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Predicting Medication Adherence Using Psychosocial Factors: A Comprehensive Analysis through Regression and Path

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Summary

Psychosocial factors like family support and health literacy significantly impact medication adherence in hypertensive patients. Interventions should address urban-rural disparities and cultural beliefs for better treatment outcomes.

Keywords:
Medication adherence; Hypertension; Psychosocial factors; Path analysis; Saudi Arabia; Urban-rural disparities

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Area of Science:

  • Public Health
  • Social Sciences
  • Medical Sociology

Background:

  • Hypertension management requires understanding medication adherence.
  • Psychosocial factors and urban-rural disparities influence adherence.

Purpose of the Study:

  • Identify psychosocial determinants of medication adherence in hypertensive patients.
  • Examine urban-rural disparities in medication adherence.

Main Methods:

  • Cross-sectional study with 385 hypertensive patients.
  • Questionnaire assessing demographics, psychosocial factors, and adherence (MMAS-8).
  • Logistic regression, path analysis, and SEM used for analysis.

Main Results:

  • 52.7% had high adherence; urban (62%) vs. rural (43%).
  • Positive predictors: family support, self-efficacy, health literacy.
  • Barriers: perceived stigma, traditional beliefs; urban-rural differences noted.

Conclusions:

  • Psychosocial factors and cultural influences are key to adherence.
  • Tailored interventions addressing specific barriers are needed.
  • Enhancing health literacy, self-efficacy, and family support can improve adherence.