Jing Fang 1 , Tiffany Chang 2 , Guijing Wang 1 , Fleetwood Loustalot 1 Show Affiliations »
Abstract
BACKGROUND: Medication nonadherence is an important element of uncontrolled hypertension. Financial factors are frequently contributor to nonadherence. The objective of this study was to examine the association between cost-related medication nonadherence and self-reported antihypertensive medication use and self-reported normal blood pressure among US adults with self-reported hypertension. METHODS: Participants with self-reported hypertension from the 2017 National Health Interview Survey were included (n=7,498). Cost-related medication nonadherence was defined using standard questions. Hypertension management included: 1) self-reported current antihypertensive medication use, and 2) self-reported normal blood pressure within the past 12 months. Adjusted prevalence and prevalence ratios of hypertension management indicators among those with and without cost-related medication non-adherence were estimated. RESULTS: Overall, 10.7% reported cost-related medication nonadherence, 83.6% reported current antihypertensive medication use, and 67.4% reported normal blood pressure within past 12 months. Adjusted percentages of current antihypertensive medication use (88.6% vs 82.9%, p<0.001) and self-reported normal blood pressure (69.8% vs 59.5%, p=0.002) were higher among those without cost-related medication nonadherence compared to those with cost-related medication nonadherence. Adjusted prevalence ratios showed that, compared to those with cost-related medication non-adherence, those without cost-related medication non-adherence were more likely to report current antihypertensive medication use (OR=1.08, 95% confidence interval 1.04-1.12) and self-reported normal blood pressure (1.15 (1.07-1.23)). CONCLUSIONS: Among US adults with self-reported hypertension, those without cost-related medication nonadherence were more likely to report current antihypertensive medication use and normal blood pressure within the past 12 months. Financial barriers to medication adherence persist and impact hypertension management. © American Journal of Hypertension, Ltd 2020. All rights reserved. For Permissions, please email: journals.permissions@oup.com.
BACKGROUND: Medication nonadherence is an important element of uncontrolled hypertension . Financial factors are frequently contributor to nonadherence. The objective of this study was to examine the association between cost-related medication nonadherence and self-reported antihypertensive medication use and self-reported normal blood pressure among US adults with self-reported hypertension . METHODS: Participants with self-reported hypertension from the 2017 National Health Interview Survey were included (n=7,498). Cost-related medication nonadherence was defined using standard questions. Hypertension management included: 1) self-reported current antihypertensive medication use, and 2) self-reported normal blood pressure within the past 12 months. Adjusted prevalence and prevalence ratios of hypertension management indicators among those with and without cost-related medication non-adherence were estimated. RESULTS: Overall, 10.7% reported cost-related medication nonadherence, 83.6% reported current antihypertensive medication use, and 67.4% reported normal blood pressure within past 12 months. Adjusted percentages of current antihypertensive medication use (88.6% vs 82.9%, p<0.001) and self-reported normal blood pressure (69.8% vs 59.5%, p=0.002) were higher among those without cost-related medication nonadherence compared to those with cost-related medication nonadherence. Adjusted prevalence ratios showed that, compared to those with cost-related medication non-adherence, those without cost-related medication non-adherence were more likely to report current antihypertensive medication use (OR=1.08, 95% confidence interval 1.04-1.12) and self-reported normal blood pressure (1.15 (1.07-1.23)). CONCLUSIONS: Among US adults with self-reported hypertension , those without cost-related medication nonadherence were more likely to report current antihypertensive medication use and normal blood pressure within the past 12 months. Financial barriers to medication adherence persist and impact hypertension management. © American Journal of Hypertension , Ltd 2020. All rights reserved. For Permissions, please email: journals.permissions@oup.com.
Entities: Disease
Species
Keywords:
Hypertension; adherence; age; antihypertensive medication use; cost-related medication non-adherence; normal blood pressure; sex
Year: 2020
PMID： 32369108 DOI： 10.1093/ajh/hpaa072
Source DB: PubMed Journal: Am J Hypertens ISSN： 0895-7061 Impact factor: 2.689