Compliance to Antihypertensive Therapy and Associated Factors among Adults’ Hypertensive Patients Attending Medical Clinics in Kilifi County Kenya

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dc.contributor.authorMoss, John T.
dc.contributor.authorKimani, Harun
dc.contributor.authorMwanzo, Issac
dc.date.accessioned2023-06-21T09:26:43Z
dc.date.available2023-06-21T09:26:43Z
dc.date.issued2021
dc.descriptionresearch articleen_US
dc.description.abstractBackground: Hypertension is both public health and medical problem worldwide. Compliance to antihypertensive therapy is key in avoiding hypertension complications. The purpose of this study was to establish compliance to antihypertensive therapy and associated factors among adults’ hypertensive patients in Kilifi county Kenya. Methods: A facility-based cross-sectional was undertaken in four public health facilities in Kilifi County Kenya. Two hundred and thirteen hypertensive patients were recruited in the study. Data was collected using a pretested questionnaire and analyzed using Statistical package for social sciences (SPSS) version 23 software. Chi-square test was utilized in establishing the relations, while logistic regression was adopted to determine independent risk factors for compliance. Results: Compliance to antihypertensive therapy was recorded in 31 (14.6%) of the patients. A statistically significant association was established between compliance to antihypertensive therapy and patients knowledge (p<0.001); age (p=0.024); education (p=0.04); income (p=0.013); duration on treatment (p=0.005); cost (p=0.029); health care provider advice (p=0.009); consistency of therapy (p=0.002); medicines availability (p=0.021); and health facility distance (p=0.013). Independent risk factors for compliance to antihypertensive therapy were the duration on treatment of (OR=0.383; 95%CI 0.151-0.972); Knowledge on hypertension (OR=2.715; 95%CI 1.598-4.615); Health care worker follow-ups (OR=0.452; 95%CI 0.282-0.726); and cost of medication (OR=2.682; 95%CI 1.134-6.345). Conclusions: Anti-hypertensive therapy compliance among patients was low. This could be attributed to factors that are socio-demographic, patient, and health service-related in nature. Prompt public health interventions that are patient-community centred are necessary to improve compliance to antihypertensive therapy.en_US
dc.identifier.citationMoss JT, Kimani H, Mwanzo I. Compliance to antihypertensive therapy and associated factors among adults’ hypertensive patients attending medical clinics in Kilifi County Kenya. Int J Community Med Public Health 2021;8:4655-65.en_US
dc.identifier.issn2394-6040
dc.identifier.urihttp://ir-library.ku.ac.ke/handle/123456789/25906
dc.language.isoenen_US
dc.publisherMedip Academyen_US
dc.subjectHypertensionen_US
dc.subjectComplianceen_US
dc.subjectAntihypertensiveen_US
dc.subjectTherapyen_US
dc.titleCompliance to Antihypertensive Therapy and Associated Factors among Adults’ Hypertensive Patients Attending Medical Clinics in Kilifi County Kenyaen_US
dc.typeArticleen_US
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