Cargando…

Determinants of Patient's Adherence to Hypertension Medications: Application of Health Belief Model Among Rural Patients

BACKGROUND: Hypertension is a major health problem in developing and developed countries, and its increasing epidemy is a serious warning to take more attention to this silent disease. AIM: This study was aimed to determine the factors of adherence to hypertension medication based on health belief m...

Descripción completa

Detalles Bibliográficos
Autores principales: Kamran, A, Sadeghieh Ahari, S, Biria, M, Malepour, A, Heydari, H
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4250992/
https://www.ncbi.nlm.nih.gov/pubmed/25506487
http://dx.doi.org/10.4103/2141-9248.144914
_version_ 1782346981448876032
author Kamran, A
Sadeghieh Ahari, S
Biria, M
Malepour, A
Heydari, H
author_facet Kamran, A
Sadeghieh Ahari, S
Biria, M
Malepour, A
Heydari, H
author_sort Kamran, A
collection PubMed
description BACKGROUND: Hypertension is a major health problem in developing and developed countries, and its increasing epidemy is a serious warning to take more attention to this silent disease. AIM: This study was aimed to determine the factors of adherence to hypertension medication based on health belief model (HBM). SUBJECTS AND METHODS: A cross-sectional study was conducted in a rural area of the Ardabil city in 2013. This study was carried out using a pre-structured and validated questionnaire. The questionnaire included information on demographic characteristics, lifestyle habits, HBM constructs and adherence to hypertension medication (Morisky 4-Item Self-Report Measure of Medication-taking Behavior [Morisky Medication Adherence Scale]). Data were analyzed with the use of SPSS version 18. P < 0.05 was considered as statistically significant. RESULTS: A total of 671 hypertensive patients participated in the study (169 were males and 502 were females). The prevalence of adherence was 24% (161/671)% in the study population. Respondents with regular physical activity and nonsmokers were more adherent to hypertension medication when compared to respondents with sedentary lifestyle and smoking (P < 0.01). Based on HBM constructs, the respondents who perceived high susceptibility, severity, benefit had better adherence compared to moderate and low susceptibility, severity, and benefit. CONCLUSION: The prevalence of adherence to hypertension management was low in study population, this due to inadequate perceived susceptibility, perceived, severity, perceived benefit and poor lifestyle factors. Improving adherence in hypertension patients need to recognize the value and importance of patient perceptions medications.
format Online
Article
Text
id pubmed-4250992
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher Medknow Publications & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-42509922014-12-12 Determinants of Patient's Adherence to Hypertension Medications: Application of Health Belief Model Among Rural Patients Kamran, A Sadeghieh Ahari, S Biria, M Malepour, A Heydari, H Ann Med Health Sci Res Original Article BACKGROUND: Hypertension is a major health problem in developing and developed countries, and its increasing epidemy is a serious warning to take more attention to this silent disease. AIM: This study was aimed to determine the factors of adherence to hypertension medication based on health belief model (HBM). SUBJECTS AND METHODS: A cross-sectional study was conducted in a rural area of the Ardabil city in 2013. This study was carried out using a pre-structured and validated questionnaire. The questionnaire included information on demographic characteristics, lifestyle habits, HBM constructs and adherence to hypertension medication (Morisky 4-Item Self-Report Measure of Medication-taking Behavior [Morisky Medication Adherence Scale]). Data were analyzed with the use of SPSS version 18. P < 0.05 was considered as statistically significant. RESULTS: A total of 671 hypertensive patients participated in the study (169 were males and 502 were females). The prevalence of adherence was 24% (161/671)% in the study population. Respondents with regular physical activity and nonsmokers were more adherent to hypertension medication when compared to respondents with sedentary lifestyle and smoking (P < 0.01). Based on HBM constructs, the respondents who perceived high susceptibility, severity, benefit had better adherence compared to moderate and low susceptibility, severity, and benefit. CONCLUSION: The prevalence of adherence to hypertension management was low in study population, this due to inadequate perceived susceptibility, perceived, severity, perceived benefit and poor lifestyle factors. Improving adherence in hypertension patients need to recognize the value and importance of patient perceptions medications. Medknow Publications & Media Pvt Ltd 2014 /pmc/articles/PMC4250992/ /pubmed/25506487 http://dx.doi.org/10.4103/2141-9248.144914 Text en Copyright: © Annals of Medical and Health Sciences Research http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Kamran, A
Sadeghieh Ahari, S
Biria, M
Malepour, A
Heydari, H
Determinants of Patient's Adherence to Hypertension Medications: Application of Health Belief Model Among Rural Patients
title Determinants of Patient's Adherence to Hypertension Medications: Application of Health Belief Model Among Rural Patients
title_full Determinants of Patient's Adherence to Hypertension Medications: Application of Health Belief Model Among Rural Patients
title_fullStr Determinants of Patient's Adherence to Hypertension Medications: Application of Health Belief Model Among Rural Patients
title_full_unstemmed Determinants of Patient's Adherence to Hypertension Medications: Application of Health Belief Model Among Rural Patients
title_short Determinants of Patient's Adherence to Hypertension Medications: Application of Health Belief Model Among Rural Patients
title_sort determinants of patient's adherence to hypertension medications: application of health belief model among rural patients
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4250992/
https://www.ncbi.nlm.nih.gov/pubmed/25506487
http://dx.doi.org/10.4103/2141-9248.144914
work_keys_str_mv AT kamrana determinantsofpatientsadherencetohypertensionmedicationsapplicationofhealthbeliefmodelamongruralpatients
AT sadeghiehaharis determinantsofpatientsadherencetohypertensionmedicationsapplicationofhealthbeliefmodelamongruralpatients
AT biriam determinantsofpatientsadherencetohypertensionmedicationsapplicationofhealthbeliefmodelamongruralpatients
AT malepoura determinantsofpatientsadherencetohypertensionmedicationsapplicationofhealthbeliefmodelamongruralpatients
AT heydarih determinantsofpatientsadherencetohypertensionmedicationsapplicationofhealthbeliefmodelamongruralpatients