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Identification of psychosocial factors of noncompliance in hypertensive patients


Hassan, Norul Badriah and Che Ismail, Hasanah and Foong, K. and Naing, Lin and Awang, R. and Ismail, Shaiful Bahari and Ishak, A. and Yaacob, Lili Husniati and Mohd Yusoff, Harmy and Daud, Adibah Hanim and Shaharom, Mohamed Hatta and Conroy, R. and A. Rahman, A. R. (2006) Identification of psychosocial factors of noncompliance in hypertensive patients. Journal of Human Hypertension, 20 (1). pp. 23-29. ISSN 0950-9240; ESSN: 1476-5527


This cross-sectional study was aimed to identify the predictors of medication noncompliance in hypertensive patients. The study was conducted at the Family Medicine Clinic, Hospital Universiti Sains Malaysia, Kelantan, Malaysia, which is a university-based teaching hospital. All hypertensive patients aged 40 or over-registered from January to June 2004, who had been on treatment for at least 3 months, were screened. Previously validated self-administered questionnaires were used to assess the compliance and psychosocial factors. A total of 240 hypertensive patients were recruited in the study. Of these, 55.8% were noncompliant to medication. Logistic regression showed that age (adjusted odds ratio (OR): 0.96; 95% confidence interval (CI): 0.92–0.997; P: 0.035), patient satisfaction (adjusted OR: 0.97; 95% CI: 0.93–0.998; P: 0.036) and medication barrier (adjusted OR: 0.95; 95% CI: 0.91–0.987; P: 0.009) were significant predictors of medication noncompliance. Therefore, younger age, poor patient satisfaction and medication barrier were identified as independent psychosocial predictors of medication noncompliant in hypertensive patients.

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Additional Metadata

Item Type: Article
Divisions: Faculty of Medicine and Health Science
DOI Number: https://doi.org/10.1038/sj.jhh.1001930
Publisher: Nature Publishing Group
Keywords: Medication noncompliance; Psychosocial factors; Patient satisfaction.
Depositing User: Nur Farahin Ramli
Date Deposited: 19 May 2014 04:06
Last Modified: 09 Mar 2016 05:06
Altmetrics: http://www.altmetric.com/details.php?domain=psasir.upm.edu.my&doi=10.1038/sj.jhh.1001930
URI: http://psasir.upm.edu.my/id/eprint/24445
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