Factors Conditioning the Adherence to Pharmacological Prescription in Patients with Hypertension Attending Primary Healthcare Units in Quito – Ecuador

α
Patricia Ortiz Solórzano
Patricia Ortiz Solórzano
σ
Karen Pesse-Sorensen
Karen Pesse-Sorensen
ρ
Victor Hugo Mena Maldonado
Victor Hugo Mena Maldonado
α Pontificia Universidad Católica del Ecuador Pontificia Universidad Católica del Ecuador

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Factors Conditioning the Adherence to Pharmacological Prescription in Patients with Hypertension Attending Primary Healthcare Units in Quito – Ecuador

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Abstract

Low adherence to pharmacological treatment in patients diagnosed with hypertension is related to poor blood pressure control and an increased incidence of cardiovascular complications and deaths. A cross-sectional study was performed to determine conditioning factors towards adherence. Questionnaires and clinical evaluations were applied to 187 patients attending three first-level health units; in 130 of them laboratory tests were carried out. Diagnostic criteria were based on the European Clinical Practice Guidelines; adherence was based on the Morinsky test. 57.1% of patients had blood pressure values above the controlled threshold, and 71.1% reported non-adherence to pharmacological prescription. Factors associated whit low adherence were coexisting moderate to severe depression (OR = 2,054; CI 1,064 -3,964), low educational level (3.75 ± 3.05 years), poor understanding of medical prescriptions (OR = 2.3 CI 1.188 -4.477), irregular supply and limited economic access to prescribed drugs ((OR = 1.97 CI 1.08 -3.817), and low satisfaction with the care offered at health services (OR = 2.45; CI 1.202-5.00).

References

34 Cites in Article
  1. T Abegaz,A Shehab,E Gebreyohannes,A Bhagavathula,A Elnour (2017). Nonadherence to antihypertensive drugs.
  2. Hayden Bosworth,Bradi Granger,Phil Mendys,Ralph Brindis,Rebecca Burkholder,Susan Czajkowski,Jodi Daniel,Inger Ekman,Michael Ho,Mimi Johnson,Stephen Kimmel,Larry Liu,John Musaus,William Shrank,Elizabeth Buono,Karen Weiss,Christopher Granger (2011). Medication adherence: A call for action.
  3. M Burnier,B Egan (2019). Adherence in Hypertension.
  4. Clara Chow,Rajeev Gupta (2019). Blood pressure control: a challenge to global health systems.
  5. Clara Chow,K Teo,S Rangarajan,S Islam,R Gupta,A Avezum,A Bahonar,J Chifamba,G Dagenais,R Diaz,K Kazmi,F Lanas,L Wei,P Lopez-Jaramillo,L Fanghong,N Ismail,T Puoane,A Rosengren,A Szuba,S Yusuf (2013). Prevalence, Awareness, Treatment, and Control of Hypertension in Rural and Urban Communities in High-, Middle-, and Low-Income Countries.
  6. I Comarca,De La (2011). Adherencia al tratamiento farmacológico en patologías crónicas.
  7. Departament Of Health And Human (2003). Prevention , Detection , Evaluation , and Treatment of.
  8. Esh/Esc (2013). 2013 ESH/ESC Guidelines for the management of arterial hypertension.
  9. Verónica Espinosa,Cecilia Acuña,Daniel De La Torre,Gina Tambini (2017). La reforma en salud del Ecuador.
  10. Gbd (2017). Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990-2017: A systematic analysis for the Global Burden of Disease Stu.
  11. E Gosmanova,C Kovesdy (2015). Adherence to antihypertensive medications: Is prescribing the right pill enough?.
  12. Rasha Khatib,Jon-David Schwalm,Salim Yusuf,R Haynes,Martin Mckee,Maheer Khan,Robby Nieuwlaat (2014). Patient and Healthcare Provider Barriers to Hypertension Awareness, Treatment and Follow Up: A Systematic Review and Meta-Analysis of Qualitative and Quantitative Studies.
  13. Sunil Kripalani,Xiaomei Yao,R Haynes (2007). Interventions to Enhance Medication Adherence in Chronic Medical Conditions.
  14. Marie Krousel-Wood,Paul Muntner,Tareq Islam,Donald Morisky,Larry Webber (2009). Barriers to and Determinants of Medication Adherence in Hypertension Management: Perspective of the Cohort Study of Medication Adherence Among Older Adults.
  15. Marie Krousel-Wood,Cara Joyce,Elizabeth Holt,Paul Muntner,Larry Webber,Donald Morisky,Edward Frohlich,Richard Re (2011). Predictors of Decline in Medication Adherence.
  16. Maichou Lor,Theresa Koleck,Suzanne Bakken,Sunmoo Yoon,Ann-Margaret Dunn Navarra (2019). Association Between Health Literacy and Medication Adherence Among Hispanics with Hypertension.
  17. S Macmahon,M Alderman,L Lindholm,L Liu,R Sanchez,Y Seedat (2008). Blood-Pressure-Related Disease Is a Global Health Priority.
  18. Will Maimaris,Jared Paty,Pablo Perel,Helena Legido-Quigley,Dina Balabanova,Robby Nieuwlaat,Martin Mckee (2013). The Influence of Health Systems on Hypertension Awareness, Treatment, and Control: A Systematic Literature Review.
  19. J Marrugat,R D’agostino,L Sullivan,R Elosua,P Wilson,J Ordovas,P Solanas,F Cordón,R Ramos,J Sala,R Masiá,W Kannel (2003). An adaptation of the Framingham coronary heart disease risk function to European Mediterranean areas.
  20. Rina Martínez C.,Sindy Medrano M.,Eduardo Sequeda B. (2016). Eficacia de intervenciones educativas en la adherencia terapéutica de pacientes hipertensos.
  21. Finlay Mcalister,Kathryn Wilkins,Michel Joffres,Frans Leenen,George Fodor,Marianne Gee,Mark Tremblay,Robin Walker,Helen Johansen,Norm Campbell (2011). Changes in the rates of awareness, treatment and control of hypertension in Canada over the past two decades.
  22. D Morisky,L Green,D Levine (1986). Concurrent and Predictive Validity of a Self-reported Measure of Medication Adherence.
  23. Rafael Bernal Castro (2004). El imperio de la salud depende de la Organización Mundial de… Comercio.
  24. Organización De La Salud (2013). Organización Panamericana de la Salud. Organización Mundial de la Salud Informe mundial sobre prevención de los traumatismos causados por el tránsito.
  25. Dora Parra,Sandra Romero Guevara,Lyda Rojas (2019). Influential Factors in Adherence to the Therapeutic Regime in Hypertension and Diabetes.
  26. Pragna Patel,Pedro Ordunez,Donald Dipette,Maria Escobar,Trevor Hassell,Fernando Wyss,Anselm Hennis,Samira Asma,Sonia Angell (2016). Improved Blood Pressure Control to Reduce Cardiovascular Disease Morbidity and Mortality: The Standardized Hypertension Treatment and Prevention Project.
  27. E Peacock,M Krousel-Wood (2017). Adherence to Antihypertensive Therapy.
  28. Marta Pereira,Nuno Lunet,Ana Azevedo,Henrique Barros (2009). Differences in prevalence, awareness, treatment and control of hypertension between developing and developed countries.
  29. Luis Reyes Barreno,Rolando Medina Peña (2008). Los postulados de la responsabilidad social empresarial en la Constitución de 2008 de la República del Ecuador.
  30. Badara Samb,Nina Desai,Sania Nishtar,Shanti Mendis,Henk Bekedam,Anna Wright,Justine Hsu,Alexandra Martiniuk,Francesca Celletti,Kiran Patel,Fiona Adshead,Martin Mckee,Tim Evans,Ala Alwan,Carissa Etienne (2010). Prevention and management of chronic disease: a litmus test for health-systems strengthening in low-income and middle-income countries.
  31. John Steiner,P Ho,Brenda Beaty,L Dickinson,Rebecca Hanratty,Chan Zeng,Heather Tavel,Edward Havranek,Arthur Davidson,David Magid,Raymond Estacio (2009). Sociodemographic and Clinical Characteristics Are Not Clinically Useful Predictors of Refill Adherence in Patients With Hypertension.
  32. D Van Der Laan,P Elders,C Boons,J Beckeringh,G Nijpels,J Hugtenburg (2017). Factors associated with antihypertensive medication non-adherence: a systematic review.
  33. Leah Zullig,Karen Stechuchak,Karen Goldstein,Maren Olsen,Felicia Mccant,Susanne Danus,Matthew Crowley,Eugene Oddone,Hayden Bosworth (2015). Patient-Reported Medication Adherence Barriers Among Patients with Cardiovascular Risk Factors.
  34. Hui-Juan Zuo,Ji-Xiang Ma,Jin-Wen Wang,Xiao-Rong Chen,Lei Hou (2019). The impact of routine follow-up with health care teams on blood pressure control among patients with hypertension.

