ADHERENCE TO ANTIHYPERTENSIVE MEDICATION AND ITS DETERMINANTS IN A PRIMARY CARE SETTING OF KALABURAGI DISTRICT

Authors

  • GEETHANJALI P Department of Community Medicine, ESIC Medical College, Kalaburagi, Karnataka, India.
  • POONAM P SHINGADE Department of Community Medicine, ESIC Medical College, Kalaburagi, Karnataka, India.
  • AMRUTA SWATI I Department of Community Medicine, ESIC Medical College, Kalaburagi, Karnataka, India.
  • PRASHANT KUMAR Department of Community Medicine, ESIC Medical College, Kalaburagi, Karnataka, India.

DOI:

https://doi.org/10.22159/ajpcr.2024v17i9.52286

Keywords:

Medication adherence, Non-communicable diseases, Antihypertensive drugs.

Abstract

Objectives: Hypertension is a chronic condition of concern and it is the most common non-communicable disorder posing a major public health challenge in many aspects. Adherence to prescribed medicine is a crucial issue that is directly related to the management of hypertension. To control high blood pressure and to avoid associated repercussions, good antihypertensive medication adherence is an effective strategy. The study aimed to estimate adherence to medication among hypertensive patients attending the non-communicable disease clinic at Urban Primary Health Centre (UPHC), Kalaburagi. To assess the determinants of adherence to antihypertensive medication.

Methods: A facility-based cross-sectional study was conducted among adult hypertensive patients receiving treatment from the UPHC. A semi-structured questionnaire and an 8-item Morisky medication adherence scale (MMAS-8) were used to assess the determinants and medication adherence status.

Results: Assessing the adherence level using the Morisky scale (MMAS-8), it was observed that 35 (38.9%) had low adherence, while 26 (28.9%) had medium adherence and 29 (32.2%) had high adherence.

Conclusion: The majority of study participants have poor adherence to antihypertensives. The adherence level can be further improved by providing health education and efficient counseling drug adherence assessment needs to be an integral component of routine care.

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References

Park K. Park’s Text book of Preventive and Social Medicine. 26th ed. Jabalpur: Banarsidas Bhanot Publishers; 2021. p. 602.

World Health Organization (WHO). Factsheet on Hypertension; 2023 March. Available from: https://www.who.int [Last accessed on 2024 Jan 14].

International Institute for Population Sciences, ICF. National Family Health Survey (NFHS-5), 2019-20. Gulbarga, India. Available from: https://rchiips.org/nfhs/factsheet_nfhs-5.shtml [Last accessed on 2024 Jan 25].

Hashmi SK, Afridi MB, Abbas K, Sajwani RA, Saleheen D, Frossard PM, et al. Factors associated with adherence to anti-hypertensive treatment in Pakistan. PLoS One. 2007;2(3):e280. doi: 10.1371/journal.pone.0000280, PMID: 17356691

World Health Organization. Hypertension in Aadherence to Long- Term Therapies-Evidence for Action. Ch. XIII. Geneva: World Health Organization; 2003. p. 129-36. Available from: https://www.emro. who.int/ncd/publications/adherence_report.pdf [Last accessed on 2024 Jan 25].

Morisky DE, Ang A, Krousel‐Wood M, Ward HJ. Predictive validity of a medication adherence measure in an outpatient setting. J Clin Hypertens (Greenwich). 2008;10(5):348-54. doi: 10.1111/j.1751- 7176.2008.07572.x, PMID: 18453793

Sahoo SK, Preeti PS, Biswas D. Adherence to anti-hypertensive drugs: A clinic based study among geriatric hypertensive patients in Rural, India. Natl J Community Med. 2018;9(4):250-4.

Wan J, Wu Y, Ma Y, Tao X, Wang A. Predictors of poor medication adherence of older people with hypertension. Nurs Open. 2022;9(2):1370-8. doi: 10.1002/nop2.1183, PMID: 35094495

Sheilini M, Hande HM, Prabhu M, Pai MS, Devi ES, Kamath A, et al. Antihypertensive prescription pattern, self-reported reasons for non adherence to antihypertensives and lifestyle practices among the elderly. J Clin Diagn Res. 2018;12(1):OC01-4. doi: 10.7860/ JCDR/2018/29729.11025

Kumar N, Unnikrishnan B, Thapar R, Mithra P, Kulkarni V, Holla R, et al. Factors associated with adherence to antihypertensive treatment among patients attending A tertiary care hospital in Mangalore, South India. Int J Curr Res Rev. 2014;6(10):77-85.

Lee GK, Wang HH, Liu KQ, Cheung Y, Morisky DE, Wong MC. Determinants of medication adherence to antihypertensive medications among a Chinese population using Morisky medication adherence scale. PLoS One. 2013;8(4):e62775. doi: 10.1371/journal.pone.0062775, PMID: 23638143

Ambaw AD, Alemie GA, W/Yohannes SM, Mengesha ZB. Adherence to antihypertensive treatment and associated factors among patients on follow up at University of Gondar Hospital, Northwest Ethiopia. BMC Public Health. 2012;12:282. doi: 10.1186/1471-2458-12-282, PMID: 22490130

Khadoura K, Shakibazadeh E, Mansournia MA, Aljeesh Y, Fotouhi A. Determining the prevalence of and the factors associated with antihypertensive medication non-adherence in the Gaza Strip. Korean J Fam Med. 2021;42(2):150-8. doi: 10.4082/kjfm.19.0081, PMID: 32114750

Venkatachalam J, Abrahm SB, Singh Z, Stalin P, Sathya GR. Determinants of patient’s adherence to hypertension medications in a rural population of Kancheepuram District in Tamil Nadu, South India. Indian J Community Med. 2015;40(1):33-7. doi: 10.4103/0970- 0218.149267, PMID: 25657510

Tabassum N, Rao RL. Factors associated with adherence to antihypertensive treatment among hypertensives in urban field practicing areas of Osmania medical college, Hyderabad. Int J Health Sci Res. 2017;7(12):31-9.

Published

07-09-2024

How to Cite

GEETHANJALI P, POONAM P SHINGADE, AMRUTA SWATI I, and PRASHANT KUMAR. “ADHERENCE TO ANTIHYPERTENSIVE MEDICATION AND ITS DETERMINANTS IN A PRIMARY CARE SETTING OF KALABURAGI DISTRICT”. Asian Journal of Pharmaceutical and Clinical Research, vol. 17, no. 9, Sept. 2024, pp. 15-18, doi:10.22159/ajpcr.2024v17i9.52286.

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Original Article(s)