The association of emotional well-being and marital status with treatment adherence among patients with hypertension

Trivedi, Ranak; Ayotte, Brian J.; Edelman, David; Bosworth, Hayden B.

doi:10.1007/s10865-008-9173-4

Cited by 124 publications

(109 citation statements)

References 54 publications

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“…Beyond marital status, we do not have sufficient detail to further describe patients' social support where added care-provider networks may exist. 30,31,35 Considering followup, 15 months may not be sufficient time to observe significant effects of marital status on CV risk following MI, with other reports noting significant effects at 3 years among patients with CVD and 10 years among patients with hyperlipidemia, respectively. 9,10 Moreover, we did not account for recurrent CV events in our analysis, and this may underestimate the total burden of MI and stroke.…”

Section: Study Limitationsmentioning

confidence: 97%

“…26,34,35 It should not go unnoticed that more preexisting risk factors were present among patients who were never married or were separated, divorced, or widowed, which may place them at higher risk for CVD. Unmarried patients (patients never married, separated, divorced, or widowed) were a particularly vulnerable group, as they tended to be older and had a prior history of smoking, HF, and stroke.…”

Section: Following Logistic Regression and Cox Proportional Hazarmentioning

confidence: 99%

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Marital status and outcomes after myocardial infarction: Observations from the Canadian Observational Antiplatelet Study (COAPT)

Ghosh-Swaby

Tan

Bagai

et al. 2018

Clinical Cardiology

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While divorced or living alone, patients with stable cardiovascular disease are at increased risk for adverse cardiovascular events. The importance of marital status following a myocardial infarction (MI) is less clear. We hypothesized that marital status may affect cardiovascular outcomes following MI. We analyzed outcomes among patients with MI who underwent percutaneous coronary intervention from the Canadian Observational Antiplatelet Study (COAPT).Marital status was categorized into 3 groups: married/common-law patients living together; never married; and divorced, separated, or widowed patients. Patients were followed for 15 months and our primary outcome was the occurrence of a major adverse cardiovascular event (MACE), defined as a composite of mortality, repeat acute MI, stroke, or urgent coronary revascularization. Multivariable logistic regression models were performed, with married/common-law patients living together considered the reference group. Among 2100 patients included in analyses, 1519 (72.3%) were married/common-law patients living together, 358 (17.1%) were separated/divorced/widowed, and 223 (10.6%) patients were never married.Dual antiplatelet therapy use after 15 months was similar across groups (75.4%, 77.8%, and 73.6%, respectively). The risk of MACE after 15 months was similar among married patients living together (12.7%; referent) compared with patients who were never married (13.9%; adjusted odds ratio: 1.09, 95% confidence interval: 0.58-2.07, P = 0.79) and patients separated/divorced/widowed (14.3%; adjusted odds ratio: 0.71, 95% confidence interval: 0.40-1.25, P = 0.23). Similarly, the risk of individual endpoints, including mortality, was similar across the 3 groups. Among patients stabilized following an MI, we found no association between marital status and 15-month outcomes.

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Section: Study Limitationsmentioning

confidence: 97%

Section: Following Logistic Regression and Cox Proportional Hazarmentioning

confidence: 99%

Marital status and outcomes after myocardial infarction: Observations from the Canadian Observational Antiplatelet Study (COAPT)

Ghosh-Swaby

Tan

Bagai

et al. 2018

Clinical Cardiology

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“…A higher summary score suggests better mental well-being. This instrument has been proven to have high validity and test-retest reliability and is widely used across different countries and populations, including sub-Saharan Africa (Adams, Boscarino, and Galea 2006;Gandek et al 1998;Jenkinson et al 1997;Trivedi et al 2008;Ware Jr., Kosinski, and Keller 1996).…”

Section: Dependent Variablesmentioning

confidence: 99%

Perceived risk of HIV infection and mental health in rural Malawi

Hsieh¹

2013

DemRes

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“…Low antihypertensive medication adherence has been proposed as an important barrier to achieving hypertension control. Demographic, treatment, clinical and behavioural factors have been shown to be associated with medication adherence, and previous studies have indicated that psychosocial factors are important determinants of antihypertensive medication adherence in older adults [5][6][7][8]. Also, the low rate of controlled hypertension may be associated with worsened quality of life and a high incidence of adverse effects of blood-pressure-lowering drugs [9].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Health Related Quality of Life and Associated Factors among Hypertensive Patients on Treatment at Public Hospitals in Mekelle, North Ethiopia

Jufar¹,

Nuguse²,

Misgna³

2017

J Hypertens

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Introduction: Hypertension is a prevalent and often asymptomatic chronic disease. Health related quality of life is emerging as an important outcome in hypertension. It can be adversely affected by hypertension itself and sideeffects of antihypertensive drugs. It is a multi-dimensional element of well-being affected by the physical, mental, emotional and social status of patients. The ability to identify indicators of poor health-related quality of life is crucial for both improving clinical care and determining targets of intervention for the prevention and treatment of disease.

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The association of emotional well-being and marital status with treatment adherence among patients with hypertension

Cited by 124 publications

References 54 publications

Marital status and outcomes after myocardial infarction: Observations from the Canadian Observational Antiplatelet Study (COAPT)

Marital status and outcomes after myocardial infarction: Observations from the Canadian Observational Antiplatelet Study (COAPT)

Perceived risk of HIV infection and mental health in rural Malawi

Assessment of Health Related Quality of Life and Associated Factors among Hypertensive Patients on Treatment at Public Hospitals in Mekelle, North Ethiopia

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