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
Murray, MD
中科院分区:
医学2区
文献类型:
--
作者:
Morris, AB;Li, JJ;Murray, MD

文献摘要

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研究目的。确定与高血压患者的药物依从性和血压控制相关的特征,并评估自我报告的依从性和再填充依从性之间的一致性。一项正在进行的随机对照试验基线数据的横断面分析。初级保健中心在一个城市,计数),卫生系统在印第安纳波利斯,印第安纳州。患者492名高血压患者,至少服用一种降压药。测量和主要结果。在基线时记录社会和人口统计学因素、合并症、自我报告的药物依从性、处方续药依从性以及收缩压和舒张压。参与者年龄为57 +/- 11(平均+/- SD)岁,主要是女性(73%)和非洲裔美国人(68%),服用2.4 +/- 1.1抗高血压药物。自我报告和再填充粘连之间的一致性较差至一般(kappa = 0.21)。多元Logistic回归分析显示,年龄增加(p
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