Anti-Hypertensive Medication Adherence and Associated Factors among Adult Hypertensive Patients at Dilla University Referral Hospital, South Ethiopia
Journal Title: Public Health Open Access - Year 2024, Vol 8, Issue 1
Abstract
Background: Hypertension is a global public health challenge that contributes to the burden of hypertensive heart disease, stroke, renal failure, premature morbidity, and mortality. The availability of effective antihypertensive medications didn’t bring expected outcomes in terms of adherence for antihypertensive medication. Objective: The aim of this study was to assess antihypertensive medication adherence and associated factors among adult hypertensive patients at Dilla university referral hospital, Southern Ethiopia, 2021. Methods: A hospital-based cross-sectional study was conducted, at Dilla University Referral Hospital from June 10, 2021, to July 10, 2021, and 205 study participants were selected from the study population using a systematic random sampling procedure. Patients in the study were interviewed while their medical records were reviewed using a data abstraction sheet. Adherence was assessed using an eight-item Morisky Medication adherence scale (MMAS-8); a MMAS-8 score of less than 6 was considered non-adherence, and a MMAS-8 score greater than or equal to 6 was considered adherence. Factors associated with adherence were identified using binary and multivariate logistic regression analyses. The crude odds ratio and adjusted odds ratio with a 95% confidence interval were calculated using SPSS version 20. Variables with a P-value <0.05 in the multivariable analysis were assumed to be statistically significant factors. Results: 205 respondents were interviewed, with a response rate of 100%. More than half (57.6%) of the study participants were male. 65.3% (58.784–71.816) of the study participants were found to be adherent to their medication. Longer Duration of diagnosis of hypertension (AOR =0.280, 95% CI = 0.025–0.836), participants who can’t read and write (AOR = 0.40, 95% CI = 0.00-0840), and traditional drug users (AOR =0.15, 95% CI =0.003-0.489) were inversely significant associated with antihypertensive medication adherence. Conclusion: An adhesion level of 65.3% was found to be suboptimal. Traditional drug users, being uneducated and the duration of the diagnosis of hypertension were adversely influencing medication adherence. Therefore, routine health education and awareness creation are strongly recommended.
Authors and Affiliations
Madoro D , Shemelise T , Tadesse J , Hareru HE , Seid A , Semagn S , Aneleay, Cherinet , Muche T and Tsadik
Keywords
Related Articles
- EP ID EP755835
- DOI 10.23880/phoa-16000267
- Views 1
- Downloads 0
AMR: An Emerging Threat
Antimicrobial resistance (AMR) has become a global threat now, posing insurmountable challenge to clinicians and nursing personnel alike. Resistance of Mycobacterium tuberculosis, Staphylococcus aureus to hitherto effect...
Perceptions of Antenatal Women, Husband and Health Service Providers on Husband being Birth Companion during Childbirth
Objectives: 1) To explore the perceptions of pregnant woman, husband and service providers about the presence of husband as a birth companion during childbirth. 2) To know the birth experiences of women who are multiple...
Depression and African Americans: Developing a Culturally Competent Minority Depression and Ways of Coping Scale
Often, African Americans are misdiagnosed and under-treated in the conventional healthcare system. Research studies have reported the symptoms of depression among African Americans are inconsistent with the DSM-V. Previo...
COVID-19-Some Lessons Identified
Epidemics are accompanying the mankind from the very beginning of the human society development. It is extremely important to be noted that the biological damaging factor - viruses, bacteria, fungi parasites and their to...
Assessing the Validity of Human Intention for Action: Exploring Unintentional Actions
This paper examines the validity of human intention for action, specifically focusing on unintentional actions that are unaffected by bias. Through the observation of a substantial number of individuals, estimated to be...