Factors associated with drug adherence and blood pressure control in patients with hypertension
Factors associated with drug adherence and blood pressure control in patients with hypertension
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DOI:
10.1592/phco.26.4.483
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发表时间:
2006-04-01
期刊:
影响因子:
4.1
通讯作者:
Murray, MD
中科院分区:
文献类型:
--
作者:
Morris, AB;Li, JJ;Murray, MD
Study Objectives. To determine characteristics associated with drug adherence and blood pressure control among patients with hypertension, and to assess agreement between self-reported and refill adherences.Design. Cross-sectional analysis of baseline data from an ongoing randomized controlled trial.Setting. Primary care center at an urban, count), health system in Indianapolis, Indiana. Patients. Four hundred ninety-two participants with hypertension and taking at least one antihypertensive drug.Measurements and Main Results. Social and demographic factors, comorbidity, self-reported drug adherence, prescription refill adherence, and systolic and diastolic blood pressures were recorded at baseline. Participants were aged 57 +/- 11 (mean +/- SD) years, were predominantly women (73%) and African-American (68%), and took 2.4 +/- 1.1 antihypertensive drugs. Agreement between self-reported and refill adherences was poor to fair (kappa = 0.21). On multiple logistic regression analysis, increased age (p