Determinants of medication adherence among elderly with high blood pressure living in deprived areas.

IF 1.8 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES Chronic Illness Pub Date : 2024-09-01 Epub Date: 2024-06-12 DOI:10.1177/17423953241241803

Maryam Afshari, Akram Karimi-Shahanjarini, Lili Tapak, Somayeh Hashemi

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Abstract

Introduction: The current study was conducted to determine the impact of health literacy and factors related to adherence to drug treatment, using the model proposed by the World Health Organization, in older adults with hypertension residing in informal settlements in Hamadan.

Methods: This cross-sectional study was conducted on 405 patients in Hamadan city, located in the western part of Iran. Data were collected using an interviewer-administered questionnaire that included the 5-dimensional model proposed by the World Health Organization, Health Literacy for Iranian Adults, and Morisky Medication Adherence Scale-8. A two-stage sampling procedure was used to select patients from 14 comprehensive health service centers and health bases. The data were analyzed using SPSS v.24.

Results: The study found that medication adherence was suboptimal in 63% of the participants. Additionally, 87.5% of patients had inadequate or insufficient health literacy. Factors related to medication adherence included age (odds ratio (OR) = 1.07), annual income (OR = 0.17), duration of hypertension (OR = 7.33), health literacy (OR = 1.03), self-reported health status (P < 0.05), and regular medication use (P < 0.008).

Conclusion: The results of this study indicate that more than half of the older adults in the study had suboptimal medication adherence and insufficient health literacy. The study also found that various factors, such as socioeconomic status, disease and treatment-related factors, and patient-related factors, influence medication adherence among older adults.

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贫困地区高血压老人坚持服药的决定因素。

简介：本研究采用世界卫生组织提出的模型，对居住在哈马丹非正规定居点的老年高血压患者的健康素养和坚持药物治疗相关因素的影响进行了测定：这项横断面研究的对象是位于伊朗西部哈马丹市的 405 名患者。数据收集采用访谈者自制的调查问卷，其中包括世界卫生组织提出的五维模型、伊朗成人健康素养和莫里斯基用药依从性量表-8。采用两阶段抽样程序，从 14 个综合医疗服务中心和医疗基地抽取患者。数据使用 SPSS v.24 进行分析：研究发现，63% 的参与者的服药依从性不达标。此外，87.5%的患者健康知识不足或缺乏。与坚持服药有关的因素包括年龄（比值比 (OR) = 1.07）、年收入（比值比 = 0.17）、高血压病程（比值比 = 7.33）、健康知识（比值比 = 1.03）、自我报告的健康状况（P < 0.05）和定期服药（P < 0.008）：研究结果表明，半数以上的老年人服药依从性不佳，健康素养不足。研究还发现，社会经济地位、疾病和治疗相关因素以及患者相关因素等各种因素都会影响老年人的用药依从性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Chronic Illness Multiple-

CiteScore

3.80

自引率

0.00%

发文量

期刊介绍： Chronic illnesses are prolonged, do not resolve spontaneously, and are rarely completely cured. The most common are cardiovascular diseases (hypertension, coronary artery disease, stroke and heart failure), the arthritides, asthma and chronic obstructive pulmonary disease, diabetes and epilepsy. There is increasing evidence that mental illnesses such as depression are best understood as chronic health problems. HIV/AIDS has become a chronic condition in those countries where effective medication is available.