Key result
Poor medication adherence affects ~57% of hypertensive outpatients and is linked to employment status.
Why the study?
Medication adherence is a primary factor in controlling blood pressure, but the factors associated with adherence in this hypertensive outpatient population needed to be determined.
Cross-Sectional (n=103)
No
Employment status, drug regimen, prescription refill time, and forgetfulness are key factors associated with medication adherence and blood pressure control in hypertensive outpatients.
High rates of poor adherence and BP control support targeting employment and regimen factors in hypertension; leaves open need for prospective trials.
Uncontrolled hypertension can cause complications such as heart disease, brain disease, kidney disease, and other diseases. Medication adherence is a primary factor in controlling blood pressure (BP) in hypertensive patients. This study aims to provide an overview of the factors associated with medication adherence of hypertensive patients treated at Taman Public Health Center in Sidoarjo, Indonesia. This study used a cross-sectional approach involving hypertensive patients. This study employed consecutive sampling, with the number of samples comprised of patients undergoing outpatient care from January 2, 2023, to February 25, 2023, totaling 103 respondents. The study employed the Morisky Medication Adherence Scale 8-item (MMAS-8) questionnaire to evaluate medication adherence. Fifty-nine (57.3%) patients had poor adherence, and 83 (80.6%) patients had poor BP control. The significant factors associated with medication adherence were employment status (p = 0.021), drug regimen and prescription refill time (p = 0.001), and experiencing forgetfulness/negligence related to their medication (p = 0.011). Significant factors associated with systolic and diastolic BP are having health insurance (p = 0.030 and p = 0.006) and drug regimen-prescription refill time (p = 0.029 and p = 0.041). These factors can be used as considerations during policymaking to improve medication adherence and BP control of hypertensive patients.
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Ziddan et al. (2025) conducted a cross-sectional in Hypertension (n=103). Sociodemographic and clinical factors was evaluated on Medication adherence and blood pressure control. Among hypertensive outpatients, 57.3% had poor medication adherence and 80.6% had poor blood pressure control, with adherence significantly associated with employment status (p=0.021).
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