Chia, Yook Chin and Devaraj, Navin Kumar and Ching, Siew Mooi and Ooi, Pei Boon and Chew, Ming Tsuey and Chew, Bee Nah and Mohamed, Mohazmi and Lim, Hooi Min and Beh, Hooi Chin and Othman, Azli Shahril and Husin, Hanis Saadah and Gani, Abdul Hafiz Mohamad and Hamid, Dalyana and Kang, Pei San and Tay, Chai Li and Wong, Ping Foo and Hassan, Haslinda (2021) Relationship of an adherence score with blood pressure control status among patients with hypertension and their determinants: Findings from a nationwide blood pressure screening program. Journal of Clinical Hypertension, 23 (3, SI). pp. 638-645. ISSN 1524-6175, DOI https://doi.org/10.1111/jch.14212.
Full text not available from this repository.Abstract
This study aimed to examine the relationship of adherence with blood pressure (BP) control and its associated factors in hypertensive patients. This cross-sectional nationwide BP screening study was conducted in Malaysia from May to October 2018. Participants with self-declared hypertension completed the Hill-Bone Compliance to High Blood Pressure Therapy Scale (Hill-Bone CHBPTS) which assesses three important domains of patient behavior to hypertension management namely medication taking, appointment keeping and reduced salt intake. Lower scores indicate better compliance while higher scores indicate otherwise. Participant's body mass index and seated BP were measured based on standard measurement protocol. Determinants of adherence to treatment were analyzed using multiple linear regression. Out of 5167 screened subjects, 1705 were known hypertensives. Of these, 927 (54.4%) answered the Hill-Bone CHBPTS and were entered into analysis. The mean age was 59.0 +/- 13.2 years, 55.6% were female and 42.2% were Malays. The mean Hill-Bone CHBPTS score was 20.4 +/- 4.4 (range 14-47), and 52.1% had good adherence. The mean systolic BP and diastolic BP were 136.4 +/- 17.9 and 80.6 +/- 11.6 mmHg, respectively. BP was controlled in 58.3% of those with good adherence compared to 50.2% in those with poor adherence (p = .014). Based on multiple linear regression analysis, female gender (beta = -0.72, 95% confidence interval CI] -1.30, -0.15, p = .014), older age (beta = -0.05, 95% CI -0.07, -0.03, p < .001), and individuals with primary or lower educational level (beta = -0.91, 95% CI -1.59, -0.23, p = .009) had better adherence to BP management. Interventional programs targeted at the less adherent groups are needed in order to improve their adherence and BP control.
| Item Type: | Article |
|---|---|
| Funders: | UNSPECIFIED |
| Uncontrolled Keywords: | Adherence;Antihypertensive;Blood pressure control;Bone compliance to high blood pressure scale;Bone CHBPTS); Hypertension |
| Subjects: | R Medicine R Medicine > RA Public aspects of medicine R Medicine > RC Internal medicine |
| Divisions: | Faculty of Medicine |
| Depositing User: | Ms Zaharah Ramly |
| Date Deposited: | 15 Sep 2022 07:28 |
| Last Modified: | 15 Sep 2022 07:28 |
| URI: | http://eprints.um.edu.my/id/eprint/34593 |
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