Predictors of uncontrolled hypertension and antihypertensive medication nonadherence

Detalhes bibliográficos
Autor(a) principal: Morgado, Manuel
Data de Publicação: 2010
Outros Autores: Rolo, Sandra, Macedo, Ana Filipa, Pereira, Luísa, Castelo-Branco, Miguel
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.6/656
Resumo: http://www.jcdronline.com/text.asp?2010/1/4/196/74263
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spelling Predictors of uncontrolled hypertension and antihypertensive medication nonadherenceAntihypertensivesBlood pressure controlHypertensionMedication adherencehttp://www.jcdronline.com/text.asp?2010/1/4/196/74263Background: Although hypertension is, in most cases, a controllable major risk factor in the development of cardiovascular disease, studies have demonstrated that hypertension remains poorly controlled in Portugal. Our aim was to evaluate the covariates associated with poor blood pressure (BP) control in a Portuguese hypertensive population. Patients and Results: We conducted a cross-sectional survey in a hospital hypertension outpatient clinic, located in the Eastern Central Region of Portugal. Patients attending the clinic from July to September 2009 were asked to participate in a structured interview including medication adherence and knowledge about hypertension. Eligible participants were all adults aged 18 or over with an established diagnosis of arterial hypertension and had been on antihypertensive drug treatment for at least 6 months. Exclusion criteria were dementia, pregnancy, and breastfeeding. Detailed clinical information was prospectively obtained from medical records. A total of 197 patients meeting the inclusion criteria and consenting to participate completed the interview. Of these, only 33.0% had their BP controlled according to the JNC 7 guidelines. Logistic regression analysis revealed three independent predictors of poor BP control: living alone (OR = 5.3, P = 0.004), medication nonadherence (OR = 4.8, P < 0.001), and diabetes (OR = 4.4, P = 0.011). Predictors of medication nonadherence were: unawareness of target BP values (OR = 3.7, P < 0.001), a report of drug side effects (OR = 3.7, P = 0.002), lack of BP monitoring (OR = 2.5, P = 0.015) and unawareness of medication indications (OR = 2.4, P = 0.021), and of hypertension risks (OR = 2.1, P = 0.026). Conclusions: Poor medication adherence, lack of information about hypertension, and side effects should be considered as possible underlying causes of uncontrolled BP and must be addressed in any intervention aimed to improve BP control.Peng ZhouuBibliorumMorgado, ManuelRolo, SandraMacedo, Ana FilipaPereira, LuísaCastelo-Branco, Miguel2011-01-05T01:11:57Z20102010-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.6/656eng0975-358310.4103/0975-3583.74263info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-12-15T09:35:58Zoai:ubibliorum.ubi.pt:10400.6/656Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T00:42:42.301409Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Predictors of uncontrolled hypertension and antihypertensive medication nonadherence
title Predictors of uncontrolled hypertension and antihypertensive medication nonadherence
spellingShingle Predictors of uncontrolled hypertension and antihypertensive medication nonadherence
Morgado, Manuel
Antihypertensives
Blood pressure control
Hypertension
Medication adherence
title_short Predictors of uncontrolled hypertension and antihypertensive medication nonadherence
title_full Predictors of uncontrolled hypertension and antihypertensive medication nonadherence
title_fullStr Predictors of uncontrolled hypertension and antihypertensive medication nonadherence
title_full_unstemmed Predictors of uncontrolled hypertension and antihypertensive medication nonadherence
title_sort Predictors of uncontrolled hypertension and antihypertensive medication nonadherence
author Morgado, Manuel
author_facet Morgado, Manuel
Rolo, Sandra
Macedo, Ana Filipa
Pereira, Luísa
Castelo-Branco, Miguel
author_role author
author2 Rolo, Sandra
Macedo, Ana Filipa
Pereira, Luísa
Castelo-Branco, Miguel
author2_role author
author
author
author
dc.contributor.none.fl_str_mv uBibliorum
dc.contributor.author.fl_str_mv Morgado, Manuel
Rolo, Sandra
Macedo, Ana Filipa
Pereira, Luísa
Castelo-Branco, Miguel
dc.subject.por.fl_str_mv Antihypertensives
Blood pressure control
Hypertension
Medication adherence
topic Antihypertensives
Blood pressure control
Hypertension
Medication adherence
description http://www.jcdronline.com/text.asp?2010/1/4/196/74263
publishDate 2010
dc.date.none.fl_str_mv 2010
2010-01-01T00:00:00Z
2011-01-05T01:11:57Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.6/656
url http://hdl.handle.net/10400.6/656
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 0975-3583
10.4103/0975-3583.74263
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Peng Zhou
publisher.none.fl_str_mv Peng Zhou
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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