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Evaluation of medication adherence in Lebanese hypertensive patients

Mohammad Yassine1, Amal Al-Hajje1, Sanaa Awada1

  • 1Clinical and Epidemiological Research Laboratory, Faculty of Pharmacy, Clinical Pharmacy Department, Doctoral School of Sciences & Technology, Lebanese University, Beirut, Lebanon.

Journal of Epidemiology and Global Health
|August 2, 2015
PubMed

Insights

Medication adherence in Lebanese hypertensive patients is crucial for cardiovascular health. Over half of patients showed high adherence, but factors like forgetfulness and complex regimens negatively impact blood pressure control.

Area of Science:

  • Cardiology
  • Pharmacology
  • Public Health

Background:

  • Hypertension management is critical for cardiovascular disease outcomes.
  • Poor medication adherence leads to adverse health events and increased healthcare costs.
  • Understanding adherence factors in specific populations is essential for targeted interventions.

Purpose of the Study:

  • To evaluate antihypertensive medication adherence in Lebanese patients.
  • To determine the proportion of adherent patients using a validated scale.
  • To identify predictors of medication adherence in this population.

Main Methods:

  • A cross-sectional study involving 210 hypertensive outpatients in Beirut.
  • Utilized the 8-item Modified Morisky Medication Adherence Scale (MMMAS) for assessment.
  • Employed bivariate and logistic regression analyses to identify adherence predictors.

Main Results:

  • 50.5% of patients exhibited high medication adherence.
  • Controlled blood pressure and combination drug use predicted high adherence.
  • Forgetfulness, complex regimens, and side effects were linked to low adherence.
  • Calcium channel blockers were associated with increased adherence.

Conclusions:

  • Multidisciplinary interventions and healthcare provider education are needed to improve adherence.
  • Addressing specific barriers like forgetfulness and regimen complexity is vital.
  • Targeted strategies can enhance medication adherence and cardiovascular health outcomes.

Keywords:
Blood pressureHypertensionLebanonMedication adherenceMorisky scale

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