Adherence to Treatment of Hypertension: A Comparison amongst Patients Registered in Health Facilities in Rural and Urban Areas of A District in Rajasthan
Authors/Creators
- 1. PG Resident, Department of Community Medicine, Mahatma Gandhi Medical College & Hospital, Jaipur (Rajasthan)
Description
Background: India is facing an increase in cases of non-communicable diseases (NCDs) in general and hypertension in particular. Uncontrolled hypertension is caused by non-adherence with antihypertensive treatment. Although few studies have been conducted in different parts of the country to demonstrate adherence in hypertensive patients, little has been documented in Rajasthan on the matter. Aim: To assess the adherence to treatment of hypertension among patients registered in government health facilities in rural and urban areas of Churu district in Rajasthan. Method: In this cross-sectional study, a list of all districts of Rajasthan was procured. One district (Churu) was chosen by random sampling method. The study area included all rural and urban government health facilities in the selected district. All hypertensive patients registered at these rural and urban health facilities between January 2021 and December 2021 who consented to the study were included in the study. Using a pre-designed and tested questionnaire, demographic characteristics, enrollment details, and clinical characteristics were collected through face-to-face interviews, and their personal medical records were reviewed to confirm treatment. Result: The study was carried out on 5160 hypertensive patients. Adherence with antihypertensive treatment was 50.74%. 52.43% of males followed treatment adherence within 3 months of follow up period versus 49.08% of females. 56.03% of hypertension patients in rural areas adhered to the treatment, compared to 40.81% in urban areas. Patients older than 60 years were more compliant (54.45%) than patients ≤ 60 years (46.22%). Conclusion: Gender, place of residence, and age were found to be statistically significant factors in determining community adherence to medical recommendations for treating hypertension. Compared to their counterparts, treated patients show a significant improvement in blood pressure control.
Abstract (English)
Background: India is facing an increase in cases of non-communicable diseases (NCDs) in general and hypertension in particular. Uncontrolled hypertension is caused by non-adherence with antihypertensive treatment. Although few studies have been conducted in different parts of the country to demonstrate adherence in hypertensive patients, little has been documented in Rajasthan on the matter. Aim: To assess the adherence to treatment of hypertension among patients registered in government health facilities in rural and urban areas of Churu district in Rajasthan. Method: In this cross-sectional study, a list of all districts of Rajasthan was procured. One district (Churu) was chosen by random sampling method. The study area included all rural and urban government health facilities in the selected district. All hypertensive patients registered at these rural and urban health facilities between January 2021 and December 2021 who consented to the study were included in the study. Using a pre-designed and tested questionnaire, demographic characteristics, enrollment details, and clinical characteristics were collected through face-to-face interviews, and their personal medical records were reviewed to confirm treatment. Result: The study was carried out on 5160 hypertensive patients. Adherence with antihypertensive treatment was 50.74%. 52.43% of males followed treatment adherence within 3 months of follow up period versus 49.08% of females. 56.03% of hypertension patients in rural areas adhered to the treatment, compared to 40.81% in urban areas. Patients older than 60 years were more compliant (54.45%) than patients ≤ 60 years (46.22%). Conclusion: Gender, place of residence, and age were found to be statistically significant factors in determining community adherence to medical recommendations for treating hypertension. Compared to their counterparts, treated patients show a significant improvement in blood pressure control.
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IJPCR,Vol15,Issue7,Article32.pdf
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Additional details
Dates
- Accepted
-
2023-05-25
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue7,Article32.pdf
- Development Status
- Active
References
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