Analysis of Adherence Status and Influencing Factors Among Middle-Aged and Elderly Hypertension Patients in Rural Areas of Northeast China.

IF 1.9 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE
International Journal of Hypertension Pub Date : 2025-04-26 eCollection Date: 2025-01-01 DOI:10.1155/ijhy/9954099
Xinyuan Lu, Jiwei Wang, Sikun Chen, Lin Lv, Jinming Yu
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Abstract

Hypertension remains a major public health challenge globally, with suboptimal adherence to treatment and lifestyle modifications exacerbating cardiovascular risks. This study evaluates multidimensional adherence (medication, diet, and behavior) and its determinants among hypertensive patients in rural Northeast China. A cross-sectional study enrolled 6352 adults aged ≥ 40 years with diagnosed and poorly controlled hypertension from rural villages across five cities (Benxi, Chaoyang, Dandong, Donggang, and Fuxin) in Liaoning Province, Northeast China, using multistage cluster sampling. Adherence was assessed via standardized questionnaires, with logistic regression analyzing sociodemographic, clinical, and behavioral predictors. Medication adherence was reported by 73.7% of participants, while dietary and behavioral adherence rates were 10.5% and 29.3%, respectively. Ethnic disparities emerged, with Han Chinese exhibiting lower medication adherence (aOR = 0.485, 95% CI: 0.377-0.624). Cohabiting with children enhanced dietary adherence (aOR = 2.184, 95% CI: 1.854-2.573), whereas widowed status reduced both dietary (aOR = 0.698, 95% CI: 0.528-0.924) and behavioral adherence (aOR = 0.726, 95% CI: 0.595-0.887). Higher hypertension knowledge scores positively influenced all adherence domains (p < 0.05). Adherence among rural hypertensive patients is multidimensional, shaped by cultural, socioeconomic, and behavioral factors. Targeted interventions addressing dietary sodium reduction, family-based support, and health literacy improvement are urgently needed. This study underscores the importance of integrating region-specific strategies into hypertension management programs to mitigate cardiovascular morbidity in high-risk populations.

东北农村中老年高血压患者依从性现状及影响因素分析
高血压仍然是全球主要的公共卫生挑战,不理想的治疗依从性和生活方式的改变加剧了心血管风险。本研究评估了东北农村高血压患者的多维依从性(药物、饮食和行为)及其决定因素。横断面研究采用多阶段整群抽样的方法,从辽宁省本溪、朝阳、丹东、东港和阜新5个城市的农村招募了6352名年龄≥40岁、确诊且控制不良的高血压患者。通过标准化问卷评估依从性,并使用逻辑回归分析社会人口统计学、临床和行为预测因子。73.7%的参与者报告了药物依从性,而饮食和行为依从率分别为10.5%和29.3%。种族差异出现,汉族患者的药物依从性较低(aOR = 0.485, 95% CI: 0.377-0.624)。与子女同居增强了饮食依从性(aOR = 2.184, 95% CI: 1.854-2.573),而丧偶状态降低了饮食依从性(aOR = 0.698, 95% CI: 0.528-0.924)和行为依从性(aOR = 0.726, 95% CI: 0.595-0.887)。高血压知识得分越高,对各依从性领域均有显著影响(p < 0.05)。农村高血压患者的依从性是多方面的,受文化、社会经济和行为因素的影响。迫切需要有针对性的干预措施,解决饮食中减少钠、家庭支持和提高卫生素养的问题。这项研究强调了将地区特定策略纳入高血压管理计划以减轻高危人群心血管发病率的重要性。
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来源期刊
International Journal of Hypertension
International Journal of Hypertension Medicine-Internal Medicine
CiteScore
4.00
自引率
5.30%
发文量
45
期刊介绍: International Journal of Hypertension is a peer-reviewed, Open Access journal that provides a forum for clinicians and basic scientists interested in blood pressure regulation and pathophysiology, as well as treatment and prevention of hypertension. The journal publishes original research articles, review articles, and clinical studies on the etiology and risk factors of hypertension, with a special focus on vascular biology, epidemiology, pediatric hypertension, and hypertensive nephropathy.
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