Key result
Lower educational levels significantly reduced the odds of being in a higher category of medication adherence, with secondary school graduates having an OR of 0.62 compared to university graduates.
Why the study?
Non-adherence to antihypertensive medication is a common behaviour associated with suboptimal clinical outcomes.
Observational (n=1,208)
Odds Ratio: 0.62 (95% CI 0.478–0.805)
p-value: p=<0.001
Higher educational level and lower medication regimen complexity are significant positive predictors of adherence to antihypertensive therapy.
Lower education was associated with reduced antihypertensive adherence; leaves open whether targeted interventions improve outcomes in lower-education groups.
Non-adherence to antihypertensive medication is commonly associated with suboptimal clinic outcomes but is nonetheless a common behaviour. This observational study investigated medication adherence of hypertensive Romanian patients using the Morisky-Green-Levine questionnaire. 22.2% of patients had low adherence, 51.3% of patients had moderate adherence and 26.5% had high adherence. Investigating the influence of age, sex, education, medication regimen complexity, comorbidities and information about medicines offered by the pharmacist to the patient on adherence levels, the most important positive predictor of adherence was the educational level. For patients having finished secondary school and patients with primary school, odd ratios to be in a higher category of adherence, compared to university graduates, were 0.62 and 0.53 respectively. Another significant predictor of adherence was the drug regimen, the increasing number of daily medicines and nutritive supplements reducing adherence.
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Cristina Daniela Marineci (2020) conducted an observational in Hypertension (n=1,208). Lower educational level (secondary school) vs. University graduate was evaluated on Higher category of adherence to medication (OR 0.62, 95% CI 0.478 to 0.805, p=<0.001). Lower educational levels significantly reduced the odds of being in a higher category of medication adherence, with secondary school graduates having an OR of 0.62 compared to university graduates.
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