Adhesion to antihypertensive drug terapy in primary health care in a medium-sized Brazilian city

The objective of this study was to identify adherence to antihypertensive drug therapy and to associate it with sociodemographic and lifestyle factors. Adherence was determined by the Morisky-Green test and the pacient’s perception of their lifestyle by the Fantastic Lifestyle questionnaire. The que...

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Main Authors: Alcione Oliveira de Souza, Rubiana Neves Ramos, Thaynara de Oliveira, Edivan Rodrigues de Paula Ramos, Ely Mitie Massuda, Mirian Ueda Yamaguchi
Format: Article
Language:English
Published: Centro Universitário São Camilo 2019-01-01
Series:O Mundo da Saúde
Subjects:
Online Access:https://revistamundodasaude.emnuvens.com.br/mundodasaude/article/view/73
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author Alcione Oliveira de Souza
Rubiana Neves Ramos
Thaynara de Oliveira
Edivan Rodrigues de Paula Ramos
Ely Mitie Massuda
Mirian Ueda Yamaguchi
author_facet Alcione Oliveira de Souza
Rubiana Neves Ramos
Thaynara de Oliveira
Edivan Rodrigues de Paula Ramos
Ely Mitie Massuda
Mirian Ueda Yamaguchi
author_sort Alcione Oliveira de Souza
collection DOAJ
description The objective of this study was to identify adherence to antihypertensive drug therapy and to associate it with sociodemographic and lifestyle factors. Adherence was determined by the Morisky-Green test and the pacient’s perception of their lifestyle by the Fantastic Lifestyle questionnaire. The questionnaires were applied to 401 hypertensive patients from the 29 Basic Health Units (BHU) of Maringá, Paraná. The association of adherence to therapy with sociodemographic variables and perception of lifestyle was determined by logistic regression. The prevalence of adherence to antihypertensive therapy was 37.7%. The rates of adherence to therapy were lower for single (p=0.0284 *), overweight (p=0.0039*) and obese (p=0.0110*) patients, and for those with BHU return rates greater than six months (p=0.0408*). For females (p=0.0032*) and those who perceived they had a good lifestyle (p=0.035*), the rates of adherence to antihypertensive therapy were higher. The results indicate the importance of biopsychosocial determinants, which should be considered when planning policies, strategies and actions to improve adherence to antihypertensive drug therapies at the local level, and which could also be expanded to regional and national levels.
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spelling doaj.art-8ad5b15d00e44c71a8695b04bbd593542024-09-19T13:45:18ZengCentro Universitário São CamiloO Mundo da Saúde0104-78091980-39902019-01-01431254453Adhesion to antihypertensive drug terapy in primary health care in a medium-sized Brazilian cityAlcione Oliveira de Souza0Rubiana Neves Ramos1Thaynara de Oliveira2Edivan Rodrigues de Paula Ramos3Ely Mitie Massuda4Mirian Ueda Yamaguchi5Instituto Federal do Paraná - IFPR - Campus Palmas –PR, BrasilCentro Universitário de Maringá – UniCesumar/ICETI. Maringá-PR, BrasilUniversidade Federal de Sergipe – UFS. Lagarto-SE, Brasil.Universidade Federal de Sergipe – UFS. Lagarto-SE, Brasil.Centro Universitário de Maringá – UniCesumar/ICETI. Maringá-PR, BrasilCentro Universitário de Maringá – UniCesumar/ICETI. Maringá-PR, BrasilThe objective of this study was to identify adherence to antihypertensive drug therapy and to associate it with sociodemographic and lifestyle factors. Adherence was determined by the Morisky-Green test and the pacient’s perception of their lifestyle by the Fantastic Lifestyle questionnaire. The questionnaires were applied to 401 hypertensive patients from the 29 Basic Health Units (BHU) of Maringá, Paraná. The association of adherence to therapy with sociodemographic variables and perception of lifestyle was determined by logistic regression. The prevalence of adherence to antihypertensive therapy was 37.7%. The rates of adherence to therapy were lower for single (p=0.0284 *), overweight (p=0.0039*) and obese (p=0.0110*) patients, and for those with BHU return rates greater than six months (p=0.0408*). For females (p=0.0032*) and those who perceived they had a good lifestyle (p=0.035*), the rates of adherence to antihypertensive therapy were higher. The results indicate the importance of biopsychosocial determinants, which should be considered when planning policies, strategies and actions to improve adherence to antihypertensive drug therapies at the local level, and which could also be expanded to regional and national levels.https://revistamundodasaude.emnuvens.com.br/mundodasaude/article/view/73hypertension. lifestyle. primary health care. health promotion. quality of life
spellingShingle Alcione Oliveira de Souza
Rubiana Neves Ramos
Thaynara de Oliveira
Edivan Rodrigues de Paula Ramos
Ely Mitie Massuda
Mirian Ueda Yamaguchi
Adhesion to antihypertensive drug terapy in primary health care in a medium-sized Brazilian city
O Mundo da Saúde
hypertension. lifestyle. primary health care. health promotion. quality of life
title Adhesion to antihypertensive drug terapy in primary health care in a medium-sized Brazilian city
title_full Adhesion to antihypertensive drug terapy in primary health care in a medium-sized Brazilian city
title_fullStr Adhesion to antihypertensive drug terapy in primary health care in a medium-sized Brazilian city
title_full_unstemmed Adhesion to antihypertensive drug terapy in primary health care in a medium-sized Brazilian city
title_short Adhesion to antihypertensive drug terapy in primary health care in a medium-sized Brazilian city
title_sort adhesion to antihypertensive drug terapy in primary health care in a medium sized brazilian city
topic hypertension. lifestyle. primary health care. health promotion. quality of life
url https://revistamundodasaude.emnuvens.com.br/mundodasaude/article/view/73
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