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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.
Asian Nursing Research
|April 30, 2024
Summary
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.
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