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Characteristics and Factors Associated With Antihypertensive Medication Use in Patients Attending Peruvian Health Facilities

INTRODUCTION : Hypertension is a very common disease worldwide, and medication is needed to prevent its short-term and long-term complications. Our objective was to determine the characteristics and factors associated with antihypertensive medication use in patients attending Peruvian health facilit...

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Autores principales: Mejia, Christian R, Failoc-Rojas, Virgilio E, So, Edison, Cervantes, Carmen, Aspajo, Antonio J, Leandro, Jesus Galileo, Cordova-De La Cruz, Jhomar, Charri, Julio C, García-Auqui, Kevin E, Coronel-Chucos, Lelis Gabriela, Justo-Pinto, Luz Delia, Mamani-Apaza, Marisol Stefanie, Paz-Campos, Neil Arón, Correa, Ricardo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5338991/
https://www.ncbi.nlm.nih.gov/pubmed/28331773
http://dx.doi.org/10.7759/cureus.1011
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author Mejia, Christian R
Failoc-Rojas, Virgilio E
So, Edison
Cervantes, Carmen
Aspajo, Antonio J
Leandro, Jesus Galileo
Cordova-De La Cruz, Jhomar
Charri, Julio C
García-Auqui, Kevin E
Coronel-Chucos, Lelis Gabriela
Justo-Pinto, Luz Delia
Mamani-Apaza, Marisol Stefanie
Paz-Campos, Neil Arón
Correa, Ricardo
author_facet Mejia, Christian R
Failoc-Rojas, Virgilio E
So, Edison
Cervantes, Carmen
Aspajo, Antonio J
Leandro, Jesus Galileo
Cordova-De La Cruz, Jhomar
Charri, Julio C
García-Auqui, Kevin E
Coronel-Chucos, Lelis Gabriela
Justo-Pinto, Luz Delia
Mamani-Apaza, Marisol Stefanie
Paz-Campos, Neil Arón
Correa, Ricardo
author_sort Mejia, Christian R
collection PubMed
description INTRODUCTION : Hypertension is a very common disease worldwide, and medication is needed to prevent its short-term and long-term complications. Our objective was to determine the characteristics and factors associated with antihypertensive medication use in patients attending Peruvian health facilities. MATERIALS & METHODS: We performed a multicenter, cross-sectional study with secondary data. We obtained self-reported antihypertensive medication from patients attending health facilities in 10 departments of Peru. We looked for associations of the antihypertensive treatment according to sociopathological factors and obtained p values using generalized linear models. RESULTS: Of the 894 patients with hypertension, 61% (547) were women and 60% (503) were on antihypertensive treatment, of which 82% (389) had monotherapy and 52% (258) had recently taken their medication. Antihypertensive treatment was positively correlated with the patient's age (adjusted prevalence ratio [aPR]: 1.01; 95% confidence interval [CI]: 1.007 to 1.017; p value < 0.001), diabetes (aPR: 1.31; 95% CI: 1.11 to 1.55; p value = 0.001) and cardiovascular disease (aPR: 1.38; 95% CI: 1.26 to 1.51; p value < 0.001). Conversely, the frequency of antihypertensive treatment decreases with physical activity (aPR: 0.80; 95% CI: 0.70 to 0.92; p value = 0.001). CONCLUSION: Patients who have comorbidities and advanced age are more likely to be on antihypertensive treatment. In contrast, patients with increased physical activity have a lower frequency of antihypertensive treatment. It is important to consider these factors for future preventive programs and to improve therapeutic compliance.
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spelling pubmed-53389912017-03-22 Characteristics and Factors Associated With Antihypertensive Medication Use in Patients Attending Peruvian Health Facilities Mejia, Christian R Failoc-Rojas, Virgilio E So, Edison Cervantes, Carmen Aspajo, Antonio J Leandro, Jesus Galileo Cordova-De La Cruz, Jhomar Charri, Julio C García-Auqui, Kevin E Coronel-Chucos, Lelis Gabriela Justo-Pinto, Luz Delia Mamani-Apaza, Marisol Stefanie Paz-Campos, Neil Arón Correa, Ricardo Cureus Epidemiology/Public Health INTRODUCTION : Hypertension is a very common disease worldwide, and medication is needed to prevent its short-term and long-term complications. Our objective was to determine the characteristics and factors associated with antihypertensive medication use in patients attending Peruvian health facilities. MATERIALS & METHODS: We performed a multicenter, cross-sectional study with secondary data. We obtained self-reported antihypertensive medication from patients attending health facilities in 10 departments of Peru. We looked for associations of the antihypertensive treatment according to sociopathological factors and obtained p values using generalized linear models. RESULTS: Of the 894 patients with hypertension, 61% (547) were women and 60% (503) were on antihypertensive treatment, of which 82% (389) had monotherapy and 52% (258) had recently taken their medication. Antihypertensive treatment was positively correlated with the patient's age (adjusted prevalence ratio [aPR]: 1.01; 95% confidence interval [CI]: 1.007 to 1.017; p value < 0.001), diabetes (aPR: 1.31; 95% CI: 1.11 to 1.55; p value = 0.001) and cardiovascular disease (aPR: 1.38; 95% CI: 1.26 to 1.51; p value < 0.001). Conversely, the frequency of antihypertensive treatment decreases with physical activity (aPR: 0.80; 95% CI: 0.70 to 0.92; p value = 0.001). CONCLUSION: Patients who have comorbidities and advanced age are more likely to be on antihypertensive treatment. In contrast, patients with increased physical activity have a lower frequency of antihypertensive treatment. It is important to consider these factors for future preventive programs and to improve therapeutic compliance. Cureus 2017-02-03 /pmc/articles/PMC5338991/ /pubmed/28331773 http://dx.doi.org/10.7759/cureus.1011 Text en Copyright © 2017, Mejia et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Epidemiology/Public Health
Mejia, Christian R
Failoc-Rojas, Virgilio E
So, Edison
Cervantes, Carmen
Aspajo, Antonio J
Leandro, Jesus Galileo
Cordova-De La Cruz, Jhomar
Charri, Julio C
García-Auqui, Kevin E
Coronel-Chucos, Lelis Gabriela
Justo-Pinto, Luz Delia
Mamani-Apaza, Marisol Stefanie
Paz-Campos, Neil Arón
Correa, Ricardo
Characteristics and Factors Associated With Antihypertensive Medication Use in Patients Attending Peruvian Health Facilities
title Characteristics and Factors Associated With Antihypertensive Medication Use in Patients Attending Peruvian Health Facilities
title_full Characteristics and Factors Associated With Antihypertensive Medication Use in Patients Attending Peruvian Health Facilities
title_fullStr Characteristics and Factors Associated With Antihypertensive Medication Use in Patients Attending Peruvian Health Facilities
title_full_unstemmed Characteristics and Factors Associated With Antihypertensive Medication Use in Patients Attending Peruvian Health Facilities
title_short Characteristics and Factors Associated With Antihypertensive Medication Use in Patients Attending Peruvian Health Facilities
title_sort characteristics and factors associated with antihypertensive medication use in patients attending peruvian health facilities
topic Epidemiology/Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5338991/
https://www.ncbi.nlm.nih.gov/pubmed/28331773
http://dx.doi.org/10.7759/cureus.1011
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