Prevalence and Associated Factors of Compliance Behaviors among Middle-Aged and Older Hypertensive Patients in China: Results from the China Health and Retirement Longitudinal Study

Liu, Jianjian; Yang, Ying; Zhou, Jiayi; Li, Tianyu; Zhang, Wenjie; Wei, Liuyi; Wu, Shaotang

doi:10.3390/ijerph17197341

Cited by 11 publications

(14 citation statements)

References 28 publications

(25 reference statements)

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“…In various settings, improved medicine accessibility through FCPEM programs proved to help reduce patients' direct medical costs and possibly lead to increased patient participation, continuity of treatment, and better health outcomes [15,[24][25][26][27]. Furthermore, we found that patients with characteristics indicative of free medicine use in our study coincided with patients who had chronic illnesses and poor medicine use and adherence in previous studies [28][29][30]. This implies that FCPEM implementation can promote equitable access to medicines and improve the health outcomes of vulnerable populations.…”

Section: Discussionsupporting

confidence: 66%

Factors Associated with Free Medicine Use in Patients with Hypertension and Diabetes: A 4-Year Longitudinal Study on Full Coverage Policy for Essential Medicines in Taizhou, China

Zhi-gang

Bai

Luo

et al. 2021

IJERPH

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Full coverage policies for medicines have been implemented worldwide to alleviate medicine cost burden and promote access to medicines. However, few studies have explored the factors associated with free medicine use in patients with chronic diseases. This study aimed to analyze the utilization of free medicines by patients with hypertension and diabetes after the implementation of the full coverage policy for essential medicines (FCPEM) in Taizhou, China, and to explore the factors associated with free medicine use. We conducted a descriptive analysis of characteristics of patients with and without free medicine use and performed a panel logit model to examine factors associated with free medicine use, based on an electronic health record database in Taizhou from the baseline year (12 months in priori) to three years after FCPEM implementation. After FCPEM implementation, the proportion of patients without any free medicine use decreased from 31.1% in the baseline year to 28.9% in the third year, while that of patients taking free medicines rose from 11.0% to 22.8%. Patients with lower income or education level, those with agricultural hukou, patients aged 65 and above, married patients, and patients in the Huangyan district were more likely to take free medicines. In conclusion, FCPEM contributed to improved medicine access, especially in vulnerable populations. Local policy makers should consider expanding the coverage of FCPEM to other types of medicines and cultivate the potential of social supports for patients to enhance the effectiveness of FCPEM policies.

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Section: Discussionsupporting

confidence: 66%

Factors Associated with Free Medicine Use in Patients with Hypertension and Diabetes: A 4-Year Longitudinal Study on Full Coverage Policy for Essential Medicines in Taizhou, China

Zhi-gang

Bai

Luo

et al. 2021

IJERPH

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“…The result was in agreement with some earlier studies. 16 , 22 , 23 This was explained by the high gap in socio-economic, cultural and education aspects between urban and rural areas in China. Economic status was one of the factors affecting adherence of hypertensive patients and lack of financial resources was a major barrier to adherence 24 .…”

Section: Discussionmentioning

confidence: 99%

Urban-Rural Difference in Treatment Adherence of Chinese Hypertensive Patients

Pan¹,

Yu²,

Hu³

et al. 2022

PPA

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Objective The aims of this study were to evaluate the treatment adherence and the main factors associated with adherence for Chinese hypertensive patients between urban and rural areas. Participants and Methods A total of 529 hypertensive patients with 328 from urban areas and 201 from rural areas hospitalized in a tertiary hospital in Xi’an, China during the period from May 1 to December 31, 2021 were invited to participate in the cross-sectional study. The adherence to treatment was assessed by “modified Chinese Hill-Bone compliance to high blood pressure therapy scale”. Binary logistic regression analysis was used to analyze independent risk factor for treatment adherence of hypertensive patients. General linear model was used to analyze the association of the independent risk factors to treatment adherence in each subgroup of the scale. Results The treatment adherence of Chinese hypertensive patients in rural areas was 23.88% and it was significantly lower than that in urban areas (36.59%). Age and gender were the factors that independently associated with treatment adherence of hypertensive patients regardless of urban or rural status. The duration of antihypertensive drugs used was identified to be the factor that independently associated with treatment adherence only in urban patients. The subgroups including reduced sodium intake and medication taking had significant effects on treatment adherence in certain factors. Conclusion The treatment adherence of Chinese hypertensive patients was low, especially in rural areas. More emphasis should be placed on patients in rural areas. Furthermore, more attention and effective strategies should be designed to address factors affecting treatment adherence in both urban and rural areas. Health programs should focus on education including the importance of taking continuous antihypertensive drugs and low sodium diet.

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“…First, it is necessary to change our ideas and reshape our cognition. As the initiating factor of disability risk in the older population, population aging is the current trend ( 68 ), and the risks and challenges it brings are global ( 69 ), long-term ( 70 ), and irreversible ( 71 ). Therefore, in the face of the challenge of social disability risk, we must abandon the unsuitable concepts of “partial war,” “quick decision war,” and “temporary war.” This is an inevitable historical turning point in the development of human society from the perspectives of both the evolution of research disciplines and our understanding of the causes of aging.…”

Section: Discussionmentioning

confidence: 99%

Section: Figurementioning

confidence: 99%

What is the degree of social disability risk in China under the background of the aging population? Social disability risk measurement index system design and evaluation research based on China

Guo

Sun

Fan

et al. 2023

Front. Public Health

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ObjectiveThe impact of the aging population in China varies between regions. It is because regions with different resource endowments, such as those related to economy, population, and medical care, have different degrees of disability risk in the face of the increases in the disabled and semi-disabled older population caused by the overall aging of the population. This study aimed to construct an evaluation system to monitor and measure the degree of social disability risk in different regions in China and to evaluate and compare the degree of social disability risk in different regions using empirical data.MethodThis study used the Delphi method to construct a social disability risk measurement index system with macro, meso, and micro dimensions. At the same time, based on the data of CHARLS2018, an AHP-entropy method was used to calculate the index's total weight, and the standard deviation classification method was used to classify the total and criterion-level measurement scores of 28 provinces.ResultsThe regional degree of social disability risk was analyzed in subdimensions. Our research indicates that China's social disability risk situation is not promising, with a general medium to high-risk level. The score of degree of social disability risk among provinces is consistent with the regional economic development level to a large extent. The risk of social disability varies significantly among the eastern and central, and western regions of China and the provinces within the three regions.DiscussionCurrently, the situation facing the degree of social disability risk in China is that the overall risk level of the country is higher, and the difference between regions is significant. It is necessary to take measures to meet better the needs of the aging population and the disabled and semi-disabled older populations in a large-range, large-scale, multilevel way.

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Prevalence and Associated Factors of Compliance Behaviors among Middle-Aged and Older Hypertensive Patients in China: Results from the China Health and Retirement Longitudinal Study

Cited by 11 publications

References 28 publications

Factors Associated with Free Medicine Use in Patients with Hypertension and Diabetes: A 4-Year Longitudinal Study on Full Coverage Policy for Essential Medicines in Taizhou, China

Factors Associated with Free Medicine Use in Patients with Hypertension and Diabetes: A 4-Year Longitudinal Study on Full Coverage Policy for Essential Medicines in Taizhou, China

Urban-Rural Difference in Treatment Adherence of Chinese Hypertensive Patients

What is the degree of social disability risk in China under the background of the aging population? Social disability risk measurement index system design and evaluation research based on China

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