9. Factors Affecting Medication Compliance in Elderly with Hypertension in 13 Provinces in Indonesia

Abstract

Background: Currently we see an increase in life expectancy followed by an increase in the number of elderly with various health problems, one of them being hypertension. Moreover, not all patients can control this disease properly. The most difficult challenge is someone's adherence to taking medication. If this is not properly anticipated, it will lead to a decrease in the quality of life for the elderly in the future. Objective: To determine the affecting factors of medication compliance in elderly with hypertension. Method: This study was a cross-sectional study of 253 hypertensive elderly who had been diagnosed by a doctor and were taking antihypertensive medication using secondary data from the Indonesian Family Life Survey 2015. A person is said to be compliant with hypertension treatment if someone has taken the medicine prescribed by the doctor every week. Result: There were 32.8% of respondents were not compliant with hypertension treatment. Multivariate analysis showed several significant factors (p-value <0,05) in determining medication adherence namely duration of hypertension, education about hypertension management, adherence to weight control, grade of hypertension and complications due to hypertension. The most influential independent factor was the elderly who did not receive education about hypertension management (p = 0.000; OR = 5.216). Conclusion: This study found several factors in determining medication adherence in the elderly namely having a history of hypertension > 5 years, having grade 2 hypertension, receiving education on hypertension management, not controlling weight, and having complications.