Why the study?
Adherence to health recommendations is critical, but few studies have evaluated this issue in Mexico.
Non-adherence to antihypertensive therapy is highly prevalent (57.5%) among Mexican patients and is significantly associated with age, obesity, and comorbidities.
AFEC may aid adherence assessment in Mexican hypertension patients; leaves open need for prospective validation before practice change.
Adherence, in a healthcare context, refers to the extent to which a person’s behavior aligns with recommendations from a healthcare provider. This can involve taking medication as prescribed, following a specific diet, or adhering to lifestyle changes. Although it is known that adherence is critical and requires a special approach to health, in Mexico, there are few studies on this issue. We confirm the information collected from 786 patients using an original questionnaire (AFEC) in Spanish, previously validated. Perfect adherence was detected in only 179 (22.8%), good adherence in 334 (42.5%), and nonadherence in 452 (57.5%). The age, obesity, and number of comorbidities were significantly associated with non-adherence (p < 0.05). Special strategies to approach this critical problem in health need to be reconsidered in Mexico. Non-adherence may help explain the low control rate of Mexican patients and the high rate of cardiovascular mortality.
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Rodrigo et al. (2025) studied this question.
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