ArticleRwanda journal of medicine and health sciences2024
Factors Associated with Adherence to Medication among Hypertensive Patients in a District Hospital, Northern Province, Rwanda.
Article in Rwanda journal of medicine and health sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Globally, half of cardiovascular deaths are related to hypertension. Unfortunately, sub-Saharan Africa is burdened with lower adherence to anti-hypertensive medications. Hence, to successful-ly control and prevent the now-increasing hypertension crisis and its complications is to ensure good adherence to anti-hypertensive medications. Aim: The aim of this study was to assess factors associated with adherence to hypertensive medica-tions among hypertensive patients in a district hospital of Northern Province in Rwanda. Methods: A cross-sectional analytical study was conducted on 272 hypertensive patients. Data were ana-lyzed using SPSS version 21.0 in which bivariate and multivariable analyses were performed. The significance level was set at p < 0.05; and odds ratio and adjusted odds ratios with 95% confidence intervals (CI) were calculated. Results: Self-reported adherence was 64.3%. Factors associated with adherence to hypertension medi-cations were being a female (AOR= 4.188, 95% CI [1.555-11.281], p=0.005); having been diag-nosed and on treatment for five years or more (AOR=33.35, 95% CI [5.016-221.2851], p<0.001), good belief of medication (AOR=16.867 95% CI [5.438-52.321], p<0.001), taking medication even when there are no symptoms (AOR: 24, 95% CI [4.831-119.281], p<0.001); in the past hav-ing been a smoker but stopped (AOR: 9.348, 95%CI [2.594-33.686], p=0.001). Conclusion: Adherence was low, and multiple factors were associated. As a result, there is a need to develop and strengthen strategies aiming at improving medication adherence among hypertensive pa-tients by addressing the factors associated.
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