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Factors Associated with Medication Nonadherence among Hypertensives in Ghana and Nigeria
Joint Authors
Ogedegbe, Olugbenga
Salako, Babatunde
Tayo, Bamidele O.
Boima, Vincent
Ademola, Adebowale Dele
Odusola, Aina Olufemi
Agyekum, Francis
Nwafor, Chibuike Eze
Cole, Helen
Source
International Journal of Hypertension
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-10-05
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
Blood pressure (BP) control is poor among hypertensives in many parts of sub-Saharan Africa.
A potentially modifiable factor for control of BP is medication nonadherence (MNA); our study therefore aimed to determine factors associated with MNA among hypertensives in Ghana and Nigeria.
Methodology.
We conducted a multicenter cross-sectional study.
Patients were recruited from Korle-Bu Hospital (n=120), Ghana; and University of Port Harcourt Teaching Hospital, (n=73) Apapa General Hospital Lagos (n=79) and University College Hospital Ibadan (n=85), Nigeria.
Results.
357 hypertensive patients (42.6% males) participated.
MNA was found in 66.7%.
Adherence showed correlation with depression (r=-0.208, P<0.001), concern about medications (r=-0.0347, P=0.002), and knowledge of hypertension (r=0.14, P=0.006).
MNA was associated with formal education (P=0.001) and use of herbal preparation (P=0.014).
MNA was found in 61.7% of uninsured participants versus 73.1% of insured participants (P=0.032).
Poor BP control was observed in 69.7% and there was significant association between MNA and poor BP control (P=0.006).
Conclusion.
MNA is high among hypertensives in Ghana and Nigeria and is associated with depression, concern about hypertensive medications, formal education, and use of herbal preparations.
The negative association between health insurance and MNA suggests interplay of other factors and needs further investigation.
American Psychological Association (APA)
Boima, Vincent& Ademola, Adebowale Dele& Odusola, Aina Olufemi& Agyekum, Francis& Nwafor, Chibuike Eze& Cole, Helen…[et al.]. 2015. Factors Associated with Medication Nonadherence among Hypertensives in Ghana and Nigeria. International Journal of Hypertension،Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1066107
Modern Language Association (MLA)
Boima, Vincent…[et al.]. Factors Associated with Medication Nonadherence among Hypertensives in Ghana and Nigeria. International Journal of Hypertension No. 2015 (2015), pp.1-8.
https://search.emarefa.net/detail/BIM-1066107
American Medical Association (AMA)
Boima, Vincent& Ademola, Adebowale Dele& Odusola, Aina Olufemi& Agyekum, Francis& Nwafor, Chibuike Eze& Cole, Helen…[et al.]. Factors Associated with Medication Nonadherence among Hypertensives in Ghana and Nigeria. International Journal of Hypertension. 2015. Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1066107
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1066107