Socio-Demographic and Lifestyle Factors Influencing Adherence to AntiHypertensive Treatment in a Rural Area of Ludhiana, India
Background Epidemiological transition has caused increase in burden of non-communicable diseases like hypertension especially in developing countries like India which are further responsible for significant number of deaths among patients.Untreated hypertension can lead to numerous compli...
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Makhdoomi Printers
2025-02-01
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| Online Access: | https://nicpd.ac.in/ojs-/index.php/gjmedph/article/view/4108 |
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| author | Sangeeta Girdhar ,Mahesh Satija Daljit Kaur .Anurag Chaudhary |
| author_facet | Sangeeta Girdhar ,Mahesh Satija Daljit Kaur .Anurag Chaudhary |
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Background
Epidemiological transition has caused increase in burden of non-communicable diseases like hypertension
especially in developing countries like India which are further responsible for significant number of deaths among
patients.Untreated hypertension can lead to numerous complications in patients However, there is inadequate
adherence to therapeutical regimen observed among hypertensives with range varying from 19-96% in our country.
Hence, this study was done in a rural area of Ludhiana to determine adherence to anti-hypertensive treatment
among hypertensive patients and explore various socio-demographic and lifestyle factors associated with
adherence
Methodology
A cross-sectional study was conducted among clinically diagnosed cases of hypertension attending OPD at Rural
health Training centre, Pohir over 3-month period, aged above 18 years of age and were on treatment for at least 6
months. A pre-designed semi-structured questionnaire was used to assess the patient’s socio-demographic profile,
treatment seeking behaviour, duration and type of treatment and presence of any complication of hypertension.
Life style related habits like consumption of junk food, extra salt and alcohol, smoking and daily physical exercise
were also assessed. The patients who took medication for less than 80% of week (?5days) were considered as non
adherent. Weight and Height of the patients were measured and Body mass index (BMI) was calculated by using
formula (weight/height2 ). For categorization of BMI, Asia Pacific Classification was used.
Results
Of the 203 total diagnosed cases of hypertension, 184 patients were enrolled in the study, consisting of 104 males
(56.5%) and 80 females (43.5%). The mean age of the subjects was 59.9±11.75 years. Among 184 patients, 128
(69.5%) were adherent to treatment regimen and 56 (30.5%) were non adherent. Medication adherence was
significantly more among literate as compared to illiterate subjects. On assessing lifestyle related habits of the
subjects, it was observed that adherence was significantly higher in patients not consuming alcohol and no extra
salt intake and ones with no junk food preference. Also, complications were significantly higher among non
adherent patients (82.8%) as compared to ones who took their medication regularly (45.2%). Among reasons for
non-adherence to treatment, the most frequent reasons were discontinuation of medication when feeling well
followed by forgetfulness and financial issues amongst others.
Conclusions
Hypertension is becoming a global health issue and is yet a preventable disease if timely and adequately treated.
Non-adherence to drug therapy among anti-hypertensives is a matter worth concern. Improving adherence will not
only reduce complications and mortality among patients but also improve their quality of life and reduce financial
burden. Hence, certain interventions in this regard like health education and behaviour change communication are
utmost essential at community level.
