Relationship of an adherence score with blood pressure control status among patients with hypertension and their determinants: Findings from a nationwide blood pressure screening program
Abstract This study aimed to examine the relationship of adherence with blood pressure (BP) control and its associated factors in hypertensive patients. This cross‐sectional nationwide BP screening study was conducted in Malaysia from May to October 2018. Participants with self‐declared hypertension...
| Main Authors: | , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-03-01
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| Series: | The Journal of Clinical Hypertension |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/jch.14212 |
| _version_ | 1797645175128850432 |
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| author | Yook Chin Chia Navin Kumar Devaraj Siew Mooi Ching Pei Boon Ooi Ming Tsuey Chew Bee Nah Chew Mohazmi Mohamed Hooi Min Lim Hooi Chin Beh Azli Shahril Othman Hanis Saadah Husin Abdul Hafiz Mohamad Gani Dalyana Hamid Pei San Kang Chai Li Tay Ping Foo Wong Haslinda Hassan |
| author_facet | Yook Chin Chia Navin Kumar Devaraj Siew Mooi Ching Pei Boon Ooi Ming Tsuey Chew Bee Nah Chew Mohazmi Mohamed Hooi Min Lim Hooi Chin Beh Azli Shahril Othman Hanis Saadah Husin Abdul Hafiz Mohamad Gani Dalyana Hamid Pei San Kang Chai Li Tay Ping Foo Wong Haslinda Hassan |
| author_sort | Yook Chin Chia |
| collection | DOAJ |
| description | Abstract This study aimed to examine the relationship of adherence with blood pressure (BP) control and its associated factors in hypertensive patients. This cross‐sectional nationwide BP screening study was conducted in Malaysia from May to October 2018. Participants with self‐declared hypertension completed the Hill‐Bone Compliance to High Blood Pressure Therapy Scale (Hill‐Bone CHBPTS) which assesses three important domains of patient behavior to hypertension management namely medication taking, appointment keeping and reduced salt intake. Lower scores indicate better compliance while higher scores indicate otherwise. Participant's body mass index and seated BP were measured based on standard measurement protocol. Determinants of adherence to treatment were analyzed using multiple linear regression. Out of 5167 screened subjects, 1705 were known hypertensives. Of these, 927 (54.4%) answered the Hill‐Bone CHBPTS and were entered into analysis. The mean age was 59.0 ± 13.2 years, 55.6% were female and 42.2% were Malays. The mean Hill‐Bone CHBPTS score was 20.4 ± 4.4 (range 14‐47), and 52.1% had good adherence. The mean systolic BP and diastolic BP were 136.4 ± 17.9 and 80.6 ± 11.6 mmHg, respectively. BP was controlled in 58.3% of those with good adherence compared to 50.2% in those with poor adherence (p = .014). Based on multiple linear regression analysis, female gender (β = −0.72, 95% confidence interval [CI] −1.30, −0.15, p = .014), older age (β = −0.05, 95% CI −0.07, −0.03, p < .001), and individuals with primary or lower educational level (β = −0.91, 95% CI −1.59, −0.23, p = .009) had better adherence to BP management. Interventional programs targeted at the less adherent groups are needed in order to improve their adherence and BP control. |
| first_indexed | 2024-03-11T14:42:34Z |
| format | Article |
| id | doaj.art-9ae8fbcb259f49cab880975cdaf00b28 |
| institution | Directory Open Access Journal |
| issn | 1524-6175 1751-7176 |
| language | English |
| last_indexed | 2024-03-11T14:42:34Z |
| publishDate | 2021-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Journal of Clinical Hypertension |
| spelling | doaj.art-9ae8fbcb259f49cab880975cdaf00b282023-10-30T13:30:41ZengWileyThe Journal of Clinical Hypertension1524-61751751-71762021-03-0123363864510.1111/jch.14212Relationship of an adherence score with blood pressure control status among patients with hypertension and their determinants: Findings from a nationwide blood pressure screening programYook Chin Chia0Navin Kumar Devaraj1Siew Mooi Ching2Pei Boon Ooi3Ming Tsuey Chew4Bee Nah Chew5Mohazmi Mohamed6Hooi Min Lim7Hooi Chin Beh8Azli Shahril Othman9Hanis Saadah Husin10Abdul Hafiz Mohamad Gani11Dalyana Hamid12Pei San Kang13Chai Li Tay14Ping Foo Wong15Haslinda Hassan16Department of Medical Sciences School of Medical and Live Sciences Sunway University Bandar Sunway Selangor MalaysiaDepartment of Family Medicine Faculty of Medicine and Health Sciences Universiti Putra Malaysia Serdang MalaysiaDepartment of Family Medicine Faculty of Medicine and Health Sciences Universiti Putra Malaysia Serdang MalaysiaDepartment of Medical Sciences School of Medical and Live Sciences Sunway University Bandar Sunway Selangor MalaysiaDepartment of Medical Sciences School of Medical and Live Sciences Sunway University Bandar Sunway Selangor MalaysiaDepartment of Primary Care Medicine Faculty