Evaluation of antihypertensive adherence and its determinants at primary health care facilities in rural South Africa

Enos M Rampamba; Johanna C Meyer; Brian Godman; Amanj Kurdi; Elvera Helberg

doi:10.2217/cer-2018-0004

Evaluation of antihypertensive adherence and its determinants at primary health care facilities in rural South Africa

Enos M Rampamba, Johanna C Meyer, Brian Godman, Amanj Kurdi, Elvera Helberg

Research output: Contribution to journal › Article

6 Citations (Scopus)

Abstract

Introduction and aim: To evaluate adherence to antihypertensive treatment in rural South Africa and identify potential determinants given concerns with adherence and its impact in this priority disease area. Method: Face-to-face interviews with hypertensive patients and rating their adherence to treatment using defined categorised responses. Associations between adherence and patient characteristics assessed and sensitivity analyses performed. Results: 54.6% of patients were adherent to treatment. Controlled blood pressure (OR = :=2.1; 95% CI [:1.1, -3.8]; p = 0.019), comorbidity (OR = :=2.0; 95% CI [: 1.1, -3.6]; p = 0.032) and smoking (OR = :=0.3; 95% CI [:0.1, -0.8]; p = 0.018) were associated with adherence. Conclusion: Adherence and BP control were suboptimal, only smoking was an independent risk factor for adherence. Adherent patients were twice as likely to have controlled BP, although results were sensitive to the definition of adherence. Initiatives are in place to improve adherence, which will be monitored.

Language	English
Pages	661-672
Number of pages	12
Journal	Journal of Comparative Effectiveness Research
Volume	7
Issue number	7
Early online date	11 Jun 2018
DOIs	10.2217/cer-2018-0004
Publication status	Published - 31 Jul 2018

Fingerprint

Health Facilities

South Africa

Antihypertensive Agents

Primary Health Care

Smoking

Patient Compliance

Comorbidity

Therapeutics

Interviews

Blood Pressure

Keywords

antihypertensive treatment
rural South Africa
blood pressure

Cite this

Rampamba, E. M., Meyer, J. C., Godman, B., Kurdi, A., & Helberg, E. (2018). Evaluation of antihypertensive adherence and its determinants at primary health care facilities in rural South Africa. Journal of Comparative Effectiveness Research, 7(7), 661-672. https://doi.org/10.2217/cer-2018-0004

Rampamba, Enos M ; Meyer, Johanna C ; Godman, Brian ; Kurdi, Amanj ; Helberg, Elvera. / Evaluation of antihypertensive adherence and its determinants at primary health care facilities in rural South Africa. In: Journal of Comparative Effectiveness Research. 2018 ; Vol. 7, No. 7. pp. 661-672.

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Rampamba, EM, Meyer, JC, Godman, B , Kurdi, A & Helberg, E 2018, 'Evaluation of antihypertensive adherence and its determinants at primary health care facilities in rural South Africa' Journal of Comparative Effectiveness Research, vol. 7, no. 7, pp. 661-672. https://doi.org/10.2217/cer-2018-0004

Evaluation of antihypertensive adherence and its determinants at primary health care facilities in rural South Africa. / Rampamba, Enos M; Meyer, Johanna C; Godman, Brian ; Kurdi, Amanj; Helberg, Elvera.

In: Journal of Comparative Effectiveness Research, Vol. 7, No. 7, 31.07.2018, p. 661-672.

Research output: Contribution to journal › Article

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