Why the study?
Factors associated with therapeutic non-adherence among individuals with arterial hypertension seeking emergency care for hypertensive complications needed to be analyzed.
Younger age, recent emergency care use, and primary care bonding are associated with higher therapeutic non-adherence in hypertensive patients seeking emergency care.
Non-adherence in 36% of hypertensive emergency visits may signal need for screening; leaves open causal links and practice change pending prospective data.
Objective: to analyze factors associated with therapeutic non-adherence among individuals with Arterial Hypertension who seek emergency care and/or assistance due to hypertensive complications. Method: this is a cross-sectional study conducted from December 2019 to October 2020 with 238 people living in a medium-sized municipality from southern Brazil using Morisky’s 8-Item Medication Adherence Scale. Multiple Logistic Regression was used in the analysis. Results: a total of 86 (36.1%) participants were considered as non-adherent. A higher change of non-adherence was observed in people younger than 60 years of age (Odds Ratio=2.04), who sought emergency services in the three years under study (Odds Ratio=5.08), and who had a bond with Primary Health Care professionals (Odds Ratio=1.96). Conclusion: acknowledging the factors associated with non-adherence to the therapy will allow professionals to conduct educational interventions and assist people with hypertension according to their needs, thus preventing/postponing complications.
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Ferreira et al. (2023) studied this question.
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