: Edward Meirelles
authors: EM
authors: de Oliveira
authors: Escola Eurípedes Barsanulfo, Sacramento, MG, Brazil.
authors: Elisangela Aparecida
authors: EA
authors: Felipe
authors: Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
authors: Dayana
authors: D
authors: Freitas
authors: Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
authors: Leila Maria
authors: LM
authors: Marchi-Alves
mesh_terms: D000328:Adult; D001938:Brazil; D005260:Female; D006801:Humans; D006973:Hypertension / Q000188:drug therapy*; D008297:Male; D008875:Middle Aged; D012423:Rural Health; D014504:Urban Health; D055815:Young Adult; D016903:Drug Monitoring