Key result
Urban living linked to ~254% greater odds of adequate medication adherence among hypertensive patients.
Why the study?
Socioeconomic impacts on medication adherence are understudied, particularly in disadvantaged areas.
Are socioeconomic factors associated with medication adherence in patients with hypertension?
Cross-Sectional (n=693)
Yes
Are socioeconomic factors associated with medication adherence in patients with hypertension?
Effect estimate: OR 3.54 (95% CI 2.30-5.45)
p-value: p=<0.001
Socioeconomic factors, specifically rural setting and lower education level, are strongly associated with poor medication adherence among patients with hypertension in Indonesia.
May support adherence programs targeting rural and lower-educated patients; leaves open causal mechanisms and intervention effects.
Socioeconomic impacts on adherence are understudied, particularly in disadvantaged areas. This study aimed to evaluate socioeconomic factors on medication adherence among patients with hypertension in Lombok, Indonesia. A cross-sectional survey was conducted in all six public hospital outpatient clinics in Lombok in 2017. Data was obtained using a validated questionnaire to which the Morisky Green Levine Adherence Scale (MGLS) questionnaire was used to assess medication adherence. Binary logistic regression was performed to determine independent socioeconomic associations. A total of 693 patients with hypertension were included (response rate 84%). The majority had low adherence (76.2%). Significant independent associations were reported between setting and education with adherence (rural versus urban setting: odds ratio 3.54, p <0.001; primary versus university level education: odds ratio 5.39, p <0.001). Socioeconomic associations provide some basis for the development of patient and population-based interventions to improve adherence among patients with hypertension in Indonesia, particularly in disadvantaged areas.
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Setiadi et al. (2022) conducted a cross-sectional in Hypertension (n=693). Urban setting vs. Rural setting was evaluated on Adequate medication adherence (OR 3.54, 95% CI 2.30-5.45, p=<0.001). Among patients with hypertension in Lombok, Indonesia, living in an urban setting (OR 3.54) and having a university-level education (OR 5.39) were independently associated with adequate medication adherence.
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