Abstract
Partial or total non-adherence has been recognized as major issues in the long-term management of hypertension. This study aims to investigate the prevalence and associated factors of compliance behaviors among Chinese middle-aged and older hypertensive patients. A sample of 6308 hypertensive patients aged ≥45 years was obtained from the 2015 China Health and Retirement Longitudinal Study (CHARLS) data. Two compliance behaviors were involved including medication and blood pressure monitoring. Stratified binary logistic regression analysis was employed to examine the associated factors. 77.2% of the participants reported medication compliance, and 40.7% complied with blood pressure monitoring. Better medication compliance associated with older age, overweight or obesity, one or ≥3 complications, no drinking, living in urban areas, and health education. Better blood pressure monitoring compliance associated with older age, overweight or obesity, ≥3 complications, normal activities of daily living (ADL), no smoking, sleep duration of 6–8 h, better cognitive function, living in urban areas, education level of middle school or above, and health education. Chinese middle-aged and older hypertensive patients experienced unoptimistic compliance behaviors, especially for blood pressure monitoring. Special attention and targeted interventions are urgent for the high-risk population of poor compliance behaviors, such as rural individuals, low educational population, and younger hypertensive patients.
Highlights
Population ageing has become an irreversible phenomenon worldwide
A total of 6308 middle-aged and older individuals with hypertension were involved in this study, with an average age of 63.3 years (SD = 9.8)
The results indicated that the frequency of blood pressure monitoring in Chinese middle-aged and older patients did not meet the recommendations of hypertension prevention and treatment guidelines
Summary
Population ageing has become an irreversible phenomenon worldwide. China is one of the most ageing countries with the number of people aged 65 and above ranking first in the world [1]. By the end of 2019, there were 175.99 million older adults aged 65 years and older in China, accounting for 12.6% of the total Chinese population [2]. With the aggravation of population ageing, chronic non-communicable diseases represented mainly by cardiovascular and cerebrovascular diseases have become a major threat to human health, especially for people in older age [3]. According to the Chinese Center for Disease Control and Prevention (China CDC), the prevalence of chronic diseases among Chinese older adults aged 60 years and older reached 76.3% in 2019, among which hypertension had become. Public Health 2020, 17, 7341; doi:10.3390/ijerph17197341 www.mdpi.com/journal/ijerph
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