Pre-stroke Adherence to Hypertension Medications in a Bi-racial United States Stroke Belt.
High Blood Press Cardiovasc Prev
; 30(4): 333-336, 2023 Jul.
Article
em En
| MEDLINE
| ID: mdl-37233948
ABSTRACT
INTRODUCTION:
Blood pressure is not optimally reduced in 3 of 4 patients with hypertension (HTN) in the United States.AIM:
We analyzed for factors associations with premorbid non-adherence to HTN medications in acute stroke patients.METHODS:
This cross-sectional study included 225 acute stroke patients with self-reported adherence to HTM medications in a stroke registry in the Southeastern United States. We defined medication non-adherence as < 90% of prescribed. Logistic regression analyzed demographic and socioeconomic factors for prediction of adherence.RESULTS:
There were 145 (64%) patients with adherence and 80 (36%) with non-adherence. The likelihood of adherence to HTN medications was decreased among black patients, OR 0.49 (95% CI 0.26-0.93), p = 0.03, and those without health insurance, OR 0.29 (95% CI 0.13-0.64), p = 0.002. Specific reasons for non-adherence were high medication cost in 26 (33%), side effects in 8 (10%), and other unspecified reasons in 46 (58%) patients.CONCLUSION:
In this study, adherence to HTN medications was significantly lower among black patients and those without health insurance.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Fármacos Cardiovasculares
/
Acidente Vascular Cerebral
/
Hipertensão
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article