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Strong structuration analysis of patterns of adherence to hypertension medication

Achieving blood pressure control is among the highest priorities for reducing the burden of cardiovascular diseases globally. Control is poor in the Philippines, especially in socioeconomically marginalised communities. This paper explores long-term adherence to anti-hypertensive medication in these...

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Autores principales: Seguin, Maureen, Mendoza, Jhaki, Lasco, Gideon, Palileo-Villanueva, Lia M., Palafox, Benjamin, Renedo, Alicia, McKee, Martin, Balabanova, Dina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Ltd 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9748305/
https://www.ncbi.nlm.nih.gov/pubmed/36531298
http://dx.doi.org/10.1016/j.ssmqr.2022.100104
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author Seguin, Maureen
Mendoza, Jhaki
Lasco, Gideon
Palileo-Villanueva, Lia M.
Palafox, Benjamin
Renedo, Alicia
McKee, Martin
Balabanova, Dina
author_facet Seguin, Maureen
Mendoza, Jhaki
Lasco, Gideon
Palileo-Villanueva, Lia M.
Palafox, Benjamin
Renedo, Alicia
McKee, Martin
Balabanova, Dina
author_sort Seguin, Maureen
collection PubMed
description Achieving blood pressure control is among the highest priorities for reducing the burden of cardiovascular diseases globally. Control is poor in the Philippines, especially in socioeconomically marginalised communities. This paper explores long-term adherence to anti-hypertensive medication in these communities, identifying 4 distinct medication adherence patterns. We draw on Strong Structuration Theory to explore motivations of action for those who are consistently adherent, consistently non-adherent, and those who became more or less adherent over time. We employ longitudinal qualitative methods comprising repeat interviews and digital diaries collected over 12 months by 34 participants. Twelve participants were consistently adherent, 9 consistently non-adherent, 9 increasingly adherent, and 4 increasingly non-adherent. For the consistently adherent, positive views about prescribed medication and family support encouraged adherence. Conversely, negative views of medication and lack of family support were notable amongst the consistently non-adherent, along with resistance to accepting a ‘sick’ label. A shift toward positive views of medication was detected amongst those whose adherence improved, along with worsening health and increased family support. A decrease in financial resources drove some participants to become less adherent, especially if they already held negative views toward medication. This study sheds light on the variety of medication adherence patterns among poor people with hypertension in the Philippines, as well as the complex web of elements influencing their treatment choices. The results point to the potential for measures that address concerns about medicines and increase family support.
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spelling pubmed-97483052022-12-14 Strong structuration analysis of patterns of adherence to hypertension medication Seguin, Maureen Mendoza, Jhaki Lasco, Gideon Palileo-Villanueva, Lia M. Palafox, Benjamin Renedo, Alicia McKee, Martin Balabanova, Dina SSM Qual Res Health Article Achieving blood pressure control is among the highest priorities for reducing the burden of cardiovascular diseases globally. Control is poor in the Philippines, especially in socioeconomically marginalised communities. This paper explores long-term adherence to anti-hypertensive medication in these communities, identifying 4 distinct medication adherence patterns. We draw on Strong Structuration Theory to explore motivations of action for those who are consistently adherent, consistently non-adherent, and those who became more or less adherent over time. We employ longitudinal qualitative methods comprising repeat interviews and digital diaries collected over 12 months by 34 participants. Twelve participants were consistently adherent, 9 consistently non-adherent, 9 increasingly adherent, and 4 increasingly non-adherent. For the consistently adherent, positive views about prescribed medication and family support encouraged adherence. Conversely, negative views of medication and lack of family support were notable amongst the consistently non-adherent, along with resistance to accepting a ‘sick’ label. A shift toward positive views of medication was detected amongst those whose adherence improved, along with worsening health and increased family support. A decrease in financial resources drove some participants to become less adherent, especially if they already held negative views toward medication. This study sheds light on the variety of medication adherence patterns among poor people with hypertension in the Philippines, as well as the complex web of elements influencing their treatment choices. The results point to the potential for measures that address concerns about medicines and increase family support. Elsevier Ltd 2022-12 /pmc/articles/PMC9748305/ /pubmed/36531298 http://dx.doi.org/10.1016/j.ssmqr.2022.100104 Text en © 2022 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Seguin, Maureen
Mendoza, Jhaki
Lasco, Gideon
Palileo-Villanueva, Lia M.
Palafox, Benjamin
Renedo, Alicia
McKee, Martin
Balabanova, Dina
Strong structuration analysis of patterns of adherence to hypertension medication
title Strong structuration analysis of patterns of adherence to hypertension medication
title_full Strong structuration analysis of patterns of adherence to hypertension medication
title_fullStr Strong structuration analysis of patterns of adherence to hypertension medication
title_full_unstemmed Strong structuration analysis of patterns of adherence to hypertension medication
title_short Strong structuration analysis of patterns of adherence to hypertension medication
title_sort strong structuration analysis of patterns of adherence to hypertension medication
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9748305/
https://www.ncbi.nlm.nih.gov/pubmed/36531298
http://dx.doi.org/10.1016/j.ssmqr.2022.100104
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