Key result
Hypertension medication adherence depends on health literacy, provider communication, and care access over individual behavior.
Why the study?
Poor medication adherence continues to limit effective blood pressure control among patients with hypertension despite the widespread availability of antihypertensive medications.
This policy brief highlights that improving antihypertensive medication adherence in Iran requires addressing patient, cultural, and health-system barriers by integrating structured adherence support, health literacy education, and shared decision-making into routine primary healthcare.
Suggests system-level interventions for hypertension adherence; leaves open generalizability beyond this small Iranian qualitative sample.
Hypertension remains a major public health challenge, and poor medication adherence continues to limit effective blood pressure control despite the widespread availability of antihypertensive medications. This policy brief draws on evidence from a qualitative content analysis of interviews with 29 purposively selected participants to identify the factors influencing medication adherence among patients with hypertension in Iran. The findings indicate that medication adherence is shaped by a complex interaction of patient-related, sociocultural, and health system factors rather than by individual behavior alone. They also demonstrate that strengthening primary healthcare services, improving health literacy, enhancing patient-provider communication, and ensuring continuity of care are critical for supporting long-term medication adherence. Based on these findings, this policy brief recommends integrating structured medication-adherence support into routine primary healthcare, alongside coordinated educational and patient-centered strategies, to improve hypertension control and reduce the long-term burden of cardiovascular disease in Iran.
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Nasab et al. (2026) studied Hypertension (n=29). Patient-, sociocultural-, and health system-level factors was evaluated on Factors influencing medication adherence among patients with hypertension. Medication adherence in 29 Iranian hypertension stakeholders was driven by health literacy, provider communication, and primary care access rather than individual behavior alone.
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