Related Experiment Video
Updated: Jun 27, 2025
Improved Renal Denervation Mitigated Hypertension Induced by Angiotensin II Infusion
Published on: May 26, 2022
Pandemic Pressure: Changes in Hypertensive Management Adherence in Indonesia
Dwi H Tjandrarini1, Dewi Kristanti2, Tri Wurisastuti1
1Research Organization for Health, National Research and Innovation Agency, Cibinong Science Center, Bogor, West Java, Indonesia.
Insights
Hypertension management adherence significantly decreased during the COVID-19 pandemic. Young, highly educated individuals without insurance were more likely to become non-adherent, highlighting a need for targeted interventions.
Area of Science:
- Public Health
- Epidemiology
- Cardiovascular Disease Management
Background:
- Hypertension management requires consistent medication adherence and blood pressure control.
- The COVID-19 pandemic presented unprecedented challenges to healthcare access and patient behaviors globally.
- Understanding shifts in adherence during public health crises is crucial for maintaining chronic disease management.
Purpose of the Study:
- To identify factors associated with changes in hypertension management adherence before and during the COVID-19 pandemic in Bogor, Indonesia.
- To analyze shifts in medication adherence and blood pressure control among hypertensive patients.
- To inform post-pandemic strategies for improving hypertension care.
Main Methods:
- Observational study utilizing data from a 2019 cohort and a 2020 online survey.
- Analysis of data from 880 participants with hypertension.
- Multivariate logistic polynomial regression to determine factors influencing adherence changes.
Main Results:
- Adherence to hypertension management dropped from 82.0% in 2019 to 47.8% in 2020.
- Increased non-adherence was observed in individuals under 55, without healthcare insurance, not obese, and without comorbidities.
- Partial adherence (adhering before but not during the pandemic) rose among young, highly educated respondents.
Conclusions:
- Post-pandemic hypertension management interventions should prioritize young individuals, those with higher education, and those lacking healthcare insurance.
- Addressing the specific needs of subgroups with decreased adherence is essential for effective public health strategies.
- Perceived lack of comorbidities should not deter targeted support for hypertension management.
Purpose:
This study aimed to determine factors associated with changes in adherence to hypertension management (medication adherence and blood pressure control) in respondents with hypertension before and during the COVID-19 pandemic in Bogor city, Indonesia.
Methods:
An observational study was conducted using two sources of data (before and during COVID-19 pandemic). Data before the pandemic were derived from the 2019 Cohort Study of non-communicable disease risk factors. Data during the pandemic were derived from an online survey conducted in September and October 2020. Information from 880 participants were analyzed. The dependent variable was the change in adherence to hypertension management before and during the COVID-19 pandemic. Multivariate analysis was performed using logistic polynomial regression.
Results:
Respondents who adhered to hypertension management decreased from 82.0% in 2019 to 47.8% in 2020. The likelihood of non-adherence (respondents who did not adhere to hypertension management both before and during the pandemic) increased in respondents below 55 years old, who did not own any healthcare insurance, who were not obese, and who had no other comorbidities. In the partial adherence group (respondents who did not adhere to hypertension management either before or during the pandemic), we found that most respondents adhered before the pandemic but no longer adhered during the COVID-19 pandemic. We found an increased partial adherence in young and highly educated respondents.
Conclusions:
Efforts to improve adherence to hypertension management after the COVID-19 pandemic should target those who were young, highly educated, who did not have any healthcare insurance, and who did not perceive themselves as not having comorbidities.
Related Concept Videos
01:18Hypertension and Regulation of Blood Pressure
01:25Errors occurring during blood pressure monitoring
Several factors...
01:30Alterations in Blood Pressure
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...
01:28Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
01:23Assessment of blood pressure in brachial artery(two-step method)
01:25Antihypertensive Drugs: Direct Renin Inhibitors