Abstract
International Journal of Medicine and Public Health,2019,9,2,42-45.DOI:10.5530/ijmedph.2019.2.11Published:June 2019Type:Original ArticleAssessment of Adherence to Anti-hypertensive Treatment among Patients Attending a Urban Health Care Facility of a Medical College, TumkurCheluve Gowda GK, Savitha Rani BB, Krishna Iyengar, Venkatesh P, and Vinay KS Cheluve Gowda GK1, Savitha Rani BB1,*, Krishna Iyengar1, Venkatesh P1, Vinay KS2 1Department of Community Medicine, Sri Siddhartha Medical College, Tumkur, Karnataka, INDIA. 2Department of General Medicine, Sri Siddhartha Medical College, Tumkur, Karnataka, INDIA. Abstract:Chronic non-communicable diseases are posing a serious threat to public health throughout the world, irrespective of whether developed and developing and thus deserve to be treated as a global health priority. Hypertension is the leading modifiable risk factor for cardiovascular diseases. Poor compliance to antihypertensive therapies has been linked to a variety of problems, including poor blood pressure control, rehospitalisation and increased healthcare resource utilization. Methodology: This Cross-Sectional study was carried out among all adult hypertensive patients from September to October 2018 visiting Urban Health Training Centre of Sri Siddhartha Medical College. Results: Out of 150 study subjects Majority of them 66 (44%) were having hypertension for 10-15 yrs and least 18 (12%) were having Hypertension for >5 yrs, 81 (54%) were Purchasing drugs from Private sectors and others from Government sector. 30 (20%) were taking 2 tablets per day, 109 (72.7%) were taking 1 tablet per day. 90 (60%) were having Low adherence, 36 (24%) were having Medium adherence and 24 (16%) High adherence for Drugs using Morisky Adherence scale. When we studied association between Adherence to drugs with other Socio-demographic characteristics, we got statistically significant results with Socioeconomic status, residence and Place of Purchase of drugs (P=0.0). Conclusion: Adherence to drugs was found to be low in the present study. The level of adherence to treatment among the participants can be achieved by educating the Patients and creating awareness. Keywords:Adherence, Blood Pressure, Complications, HypertensionView:PDF (278.47 KB)
Highlights
Chronic non-communicable diseases are posing a serious threat to public health throughout the world and deserve to be treated as a global health priority.[2]
(60%) were having Low adherence, 36 (24%) were having Medium adherence and 24 (16%) High adherence for Drugs using Morisky Adherence scale. (Table 5) When we studied association between Adherence to drugs with other Socio- demographic characteristics, we got statistically significant results
In a hospital based study by Hema K et al in Andhra Pradesh (n=400), only 15.3% (n=61) of the participants were found to have high adherence to anti-hypertensive medication based on 8 point Morisky medication adherence scale.[6]
Summary
Hypertension is one of the major Public Health problem in both the developed and developing countries. Increased blood pressure is a leading risk factor for premature death, stroke and heart disease worldwide. Hypertension is the leading modifiable risk factor for cardiovascular diseases and was the topmost leading risk factor for global disease burden in 2010.1. Chronic non-communicable diseases are posing a serious threat to public health throughout the world and deserve to be treated as a global health priority.[2] Hypertension accounts for 7.1 million deaths worldwide every year of which 57% is due to stroke and 43% is due to ischemic heart disease.[2]. World Health Organization (WHO) describes poor adherence as the most important cause of uncontrolled blood pressure and estimates that 50% of people do not take their antihypertensive medication as prescribed
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