Factors Affecting Medication Adherence among Adult Hypertensive Patients Attending a Tertiary Care Hospital: An Observational Study

Le résumé fourni par la source

Background: Hypertension remains a major global health concern and a leading risk factor for cardiovascular morbidity and mortality. Despite availability of effective antihypertensive therapies, poor medication adherence continues to compromise disease control, especially in developing countries like India. Aim: To evaluate socio-demographic, behavioural, and clinical factors influencing medication adherence among adult hypertensive patients attending a tertiary care hospital. Methods: A hospital-based cross-sectional observational study was conducted among 106 adult hypertensive patients attending the outpatient department. Data were collected using a semi-structured questionnaire. Medication adherence was assessed using the Hill-Bone Medication Adherence Scale. Statistical analysis included descriptive statistics, chi-square test, and multivariable logistic regression. A p-value <0.05 was considered statistically significant. Results: Overall adherence was observed in 65.1% of patients. Smoking (p=0.001), diabetes mellitus (p=0.026), and drug regimen (p=0.038) showed significant associations with adherence. Logistic regression revealed smoking (AOR=6.27, p=0.012) and diabetes (AOR=3.24, p=0.037) as major predictors of non-adherence. Occupation also significantly influenced adherence, with farmers showing the highest non-adherence (AOR=40.0, p=0.005). Conclusion: Behavioural and clinical factors have a stronger impact on medication adherence than sociodemographic variables. Targeted interventions addressing modifiable risk factors can improve adherence and hypertension outcomes.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.