Fatores associados à não-adesão ao tratamento com anti-hipertensivos em pessoas atendidas em unidades de saúde da família

• Autor(a) principal: Santa-Helena, Ernani Tiaraju de
• Data de Publicação: 2010
• Outros Autores: Nemes, Maria Ines Battistella, Eluf Neto, José
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Cadernos de Saúde Pública
• Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4252
• topic: Hipertensão; Adesão à Medicação; Atenção Primária à Saúde; Estudos Epidemiológicos

In order to estimate the prevalence of treatment non-adherence and associated factors among individuals with systemic arterial hypertension treated at family health care facilities, a cross-sectional study was performed with 595 patients. The dependent variable non-adherence was measured with a Medication Adherence Questionnaire (MAQ). A hierarchical logistic regression model was used to analyze socioeconomic, health care-related, personal, and treatment-related variables. Prevalence of non-adherence was 53%. Variables associated with non-adherence were: (1) socioeconomic _ belonging to economic classes C, D, or E; work market participation in unskilled labor; (2) health care _ out-of-pocket payment for medication; more than six months since last physician consultation; and (3) personal and treatment characteristics _ previous interruption of treatment; being on treatment for less than three years; and presence of a common mental disorder. The study of determinants of non-adherence articulated in a hierarchical model suggests that social inequalities are either directly associated with non-adherence or mediated by personal and health services factors.