Association between medication adherence and blood pressure control in urban hypertensive patients in central India

Introduction: Cardiovascular and renal complications associated with hypertension (HTN) can be reduced if blood pressure (BP) is well controlled. However, a large percentage of patients fail to achieve target BPs, largely due to poor medication adherence. We conducted a cross-sectional study of pati...

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Main Authors: Ratinder Jhaj, Pushp Raj Gour, Sweta Kumari, Shweta Sharma
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:International Journal of Noncommunicable Diseases
Subjects:
Online Access:http://www.ijncd.org/article.asp?issn=2468-8827;year=2018;volume=3;issue=1;spage=9;epage=14;aulast=Jhaj
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author Ratinder Jhaj
Pushp Raj Gour
Sweta Kumari
Shweta Sharma
author_facet Ratinder Jhaj
Pushp Raj Gour
Sweta Kumari
Shweta Sharma
author_sort Ratinder Jhaj
collection DOAJ
description Introduction: Cardiovascular and renal complications associated with hypertension (HTN) can be reduced if blood pressure (BP) is well controlled. However, a large percentage of patients fail to achieve target BPs, largely due to poor medication adherence. We conducted a cross-sectional study of patients of HTN to assess patient adherence to treatment and the association between medication adherence and BP control. Methodology: The study was a cross-sectional survey of adult hypertensive patients of either sex who had been on antihypertensive therapy for the past 3 months. Medication adherence was measured using the 8-item Morisky Medication Adherence Scale (MMAS-8). Level of control of BP was evaluated using the BP goals recommended by the Eighth Joint National Committee (JNC-8). Results: Out of a total of 200 patients, only 29.5% of patients had achieved their target BP as per JNC-8 recommendations after a minimum of 3 months of antihypertensive therapy. The average adherence score on the MMAS-8 was 6.47 (±1.8). A high adherence was found in 39% of patients, while 32.5% of HTN patients had a medium score and 28.5% had low adherence scores. There was a significant correlation between medication adherence and BP control. Only 1.5% of patients with low adherence score and 11.5% with medium score had achieved their target BP while 16.5% with high had done so. Conclusion: Higher medication adherence scores were associated with better BP control. However, the percentage of patients with controlled HTN on treatment was low as was the proportion of patients with a high medication adherence score.
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spelling doaj.art-1c8b64898307480aadead93eefb01e312022-12-21T19:01:53ZengWolters Kluwer Medknow PublicationsInternational Journal of Noncommunicable Diseases2468-88272468-88352018-01-013191410.4103/jncd.jncd_29_16Association between medication adherence and blood pressure control in urban hypertensive patients in central IndiaRatinder JhajPushp Raj GourSweta KumariShweta SharmaIntroduction: Cardiovascular and renal complications associated with hypertension (HTN) can be reduced if blood pressure (BP) is well controlled. However, a large percentage of patients fail to achieve target BPs, largely due to poor medication adherence. We conducted a cross-sectional study of patients of HTN to assess patient adherence to treatment and the association between medication adherence and BP control. Methodology: The study was a cross-sectional survey of adult hypertensive patients of either sex who had been on antihypertensive therapy for the past 3 months. Medication adherence was measured using the 8-item Morisky Medication Adherence Scale (MMAS-8). Level of control of BP was evaluated using the BP goals recommended by the Eighth Joint National Committee (JNC-8). Results: Out of a total of 200 patients, only 29.5% of patients had achieved their target BP as per JNC-8 recommendations after a minimum of 3 months of antihypertensive therapy. The average adherence score on the MMAS-8 was 6.47 (±1.8). A high adherence was found in 39% of patients, while 32.5% of HTN patients had a medium score and 28.5% had low adherence scores. There was a significant correlation between medication adherence and BP control. Only 1.5% of patients with low adherence score and 11.5% with medium score had achieved their target BP while 16.5% with high had done so. Conclusion: Higher medication adherence scores were associated with better BP control. However, the percentage of patients with controlled HTN on treatment was low as was the proportion of patients with a high medication adherence score.http://www.ijncd.org/article.asp?issn=2468-8827;year=2018;volume=3;issue=1;spage=9;epage=14;aulast=JhajBlood pressure controlhypertensionmedication adherence
spellingShingle Ratinder Jhaj
Pushp Raj Gour
Sweta Kumari
Shweta Sharma
Association between medication adherence and blood pressure control in urban hypertensive patients in central India
International Journal of Noncommunicable Diseases
Blood pressure control
hypertension
medication adherence
title Association between medication adherence and blood pressure control in urban hypertensive patients in central India
title_full Association between medication adherence and blood pressure control in urban hypertensive patients in central India
title_fullStr Association between medication adherence and blood pressure control in urban hypertensive patients in central India
title_full_unstemmed Association between medication adherence and blood pressure control in urban hypertensive patients in central India
title_short Association between medication adherence and blood pressure control in urban hypertensive patients in central India
title_sort association between medication adherence and blood pressure control in urban hypertensive patients in central india
topic Blood pressure control
hypertension
medication adherence
url http://www.ijncd.org/article.asp?issn=2468-8827;year=2018;volume=3;issue=1;spage=9;epage=14;aulast=Jhaj
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AT pushprajgour associationbetweenmedicationadherenceandbloodpressurecontrolinurbanhypertensivepatientsincentralindia
AT swetakumari associationbetweenmedicationadherenceandbloodpressurecontrolinurbanhypertensivepatientsincentralindia
AT shwetasharma associationbetweenmedicationadherenceandbloodpressurecontrolinurbanhypertensivepatientsincentralindia