Key result
~44% of rural hypertensive patients have medium adherence, linked to education, income, and fewer medications.
Why the study?
Poor medication adherence leads to poor health outcomes, increased medical costs, and increased mortality in hypertension, prompting an evaluation of baseline adherence barriers in deprived rural areas.
What are the barriers to medication adherence among hypertensive patients in deprived rural areas?
Cross-Sectional (n=238)
Yes
What are the barriers to medication adherence among hypertensive patients in deprived rural areas?
In rural Iranian hypertensive patients, medication adherence is negatively impacted by older age, polypharmacy, and comorbidities, while positively correlated with economic status and disease duration.
Correlates of lower adherence in rural hypertension warrant attention to polypharmacy and economics; hypothesis-generating and should not yet change practice.
BACKGROUND: Poor adherence to medication regimen leads to poor health outcomes, increased medical costs and increased death rate due to hypertension. The aim of this study was to evaluate baseline barriers to medication adherence among hypertensive patients in deprived rural areas. METHODS: A cross-sectional study was conducted on 238 hypertensive patients living in deprived rural areas of Iran. Data were collected using a questionnaire consisting of demographic information, Morisky medication adherence scale and the barriers to medication adherence that were reliable and valid. RESULTS: The results of the study showed that medication adherence was significantly decreased and had a significant positive correlation with gender and economic status, while it had a negative correlation with age. Medication Adherence had a positive correlation with the duration of hypertension, while it had a negative correlation with the number of medications used and concurrently with other diseases. CONCLUSIONS: Based on the present study it can be concluded that enhanced knowledge about illness and treatment in rural communities is improves the medical adherence. Financial supports along with the reduced number of prescribed drugs are also found to be the determining factors in the medical adherence.
No takes yet. Share an insight, caveat, or question.
Mamaghani et al. (2020) conducted a cross-sectional in Hypertension (n=238). Socio-demographic and treatment-related factors was evaluated on Medication adherence measured by the 8-item Morisky Medication Adherence Scale (MMAS-8). Among hypertensive patients in deprived rural areas, 43.6% had medium medication adherence, which was positively correlated with education level, economic status, and duration of hypertension, and negatively correlated with the number of medications used.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: