DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20191408

A comparative study on the adherence to anti-hypertensive medications in urban and rural areas of Hubballi

Pratibha Rao Katapadi, Dattatreya D. Bant

Abstract


Background: Hypertension is a significant public health issue worldwide and can have deleterious effects on the health when it is not under control. Adherence to antihypertensive medications is thus necessary for better control of blood pressure and to reduce the risk of complications. There are various factors which support or hinder the patient’s adherence to anti- hypertensive treatment. Thus this study was done to reflect the factors influencing the adherence to antihypertensive drugs among urban and rural population.

Methods: A community based cross sectional study was conducted in urban and rural field practice areas of Karnataka Institute of Medical Sciences, Hubballi. A semi-structured questionnaire was used for data collection among the known hypertensive patients. The data was entered in Microsoft Excel and analysed using SPSS software.

Results: Most of the hypertensive patients were aged 45 and above (89.5%). A total of 73.5% of the participants were adherent to antihypertensive medications and adherence was more among urban (76%) as compared to rural population (71%). Knowledge regarding complications of uncontrolled hypertension was the major factor for adherence in both the areas. The mean systolic and diastolic blood pressure was controlled in patients who were adherent.

Conclusions: There is a higher level of adherence to antihypertensive medications in urban population as compared to rural population of Hubballi. The findings suggest patient factors, clinical factors and socio-demographic factors play an important role in determining the adherence to the medication.


Keywords


Anti-hypertensive, Adherence, Urban, Rural, Comparative study

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References


World Hypertension Day 2017: Know your numbers. PAHO. Available at: https://www.paho. org/hq/index.php?option=com_content&view=article&id=13257:dia-mundial-de-la-hipertension-2017-conoce-tus-numeros&Itemid=42345〈=en. Accessed on 1 January 2019.

World Health Organization. World Health Day 2013. A global brief on Hypertension, Silent killer, global public health crisis. Available at: https://apps .who.int/iris/bitstream/handle/10665/79059/WHO_DCO_WHD_2013.2_eng.pdf;jsessionid=4A6A225163C02DB7429B0570B7571083?sequence=1. Accessed on 1 January 2019.

Misra P, Salve HR, Srivastava R, Kant S, Krishnan A. Adherence to treatment among hypertensive individuals in a rural population of North India. Indian J Comm Health. 2017;29(2):176-81.

Gupta R. Trends in hypertension epidemiology in India. J Hum Hypertens. 2004;18(2):73–8.

Anchala R, Kannuri NK, Pant H, Khan H, Franco OH, Di Angelantonio E, et al. Hypertension in India: A systematic review and meta-analysis of prevalence, awareness, and control of hypertension. J Hypertens. 2014;32(6):1170–7.

Adherence to long-term therapies. Evidence for Action. World Health Organization, 2003.

Bhandari S, Sarma PS, Kavumpurathu R. Adherence to Antihypertensive Treatment and Its Determinants Among Urban Slum Dwellers in Kolkata, India. Asian Pacific J Public Health. 2015;27(2):74-84.

Tabassum N, Rao RLL. A study on adherence to therapy among hypertensives in urban slums of Hyderabad. Int J Health Sci Res. 2017;7(12):180-6.

Sekhar KC, Sharma EMS, Rao KUM, Chaitanya K, Reddy BVHR, Deotale PG. A Study On Anti-Hypertensive Drug Compliance Among Hypertensive Individuals At Ashok Nagar Urban Area Of Eluru, Andhra Pradesh. J Comprehensive Health. 2016;4(1):41–8.

Mathew J, Krishnamoorthy S, Chacko L, Philip JH, Jacob JE, Jose JA, et al. Non Compliance to Anti-Hypertensive Medications and Associated Factors-Community Based Cross Sectional Study from Kerala. Sch J App Med Sci. 2016;4(6):1956-9.

Ranjan R, Shukla M, Ahmad S. Non Compliance to Anti-Hypertensive Medications and Associated Factors in a rural population of Barabanki District, Uttar Pradesh: A Cross-sectional study. Sch J App Med Sci. 2016;4(12):4291-4.

Misra P, Salve HR, Srivastava R, Kant S, Krishnan A. Adherence to treatment among hypertensive individuals in a rural population of North India. Indian J Comm Health. 2017;29(2):176-81.

Sahoo SK, Preeti PS, Biswas D. Adher-ence to Anti-Hypertensive Drugs: A Clinic Based Study among Geriatric Hypertensive Patients in Rural, India. Natl J Community Med. 2018;9(4):250-4.

Ambaw AD, Alemie GA, Yohannes, Mengesha ZB. Adherence to antihypertensive treatment and associated factors among patients on follow up at University of Gondar Hospital, Northwest Ethiopia. BMC Public Health. 2012;12:282.

Kumar N, Unnikrishnan B, Thapar R, Mithra P, Kulkarni V, Holla R, et al. Factors associated with adherence to antihypertensive treatment among patients attending a tertiary care hospital in Mangalore, South India. Int J Cur Res Rev. 2014;6(10):77-85.

Mallya SD, Kumar A, Kamath A, Shetty A, Reddy SKT, Mishra S. Assessment of treatment adherence among hypertensive patients in a coastal area of Karnataka, India. Int J Community Med Public Health. 2016;3:1998-2003.