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Published on: May 17, 2024
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Factors Influencing Antihypertensive Medication Adherence Among Historically Underrepresented Adults: A Meta-analysis
The Journal of Cardiovascular Nursing
|January 10, 2024
Summary
Older age and higher income correlate with better medication adherence in hypertension patients. Depressive symptoms are linked to poorer adherence, highlighting factors for targeted interventions.
Area of Science:
- Cardiovascular Health
- Health Disparities Research
- Behavioral Medicine
Background:
- Addressing disparities in blood pressure control necessitates improved antihypertensive medication adherence (MA).
- Identifying key factors influencing MA is crucial for developing effective interventions.
- Underrepresented populations often face unique challenges impacting medication adherence.
Purpose of the Study:
- To meta-analyze factors associated with antihypertensive medication adherence (MA) in historically underrepresented populations.
- To assess the impact of system-level factors on MA, which are often understudied.
- To inform the development of targeted and culturally relevant MA interventions.
Main Methods:
- A systematic literature search was conducted across 10 databases.
- Inclusion criteria focused on studies of adults with hypertension, with at least 50% from underrepresented racial/ethnic groups.
- Fifty-eight studies were included, with data analyzed to determine correlations between various factors and MA.
Main Results:
- Older age (r=0.08) and higher income (r=0.11) showed significant positive correlations with better MA.
- Depressive symptoms were significantly correlated with worse MA (r=-0.18).
- Factors like sex, education, marital status, number of medications, comorbidities, and social support were not significantly associated with MA in this meta-analysis.
Conclusions:
- Understanding factors influencing antihypertensive MA in underrepresented adults is key to developing effective interventions.
- Future research should prioritize investigating system-level factors impacting MA in these populations.
- Targeted, culturally sensitive interventions can help reduce disparities in blood pressure control.
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