Predictors of Nonadherence to Medications among Hypertensive Patients in Ghana: An Application of the Health Belief Model.

IF 1.9 4区医学 Q3 PERIPHERAL VASCULAR DISEASE

International Journal of Hypertension Pub Date : 2022-08-24 eCollection Date: 2022-01-01 DOI:10.1155/2022/1418149

Fidelis Atibila, Emmanuel Timmy Donkoh, Rob Ruiter, Gerjo Kok, Gill Ten Hoor

{"title":"Predictors of Nonadherence to Medications among Hypertensive Patients in Ghana: An Application of the Health Belief Model.","authors":"Fidelis Atibila, Emmanuel Timmy Donkoh, Rob Ruiter, Gerjo Kok, Gill Ten Hoor","doi":"10.1155/2022/1418149","DOIUrl":null,"url":null,"abstract":"Introduction: Hypertension (HPT) is recognized as a significant public health problem worldwide from a health and economic perspective. This study determined predictors of nonadherence to HPT medications in Ghana using the health belief model.Methods: A cross-sectional descriptive survey employing a quantitative approach was conducted among HPT patients who routinely attend clinics at selected hospitals in the Brong Ahafo region of Ghana. Respondents (n = 399) were recruited using a multistage sampling technique.Results: The prevalence of nonadherence was 63.7% (n = 254). Nonadherence to hypertension medication was associated with lower education status (p=0.009). In logistic regression analysis, patients with high \"perceived susceptibility\" and \"perceived severity\" were more likely to forfeit their HPT medication schedules, while patients with high \"perceived barriers\" and \"cues to action\" were less likely to skip their medication.Conclusion: The present study suggests a plausible path to improving medication adherence in this population. Given the high prevalence of nonadherence, policymakers need to urgently design tailor-made health promotion interventions to ensure optimal health outcomes.","PeriodicalId":14132,"journal":{"name":"International Journal of Hypertension","volume":" ","pages":"1418149"},"PeriodicalIF":1.9000,"publicationDate":"2022-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9433278/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Hypertension","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1155/2022/1418149","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"PERIPHERAL VASCULAR DISEASE","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction: Hypertension (HPT) is recognized as a significant public health problem worldwide from a health and economic perspective. This study determined predictors of nonadherence to HPT medications in Ghana using the health belief model.

Methods: A cross-sectional descriptive survey employing a quantitative approach was conducted among HPT patients who routinely attend clinics at selected hospitals in the Brong Ahafo region of Ghana. Respondents (n = 399) were recruited using a multistage sampling technique.

Results: The prevalence of nonadherence was 63.7% (n = 254). Nonadherence to hypertension medication was associated with lower education status (p=0.009). In logistic regression analysis, patients with high "perceived susceptibility" and "perceived severity" were more likely to forfeit their HPT medication schedules, while patients with high "perceived barriers" and "cues to action" were less likely to skip their medication.

Conclusion: The present study suggests a plausible path to improving medication adherence in this population. Given the high prevalence of nonadherence, policymakers need to urgently design tailor-made health promotion interventions to ensure optimal health outcomes.

Abstract Image

查看原文本刊更多论文

加纳高血压患者药物不依从的预测因素:健康信念模型的应用

从健康和经济的角度来看，高血压(HPT)被认为是世界范围内的一个重大公共卫生问题。本研究使用健康信念模型确定了加纳不遵守HPT药物治疗的预测因素。方法:采用定量方法的横断面描述性调查在加纳Brong Ahafo地区选定医院常规就诊的HPT患者中进行。调查对象(n = 399)采用多阶段抽样技术进行招募。结果:不依从率为63.7% (n = 254)。不坚持高血压药物治疗与低教育程度相关(p=0.009)。在logistic回归分析中，高“感知易感性”和“感知严重性”的患者更有可能放弃他们的HPT药物计划，而高“感知障碍”和“行动线索”的患者不太可能跳过他们的药物计划。结论:目前的研究为改善这一人群的药物依从性提供了可行的途径。鉴于不依从率很高，政策制定者迫切需要设计量身定制的健康促进干预措施，以确保最佳的健康结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Journal of Hypertension Medicine-Internal Medicine

CiteScore

4.00

自引率

5.30%

发文量

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.