Comparative analysis of non-adherence to medication treatment for systemic arterial hypertension in urban and rural populations

Authors

  • Patricia Magnabosco Universidade de São Paulo; Escola de Enfermagem de Ribeirão Preto; Universidade de São Paulo
  • Eliana Cavalari Teraoka Universidade de São Paulo; Escola de Enfermagem de Ribeirão Preto; Universidade de São Paulo
  • Edward Meirelles de Oliveira Universidade de São Paulo; Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto; Universidade de São Paulo
  • Elisangela Aparecida Felipe Escola Eurípedes Barsanulfo
  • Dayana Freitas Universidade de São Paulo; Escola de Enfermagem de Ribeirão Preto; Universidade de São Paulo
  • Leila Maria Marchi-Alves Universidade de São Paulo; Escola de Enfermagem de Ribeirão Preto; Universidade de São Paulo

DOI:

https://doi.org/10.1590/0104-1169.0144.2520

Abstract

OBJECTIVE: to evaluate the indexes and the main factors associated with non-adherence to medication treatment for systemic arterial hypertension between urban and rural areas. METHOD: analytical study based on an epidemiological survey with a sample of 247 hypertensive residents of rural and urban areas, with application of a socio-demographic and economic questionnaire, and treatment adherence assessment. The Pearson's Chi-square test was used and the odds ratio (OD) was calculated to analyze the factors related to non-adherence. RESULTS: the prevalence of non-adherence was 61.9% and it was higher in urban areas (63.4%). Factors significantly associated with non-adherence were: male gender (OR=1.95; 95% CI 1.08-3.50), age 20-59 years old (OR=2.51; 95% CI 1.44-4.39), low economic status (OR=1.95; 95% CI 1.09-3.47), alcohol consumption (OR=5.92, 95% CI 1.73-20.21), short time of hypertension diagnosis (OR=3.07; 95% CI 1.35-6.96) and not attending the health service for routine consultations (OR=2.45; 1.35-4.42). CONCLUSION: the socio-demographic/economic characteristics, lifestyle habits and how to relate to health services were the factors that presented association with non-adherence regardless of the place of residence.

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Published

2015-02-01

Issue

Vol. 23 No. 1 (2015)

Section

Original Articles

License

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Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Comparative analysis of non-adherence to medication treatment for systemic arterial hypertension in urban and rural populations . (2015). Revista Latino-Americana De Enfermagem, 23(1), 20-27. https://doi.org/10.1590/0104-1169.0144.2520