A Study on Types of Medication Adherence in Hypertension among Older Patients and Influencing Factors

Abstract

Background: Hypertension has the characteristic that the risk of complications can be reduced through appropriate medication in daily life. Hence, it is important to consider practical measures to increase medication adherence, particularly among older patients. Methods: This study used the Korea Health Panel 2020 data (Version 2.0.1), jointly conducted by Korea Institute for Health and Social Affairs and National Health Insurance. A total of 2300 patients with high blood pressure over 65 years of age were selected. In order to identify types of medication adherence in older hypertensive patients, and examine factors that influence the types, the Latent Profile Analysis (LPA) and logistic regression were performed. Results: The types of adherence groups were classified into two groups: an ‘adherence group’ (87.1%) and a ‘non-adherence group’ (12.9%). Furthermore, age, living alone, and depressive symptoms were identified as determinants of medication adherence type among older hypertensive patients. Conclusion: The significant impact of sociodemographic status (age, living alone, and depressive symptoms) on medication adherence among older hypertensive patients indicates the need to establish more specific empirical interventions based on each type’s characteristics. It is expected that this study will provide an in-depth understanding of factors associated with medication adherence among older patients with hypertension, which can support interventions tailored to the specific needs of those who are non-adherent.

Mediating role of patient trust in the impact of perceived physician communication on treatment adherence and its implication in healthcare industry

“…Furthermore, the WHO has outlined five types of non-adherence factors: patient and family-dependent factors, illness-related, treatment-related, healthcare system-related, and sociodemographic and economic variables. Communication and treatment satisfaction are related aspects of the healthcare system (Lee et al, 2022). The relationship between physician-patient communication and treatment adherence contends that physician-patient communication can improve adherence through a variety of processes.…”

Impact of health literacy and illness perception on medication adherence among older adults with hypertension in Iran: a cross-sectional study

“…Although hypertension often has no symptoms, the complications caused by it, such as stroke, cerebral infarction and cerebral hemorrhage, kidney failure, heart problems, and death, have caused this disease to be called the “silent killer” ( 2 , 3 , 5 ). Hypertension has some modifiable risk factors, such as smoking, inactivity, and obesity ( 1 , 3 ). Reducing the risk of complications from hypertension could be achieved through drug therapy ( 3 ).…”

“…Hypertension has some modifiable risk factors, such as smoking, inactivity, and obesity ( 1 , 3 ). Reducing the risk of complications from hypertension could be achieved through drug therapy ( 3 ). Although the treatment of hypertension is a lifelong process, the continuation of treatment and its adherence can play a crucial role in controlling the disease ( 1 ) and preventing disability in people aged 65 and older ( 5 ).…”

“…Hypertension, also known as high blood pressure, is a chronic disease that contributes significantly to the burden of cardiovascular diseases (1). The prevalence of hypertension is increasing worldwide due to an aging population and increased exposure to lifestyle risk factors (1)(2)(3). According to the reported statistics by the Centers for Disease Control and Prevention (2015-2018), 66.7% of men aged 65-74 and 81.5% of men aged above 75, as well as 74.3% of women aged 65-74 and 86% of women aged above 75, suffer from high blood pressure (4).…”

Conocimiento sobre factores de riesgo y adherencia al tratamiento farmacológico en pacientes hipertensos del programa adulto mayor del hospital II Ramón Castilla, Lima – Perú

“…De acuerdo a los antecedentes se consideraron a los siguientes autores; en el ámbito internacional Sunmin Lee et al (2022), quien evidencio que el impacto significativo del estatus sociodemográfico (edad, vivir solo y síntomas depresivos) sobre la adherencia a la medicación entre hipertensos mayores pacientes indica la necesidad de establecer intervenciones empíricas, más específicas en función de las características de cada tipo. Por lo que el estudio, proporciono una mejor comprensión profunda de los P á g i n a 9698 factores asociado con la adherencia a la medicación entre pacientes mayores con hipertensión, lo que puede apoyar intervenciones adaptadas a las necesidades específicas de aquellos que no son adherentes.…”