Comparative analysis of non-adherence to medication treatment for systemic arterial hypertension in urban and rural populations

Revista Latino-Americana de Enfermagem

Patricia Magnabosco¹  Eliana Cavalari Teraoka¹  Edward Meirelles De Oliveira¹  Elisangela Aparecida Felipe¹  Dayana Freitas¹  Leila Maria Marchi-alves¹ 

关键词: Hypertension;    Medication Adherence;    Urban Population;    Rural Population;    Hipertensão;    Adesão à Medicação;    População Urbana;    População Rural;    Hipertensión;    Cumplimiento de la Medicación;    Población Urbana;    Población Rural;   

DOI  :  10.1590/0104-1169.0144.2520

来源: SciELO

【 摘 要 】

OBJECTIVE: to evaluate the indexes and the main factors associated with non-adherence to medication treatment for systemic arterial hypertension between urban and rural areas.METHOD: analytical study based on an epidemiological survey with a sample of 247 hypertensive residents of rural and urban areas, with application of a socio-demographic and economic questionnaire, and treatment adherence assessment. The Pearson's Chi-square test was used and the odds ratio (OD) was calculated to analyze the factors related to non-adherence.RESULTS: the prevalence of non-adherence was 61.9% and it was higher in urban areas (63.4%). Factors significantly associated with non-adherence were: male gender (OR=1.95; 95% CI 1.08-3.50), age 20-59 years old (OR=2.51; 95% CI 1.44-4.39), low economic status (OR=1.95; 95% CI 1.09-3.47), alcohol consumption (OR=5.92, 95% CI 1.73-20.21), short time of hypertension diagnosis (OR=3.07; 95% CI 1.35-6.96) and not attending the health service for routine consultations (OR=2.45; 1.35-4.42).CONCLUSION: the socio-demographic/economic characteristics, lifestyle habits and how to relate to health services were the factors that presented association with non-adherence regardless of the place of residence.

【 授权许可】

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