Funding

No external funding was declared for this work.

Conflict of Interest

The authors declare no conflict of interest.

Ethical Approval

No ethics committee approval was required for this article type.

Data Availability

Not applicable for this article.

How to Cite This Article

Patricia Ortiz Solórzano. 2021. \u201cFactors Conditioning the Adherence to Pharmacological Prescription in Patients with Hypertension Attending Primary Healthcare Units in Quito – Ecuador\u201d. Unknown Journal GJMR-I Volume 21 (GJMR Volume 21 Issue I3): .

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September 6, 2021

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Low adherence to pharmacological treatment in patients diagnosed with hypertension is related to poor blood pressure control and an increased incidence of cardiovascular complications and deaths. A cross-sectional study was performed to determine conditioning factors towards adherence. Questionnaires and clinical evaluations were applied to 187 patients attending three first-level health units; in 130 of them laboratory tests were carried out. Diagnostic criteria were based on the European Clinical Practice Guidelines; adherence was based on the Morinsky test. 57.1% of patients had blood pressure values above the controlled threshold, and 71.1% reported non-adherence to pharmacological prescription. Factors associated whit low adherence were coexisting moderate to severe depression (OR = 2,054; CI 1,064 -3,964), low educational level (3.75 ± 3.05 years), poor understanding of medical prescriptions (OR = 2.3 CI 1.188 -4.477), irregular supply and limited economic access to prescribed drugs ((OR = 1.97 CI 1.08 -3.817), and low satisfaction with the care offered at health services (OR = 2.45; CI 1.202-5.00).

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Factors Conditioning the Adherence to Pharmacological Prescription in Patients with Hypertension Attending Primary Healthcare Units in Quito – Ecuador

Patricia Ortiz Solórzano
Patricia Ortiz Solórzano Pontificia Universidad Católica del Ecuador
Karen Pesse-Sorensen
Karen Pesse-Sorensen
Victor Hugo Mena Maldonado
Victor Hugo Mena Maldonado

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