of Medicine University of Malaya Kuala Lumpur MalaysiaDepartment of Primary Care Medicine Faculty of Medicine University of Malaya Kuala Lumpur MalaysiaDepartment of Primary Care Medicine University Malaya Medical Centre Kuala Lumpur MalaysiaDepartment of Primary Care Medicine University Malaya Medical Centre Kuala Lumpur MalaysiaFaculty of Medicine University of Cyberjaya Cyberjaya MalaysiaInternational Medical School Management and Science University Shah Alam MalaysiaMahmoodiah Government Health Clinic Johor Bahru MalaysiaAU2 Keramat Government Health Clinic Kuala Lumpur MalaysiaGopeng Government Health Clinic Perak MalaysiaSimpang Government Health Clinic Perak MalaysiaCheras Baru Government Health Clinic Kuala Lumpur MalaysiaPuchong Batu 14 Government Health Clinic Puchong MalaysiaAbstract This study aimed to examine the relationship of adherence with blood pressure (BP) control and its associated factors in hypertensive patients. This cross‐sectional nationwide BP screening study was conducted in Malaysia from May to October 2018. Participants with self‐declared hypertension completed the Hill‐Bone Compliance to High Blood Pressure Therapy Scale (Hill‐Bone CHBPTS) which assesses three important domains of patient behavior to hypertension management namely medication taking, appointment keeping and reduced salt intake. Lower scores indicate better compliance while higher scores indicate otherwise. Participant's body mass index and seated BP were measured based on standard measurement protocol. Determinants of adherence to treatment were analyzed using multiple linear regression. Out of 5167 screened subjects, 1705 were known hypertensives. Of these, 927 (54.4%) answered the Hill‐Bone CHBPTS and were entered into analysis. The mean age was 59.0 ± 13.2 years, 55.6% were female and 42.2% were Malays. The mean Hill‐Bone CHBPTS score was 20.4 ± 4.4 (range 14‐47), and 52.1% had good adherence. The mean systolic BP and diastolic BP were 136.4 ± 17.9 and 80.6 ± 11.6 mmHg, respectively. BP was controlled in 58.3% of those with good adherence compared to 50.2% in those with poor adherence (p = .014). Based on multiple linear regression analysis, female gender (β = −0.72, 95% confidence interval [CI] −1.30, −0.15, p = .014), older age (β = −0.05, 95% CI −0.07, −0.03, p < .001), and individuals with primary or lower educational level (β = −0.91, 95% CI −1.59, −0.23, p = .009) had better adherence to BP management. Interventional programs targeted at the less adherent groups are needed in order to improve their adherence and BP control.https://doi.org/10.1111/jch.14212adherenceantihypertensiveblood pressure controlHill‐Bone Compliance to High Blood Pressure Scale (Hill‐bone CHBPTS)Hypertension |
| spellingShingle | Yook Chin Chia Navin Kumar Devaraj Siew Mooi Ching Pei Boon Ooi Ming Tsuey Chew Bee Nah Chew Mohazmi Mohamed Hooi Min Lim Hooi Chin Beh Azli Shahril Othman Hanis Saadah Husin Abdul Hafiz Mohamad Gani Dalyana Hamid Pei San Kang Chai Li Tay Ping Foo Wong Haslinda Hassan Relationship of an adherence score with blood pressure control status among patients with hypertension and their determinants: Findings from a nationwide blood pressure screening program The Journal of Clinical Hypertension adherence antihypertensive blood pressure control Hill‐Bone Compliance to High Blood Pressure Scale (Hill‐bone CHBPTS) Hypertension |
| title | Relationship of an adherence score with blood pressure control status among patients with hypertension and their determinants: Findings from a nationwide blood pressure screening program |
| title_full | Relationship of an adherence score with blood pressure control status among patients with hypertension and their determinants: Findings from a nationwide blood pressure screening program |
| title_fullStr | Relationship of an adherence score with blood pressure control status among patients with hypertension and their determinants: Findings from a nationwide blood pressure screening program |
| title_full_unstemmed | Relationship of an adherence score with blood pressure control status among patients with hypertension and their determinants: Findings from a nationwide blood pressure screening program |
| title_short | Relationship of an adherence score with blood pressure control status among patients with hypertension and their determinants: Findings from a nationwide blood pressure screening program |
| title_sort | relationship of an adherence score with blood pressure control status among patients with hypertension and their determinants findings from a nationwide blood pressure screening program |
| topic | adherence antihypertensive blood pressure control Hill‐Bone Compliance to High Blood Pressure Scale (Hill‐bone CHBPTS) Hypertension |
| url | https://doi.org/10.1111/jch.14212 |
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