title: Frequency of Poor Adherence to Antihypertensive Treatment and an Analysis of Clinico-demographic Correlates.
abstract: This observational study is aimed to determine the frequency of poor compliance to antihypertensive treatment and to identify predictive demographic factors. One hundred and six hypertensive patients, on treatment for more than three months, were enrolled. Demographic characteristics (age, gender, level of education, duration of hypertension and area of residence) were recorded. Number of antihypertensive as well as total medicines, presence of any co-morbid conditions, possible side effects to treatment and financial source for obtaining medications were also enquired. Blood pressure was measured and body mass index was calculated. Compliance was assessed with 4-Item Morisky Medication Adherence Scale. Poor compliance (scores &le; 2) was present in 31 (29.25%) patients. Systolic and diastolic blood pressures were higher in poorly compliant patients. Patients with co-morbid conditions were more likely to have poor compliance (OR=4.238; 95% CI 1.161, 15.468). Other variables did not have a significant association with compliance to treatment. Poor compliance is fairly common in hypertensive patients and should be looked after for more so in patients with co-morbid conditions.
authors.affiliation: Department of Medicine, 1-Mountain Medical Battalion, Azad Kashmir, Pakistan.
authors.forename: Abdul Rehman
authors.initials: AR
authors.lastname: Arshad
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D044466:Asian People / Q000523:psychology / Q000706:statistics & numerical data; D001794:Blood Pressure / Q000187:drug effects; D015897:Comorbidity; D003863:Depression / Q000453:epidemiology; D005260:Female; D006801:Humans; D006973:Hypertension / Q000188:drug therapy* / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D010154:Pakistan / Q000453:epidemiology; D011446:Prospective Studies; D012959:Socioeconomic Factors; D016896:Treatment Outcome; D055815:Young Adult; D016903:Drug Monitoring
chemical_list: D000959:Antihypertensive Agents