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Identification of psychosocial factors of noncompliance in hypertensive patients

Journal of Human Hypertension volume 20, pages 23–29 (2006)Cite this article

Abstract

This cross-sectional study was aimed to identify the predictors of medication noncompliance in hypertensive patients. The study was conducted at the Family Medicine Clinic, Hospital Universiti Sains Malaysia, Kelantan, Malaysia, which is a university-based teaching hospital. All hypertensive patients aged 40 or over-registered from January to June 2004, who had been on treatment for at least 3 months, were screened. Previously validated self-administered questionnaires were used to assess the compliance and psychosocial factors. A total of 240 hypertensive patients were recruited in the study. Of these, 55.8% were noncompliant to medication. Logistic regression showed that age (adjusted odds ratio (OR): 0.96; 95% confidence interval (CI): 0.92–0.997; P: 0.035), patient satisfaction (adjusted OR: 0.97; 95% CI: 0.93–0.998; P: 0.036) and medication barrier (adjusted OR: 0.95; 95% CI: 0.91–0.987; P: 0.009) were significant predictors of medication noncompliance. Therefore, younger age, poor patient satisfaction and medication barrier were identified as independent psychosocial predictors of medication noncompliant in hypertensive patients.

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Acknowledgements

This study is supported by a grant from the Intensification of Research in Priority Area (IRPA), Ministry of Science, Technology and Innovation, Malaysia (IRPA 305/PPSP/6140023).

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Authors and Affiliations

  1. Department of Pharmacy, Hospital Universiti Sains Malaysia & Department of Pharmacology, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia

    N B Hassan

  2. Department of Psychiatry, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia

    C I Hasanah

  3. National Drug & Doping Center, Universiti Sains Malaysia, Pulau Pinang, Malaysia

    K Foong

  4. School of Dental Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia

    L Naing

  5. National Poison Center, Universiti Sains Malaysia, Pulau Pinang, Malaysia

    R Awang

  6. Department of Family Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia

    S B Ismail, A Ishak, L H Yaacob, M Y Harmy & A H Daud

  7. Department of Psychiatry, School of Medical Sciences, Universiti Kebangsaan Malaysia, Malaysia

    M H Shaharom

  8. Department of Epidemiology & Public Health Medicine, Royal College of Surgeons, Dublin, Ireland

    R Conroy

  9. Advanced Medical and Dental Institute, Universiti Sains Malaysia, Pulau Pinang, Malaysia

    A R A Rahman

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  1. N B Hassan
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  2. C I Hasanah
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  3. K Foong
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  4. L Naing
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Correspondence to N B Hassan.

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Hassan, N., Hasanah, C., Foong, K. et al. Identification of psychosocial factors of noncompliance in hypertensive patients. J Hum Hypertens 20, 23–29 (2006). https://doi.org/10.1038/sj.jhh.1001930

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  • DOI: https://doi.org/10.1038/sj.jhh.1001930

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