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El estrés crónico como mediador de la relación entre la posición socioeconómica y el cumplimiento del tratamiento farmacológico de pacientes hipertensos

INTRODUCTION: High blood pressure is a public health problem worldwide. In Colombia, its prevalence is 25% with a high mortality rate. The psychosocial factors affecting pharmacological adherence among patients have not been sufficiently studied and despite international evidence on their impact, in...

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Autores principales: Guzmán-Tordecilla, Deivis Nicolás, Vecino-Ortiz, Andrés Ignacio, Lucumí, Diego, Mentz, Graciela
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Instituto Nacional de Salud 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7505514/
https://www.ncbi.nlm.nih.gov/pubmed/32673454
http://dx.doi.org/10.7705/biomedica.4780
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author Guzmán-Tordecilla, Deivis Nicolás
Vecino-Ortiz, Andrés Ignacio
Lucumí, Diego
Mentz, Graciela
author_facet Guzmán-Tordecilla, Deivis Nicolás
Vecino-Ortiz, Andrés Ignacio
Lucumí, Diego
Mentz, Graciela
author_sort Guzmán-Tordecilla, Deivis Nicolás
collection PubMed
description INTRODUCTION: High blood pressure is a public health problem worldwide. In Colombia, its prevalence is 25% with a high mortality rate. The psychosocial factors affecting pharmacological adherence among patients have not been sufficiently studied and despite international evidence on their impact, in Colombia, there is a paucity of research on the role of chronic stress in the relationship between socioeconomic status and pharmacological adherence. OBJECTIVE: To examine the role of chronic stress in the relationship between socioeconomic status and pharmacological adherence in hypertensive patients aged 45 to 70 years old in three Colombian cities between 2015 and 2016. MATERIALS AND METHODS: We conducted a cross-sectional study in a population of hypertensive patients. Data for this study came from the first wave of longitudinal study aimed at examining social factors associated with the control of hypertension in Bogotá, Medellín, and Quibdó. Patients with hypertension were selected randomly from a sample of those participating in the hypertension control program De todo corazón. For the statistical analysis of the data, we used factorial analysis and multivariate regressions. RESULTS: We found a positive association between socioeconomic status and the degree of pharmacological adherence and a negative one with chronic stress. Besides, evidence was found that stress has a negative association with the degree of adherence. CONCLUSIONS: The results suggest that stress is not a likely mediator between socioeconomic status and the pharmacological adherence of hypertensive patients in Colombia. Additional studies are required to confirm these relationships with a larger sample.
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spelling pubmed-75055142020-09-22 El estrés crónico como mediador de la relación entre la posición socioeconómica y el cumplimiento del tratamiento farmacológico de pacientes hipertensos Guzmán-Tordecilla, Deivis Nicolás Vecino-Ortiz, Andrés Ignacio Lucumí, Diego Mentz, Graciela Biomedica Artículo Original INTRODUCTION: High blood pressure is a public health problem worldwide. In Colombia, its prevalence is 25% with a high mortality rate. The psychosocial factors affecting pharmacological adherence among patients have not been sufficiently studied and despite international evidence on their impact, in Colombia, there is a paucity of research on the role of chronic stress in the relationship between socioeconomic status and pharmacological adherence. OBJECTIVE: To examine the role of chronic stress in the relationship between socioeconomic status and pharmacological adherence in hypertensive patients aged 45 to 70 years old in three Colombian cities between 2015 and 2016. MATERIALS AND METHODS: We conducted a cross-sectional study in a population of hypertensive patients. Data for this study came from the first wave of longitudinal study aimed at examining social factors associated with the control of hypertension in Bogotá, Medellín, and Quibdó. Patients with hypertension were selected randomly from a sample of those participating in the hypertension control program De todo corazón. For the statistical analysis of the data, we used factorial analysis and multivariate regressions. RESULTS: We found a positive association between socioeconomic status and the degree of pharmacological adherence and a negative one with chronic stress. Besides, evidence was found that stress has a negative association with the degree of adherence. CONCLUSIONS: The results suggest that stress is not a likely mediator between socioeconomic status and the pharmacological adherence of hypertensive patients in Colombia. Additional studies are required to confirm these relationships with a larger sample. Instituto Nacional de Salud 2020-06-30 /pmc/articles/PMC7505514/ /pubmed/32673454 http://dx.doi.org/10.7705/biomedica.4780 Text en https://creativecommons.org/licenses/by/4.0/ Este es un artículo publicado en acceso abierto bajo una licencia Creative Commons
spellingShingle Artículo Original
Guzmán-Tordecilla, Deivis Nicolás
Vecino-Ortiz, Andrés Ignacio
Lucumí, Diego
Mentz, Graciela
El estrés crónico como mediador de la relación entre la posición socioeconómica y el cumplimiento del tratamiento farmacológico de pacientes hipertensos
title El estrés crónico como mediador de la relación entre la posición socioeconómica y el cumplimiento del tratamiento farmacológico de pacientes hipertensos
title_full El estrés crónico como mediador de la relación entre la posición socioeconómica y el cumplimiento del tratamiento farmacológico de pacientes hipertensos
title_fullStr El estrés crónico como mediador de la relación entre la posición socioeconómica y el cumplimiento del tratamiento farmacológico de pacientes hipertensos
title_full_unstemmed El estrés crónico como mediador de la relación entre la posición socioeconómica y el cumplimiento del tratamiento farmacológico de pacientes hipertensos
title_short El estrés crónico como mediador de la relación entre la posición socioeconómica y el cumplimiento del tratamiento farmacológico de pacientes hipertensos
title_sort el estrés crónico como mediador de la relación entre la posición socioeconómica y el cumplimiento del tratamiento farmacológico de pacientes hipertensos
topic Artículo Original
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7505514/
https://www.ncbi.nlm.nih.gov/pubmed/32673454
http://dx.doi.org/10.7705/biomedica.4780
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