Factors Regarding Adherence to Medication in Patients with Hypertension Based on Health Belief Model in the South of Kerman, Iran, in 2019

Authors

  • Abbas Zangiabadi Msc of Health Education, School of Health, Kerman University of Medical Sciences, Kerman, Iran
  • Armita Shah Esmaili HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
  • Seyed Vahid Ahmady Tabatabaei Department of public Health, School of Health, Jiroft University of Medical Sciences, Jiroft, Iran
  • Ehsan Movahed Department of public Health, School of Health, Jiroft University of Medical Sciences, Jiroft, Iran
  • Hamideh SHhankestani Msc student of Health Education, School of Health, Kerman University of Medical Sciences, Kerman, Iran

DOI:

https://doi.org/10.18502/jchr.v11i2.9995

Keywords:

Medication Adherence, Hypertension, Health Belief Model

Abstract

Introduction: Hypertension is the most important public health problem in developing countries. This study aimed to investigate factors associated with medication adherence of  hypertension based on the health belief model.

Method: This was an analytical cross-sectional study. In this study, 403 hypertensive patients in Shahdad and Andoohjerd of  Kerman were selected by census method. Data collection tools were a researcher-made questionnaire including the Health Belief Model (HBM) and Moriskyself-report questionnaire. Cronbach alph was 0.9. Then the data were analysed by SPSS vesrsion 24 and the significance level was P< 0.05. mean (SD), Frequency (percent) used to descriptive statistics and two Independent sample  t-test, Mann-Whitney U test and Binary Logistic Regression were used for data analysis. All statistical analysis were done in SPSS 19 with significant level of 5 %.

Results: More than half of the patients (57.1%) had poor medication adherence. Most of the subjects (84.1%) used less than three drugs. Chi square test results showed a significant relationship between drug compliance and age group, education and job  results of  multiple logistic regression showed, three factors of awareness (OR=1.116, p =0.016), cues to action (OR=0.68, p =0.030)  and perceived barriers (OR=0.83, p=<0.001) had significant effect on Medication Adherence .

Conclusion: Effective interventions based on the health belief model and with emphasis on raising awareness, practicing guide and removing perceived barriers can increase medication adherence in patients with hypertension.

 

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Published

2022-07-06

Issue

Volume (11) issue (2)

Section

Articles