Clinical, Socioeconomic, and Psychosocial Factors Associated with Blood Pressure Control and Adherence: Results from a Multidisciplinary Cardiovascular National Program Providing Universal Coverage in a Developing Country
Joint Authors
Nazzal, Carolina
Romero, Tomas E.
Sandoval, Daniela
Source
International Journal of Hypertension
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-07-09
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Background.
Limited information exists on blood pressure (BP) control factors and adherence to antihypertensive drug therapy (Rx) in developing countries.
Methods.
Cross-sectional study in randomly selected 992 hypertensive patients under a Chilean national comprehensive Cardiovascular Health Program (CVHP).
Association of education, income, diabetes, obesity, physical activity, psychosocial characteristics, smoking, and alcohol abuse with BP control and adherence were evaluated by multivariate logistic regression.
Results.
BP control (<140/90 mmHg) was achieved in 63.1% of patients, with 38.4% adherent to Rx.
Uncontrolled BP significantly associated with male sex (OR: 1.73 [95% CI 1.35-2.22]), low family income, high emotional-stress-depression score, body mass index, no adherence (OR: 1.83 [95% CI 1.44 - 2.32]), multiple Rx, baseline systolic BP value, and sedentary life style.
Males (OR: 1.54 [95% CI 1.23 - 1.93]), low family income, high emotional stress-depression score (OR: 2.15 [95% CI 1.68 - 2.76]), low social support, and uncontrolled BP (OR: 1.52 [95% CI 1.22-1.90]) associated with no adherence.
Conclusions.
Comparable BP control (63.1%) to higher-income societies was observed.
Uncontrolled BP associated significantly to no adherence and both to male sex, socioeconomic, and psychosocial factors.
Global low adherence (38.4%) and improved BP control and adherence in diabetics were noted.
American Psychological Association (APA)
Sandoval, Daniela& Nazzal, Carolina& Romero, Tomas E.. 2018. Clinical, Socioeconomic, and Psychosocial Factors Associated with Blood Pressure Control and Adherence: Results from a Multidisciplinary Cardiovascular National Program Providing Universal Coverage in a Developing Country. International Journal of Hypertension،Vol. 2018, no. 2018, pp.1-10.
https://search.emarefa.net/detail/BIM-1173157
Modern Language Association (MLA)
Sandoval, Daniela…[et al.]. Clinical, Socioeconomic, and Psychosocial Factors Associated with Blood Pressure Control and Adherence: Results from a Multidisciplinary Cardiovascular National Program Providing Universal Coverage in a Developing Country. International Journal of Hypertension No. 2018 (2018), pp.1-10.
https://search.emarefa.net/detail/BIM-1173157
American Medical Association (AMA)
Sandoval, Daniela& Nazzal, Carolina& Romero, Tomas E.. Clinical, Socioeconomic, and Psychosocial Factors Associated with Blood Pressure Control and Adherence: Results from a Multidisciplinary Cardiovascular National Program Providing Universal Coverage in a Developing Country. International Journal of Hypertension. 2018. Vol. 2018, no. 2018, pp.1-10.
https://search.emarefa.net/detail/BIM-1173157
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1173157