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| format | Article |
| id | doaj-art-c5d9b7e7b9a441b1905a9a423701531b |
| institution | Kabale University |
| issn | 2277-9604 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Makhdoomi Printers |
| record_format | Article |
| series | Global Journal of Medicine and Public Health |
| spelling | doaj-art-c5d9b7e7b9a441b1905a9a423701531b2025-02-09T16:49:09ZengMakhdoomi PrintersGlobal Journal of Medicine and Public Health2277-96042025-02-011306Socio-Demographic and Lifestyle Factors Influencing Adherence to AntiHypertensive Treatment in a Rural Area of Ludhiana, IndiaSangeeta Girdhar,Mahesh SatijaDaljit Kaur.Anurag Chaudhary Background Epidemiological transition has caused increase in burden of non-communicable diseases like hypertension especially in developing countries like India which are further responsible for significant number of deaths among patients.Untreated hypertension can lead to numerous complications in patients However, there is inadequate adherence to therapeutical regimen observed among hypertensives with range varying from 19-96% in our country. Hence, this study was done in a rural area of Ludhiana to determine adherence to anti-hypertensive treatment among hypertensive patients and explore various socio-demographic and lifestyle factors associated with adherence Methodology A cross-sectional study was conducted among clinically diagnosed cases of hypertension attending OPD at Rural health Training centre, Pohir over 3-month period, aged above 18 years of age and were on treatment for at least 6 months. A pre-designed semi-structured questionnaire was used to assess the patient’s socio-demographic profile, treatment seeking behaviour, duration and type of treatment and presence of any complication of hypertension. Life style related habits like consumption of junk food, extra salt and alcohol, smoking and daily physical exercise were also assessed. The patients who took medication for less than 80% of week (?5days) were considered as non adherent. Weight and Height of the patients were measured and Body mass index (BMI) was calculated by using formula (weight/height2 ). For categorization of BMI, Asia Pacific Classification was used. Results Of the 203 total diagnosed cases of hypertension, 184 patients were enrolled in the study, consisting of 104 males (56.5%) and 80 females (43.5%). The mean age of the subjects was 59.9±11.75 years. Among 184 patients, 128 (69.5%) were adherent to treatment regimen and 56 (30.5%) were non adherent. Medication adherence was significantly more among literate as compared to illiterate subjects. On assessing lifestyle related habits of the subjects, it was observed that adherence was significantly higher in patients not consuming alcohol and no extra salt intake and ones with no junk food preference. Also, complications were significantly higher among non adherent patients (82.8%) as compared to ones who took their medication regularly (45.2%). Among reasons for non-adherence to treatment, the most frequent reasons were discontinuation of medication when feeling well followed by forgetfulness and financial issues amongst others. Conclusions Hypertension is becoming a global health issue and is yet a preventable disease if timely and adequately treated. Non-adherence to drug therapy among anti-hypertensives is a matter worth concern. Improving adherence will not only reduce complications and mortality among patients but also improve their quality of life and reduce financial burden. Hence, certain interventions in this regard like health education and behaviour change communication are utmost essential at community level. https://nicpd.ac.in/ojs-/index.php/gjmedph/article/view/4108Adherence; Hypertension; Socio-demographic; Lifestyle |
| spellingShingle | Sangeeta Girdhar ,Mahesh Satija Daljit Kaur .Anurag Chaudhary Socio-Demographic and Lifestyle Factors Influencing Adherence to AntiHypertensive Treatment in a Rural Area of Ludhiana, India Global Journal of Medicine and Public Health Adherence; Hypertension; Socio-demographic; Lifestyle |
| title | Socio-Demographic and Lifestyle Factors Influencing Adherence to AntiHypertensive Treatment in a Rural Area of Ludhiana, India |
| title_full | Socio-Demographic and Lifestyle Factors Influencing Adherence to AntiHypertensive Treatment in a Rural Area of Ludhiana, India |
| title_fullStr | Socio-Demographic and Lifestyle Factors Influencing Adherence to AntiHypertensive Treatment in a Rural Area of Ludhiana, India |
| title_full_unstemmed | Socio-Demographic and Lifestyle Factors Influencing Adherence to AntiHypertensive Treatment in a Rural Area of Ludhiana, India |
| title_short | Socio-Demographic and Lifestyle Factors Influencing Adherence to AntiHypertensive Treatment in a Rural Area of Ludhiana, India |
| title_sort | socio demographic and lifestyle factors influencing adherence to antihypertensive treatment in a rural area of ludhiana india |
| topic | Adherence; Hypertension; Socio-demographic; Lifestyle |
| url | https://nicpd.ac.in/ojs-/index.php/gjmedph/article/view/4108 |
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