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Medication Adherence Among Hypertensive Patients Attending Different Primary Health Centers in Abha, Saudi Arabia: A
Ashokkumar Thirunavukkarasu1, Abdullah Naser Abdullah Alshahrani1,2, Doaa Mazen Abdel-Salam3
1Department of Community and Family Medicine, College of Medicine, Jouf University, Sakaka, Saudi Arabia.
Insights
Hypertensive patients in Abha show poor medication adherence, linked to age, marital status, rural residence, and income. Interventions are needed to improve adherence and reduce health risks.
Area of Science:
- Public Health
- Epidemiology
- Health Services Research
Background:
- Optimal blood pressure control is crucial for reducing morbidity and mortality associated with hypertension.
- Medication adherence is a key factor in achieving and maintaining blood pressure control.
- Understanding adherence patterns and associated factors in specific populations is essential for targeted interventions.
Purpose of the Study:
- To determine the level of medication adherence among hypertensive patients in Abha, Saudi Arabia.
- To identify factors associated with medication adherence in this patient group.
- To inform the development of strategies to improve antihypertensive medication adherence.
Main Methods:
- A cross-sectional study was conducted in ten primary health centers (PHCs) in Abha, Saudi Arabia.
- A simple random sample of 400 hypertensive patients was recruited.
- Data were collected using a structured, anonymous questionnaire and analyzed with logistic regression and Spearman's correlation.
Main Results:
- Over two-thirds of hypertensive patients (63.7%) exhibited low or medium adherence to their medications.
- Low and medium adherence was significantly associated with younger age, being married, residing in rural areas, and having a monthly family income between 5000-7000 SAR.
- A negligible positive correlation was found between illness perception and medication adherence.
Conclusions:
- Hypertensive patients in Abha demonstrate suboptimal adherence to antihypertensive medications.
- Factors such as age, marital status, rural residency, and income level significantly influence medication adherence.
- Sustained health education and awareness programs are recommended to improve medication adherence in this population.
Background And Objectives:
Optimal blood pressure control is achieved by medication adherence. This will reduce the risk of associated morbidities and mortalities. The present study aimed to determine medication adherence and its associated factors among hypertensive patients attending different primary health centers (PHC) in Abha, Saudi Arabia (KSA).
Methods:
A cross-sectional study was conducted among ten different PHCs in Abha, KSA. Simple random sampling procedure was utilized to choose 400 participants. A structured anonymous questionnaire was used in the present study. Analysis of the data was done using the SPSS program, version 23. A logistic regression statistical test was applied to identify the independent associated factors of medication adherence. Furthermore, we have applied Spearman's test to find the correlation between overall B-IPQ score and medication adherence score.
Results:
A total of 400 hypertensive patients responded in the present survey. More than one-third of the participants (36.3%) were in the high adherence category group, while the remaining participants (63.7%) were either low or medium adherence category. The binary logistic regression analysis revealed that low and medium adherence category is significantly associated with age (adjusted odds ratio [AOR] = 0.96, 95% CI =0.93-0.99, p = 0.021), married participants (AOR = 0.42, 95% CI =0.33-0.58, p = 0.001), residing at village (AOR = 1.49, 95% CI =1.14-1.73, p = 0.038), and participants with monthly family income of 5000 to 7000 SAR (AOR = 3.06, 95% CI =1.62-5.79, p = 0.001). A negligible positive correlation was revealed between illness perception and medication adherence.
Conclusion:
The present study revealed that hypertensive patients poorly adhere to their antihypertensive medications. This low adherence is significantly associated with the age, monthly income, people living in rural areas, and married participants. The present study results recommend sustained efforts to implement health education programs and awareness-raising interventions targeted at hypertensive patients.
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