The overall prevalence of antihypertensive medication adherence in Africa was 34.1%, influenced by hypertension knowledge, belief in drug efficacy, and sociocultural and financial factors.
Meta-Analysis
The overall prevalence of antihypertensive medication adherence in Africa is low at 34.1%, highlighting the need for culturally congruent adherence tools and interventions targeting known determinants.
AIM: This study synthesized the prevalence and determinants of hypertension medication adherence. DESIGN: Systematic review and meta-analysis through systematic search in PUBMED, EMBASE, CINAHL, Cochrane library and Google Scholar, from 2010 to 2021. METHODS: Screening was conducted and reported according to PRISMA criteria, and ten studies identified according to predetermined criteria. The studies were evaluated using the Mixed Method Appraisal Tool. Analysis was done using the narrative synthesis method. Prevalence data were examined using random effects meta-analysis in Comprehensive Meta-Analysis version 3. RESULTS: The overall prevalence of medication adherence was 34.1%, and determinants of medication adherence were the ability to attain hypertension control; hypertension knowledge; and treatment-related factors including belief of the drug efficacy, having commodities, sociocultural and financial-related factors. It is imperative to develop, test and use a comprehensive hypertension medication adherence tool that is culturally congruent to Africa.
Shin et al. (Tue,) conducted a meta-analysis in Hypertension. Antihypertensive medications was evaluated on Prevalence of medication adherence. The overall prevalence of antihypertensive medication adherence in Africa was 34.1%, influenced by hypertension knowledge, belief in drug efficacy, and sociocultural and financial factors.
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