Factors Influencing Medication Adherence in Patients with Hypertension: Based on the 2008 Korean National Health and Nutrition Examination Survey

Eunhee Cho; Chung Yul Lee; Insook Kim; Taewha Lee; Gwang Suk Kim; Hyeonkyeong Lee; Jisook Ko; Kyongeun Lee

doi:10.12799/jkachn.2013.24.4.419

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Cho, Lee, Kim, Lee, Kim, Lee, Ko, and Lee: Factors Influencing Medication Adherence in Patients with Hypertension: Based on the 2008 Korean National Health and Nutrition Examination Survey

Original Article

Journal of Korean Academy of Community Health Nursing 2013; 24(4): 419-426.

Published online: 31 December 2013

DOI: https://doi.org/10.12799/jkachn.2013.24.4.419

Factors Influencing Medication Adherence in Patients with Hypertension: Based on the 2008 Korean National Health and Nutrition Examination Survey

Eunhee Cho¹, Chung Yul Lee¹, Insook Kim¹, Taewha Lee¹, Gwang Suk Kim¹, Hyeonkyeong Lee¹, Jisook Ko², Kyongeun Lee¹

¹College of Nursing, Yonsei University, Seoul, Korea.

²School of Nursing, University of Texas, Austin, USA.

Corresponding author: Lee, Kyongeun. College of Nursing, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Korea. Tel: +82-2-2228-3309, Fax: +82-2-392-5440, leekyongeun@gmail.com

Received 20 August 2013 Accepted 17 December 2013

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose of this study is to examine factors influencing medication adherence in patients with hypertension.

Methods

This study carried out a secondary analysis of data from the 2008 Korean National Health and Nutrition Examination Survey (KNHANES). Stratified sampling was used to select a participant sample that was representative of patients with hypertension throughout the country. Using the SPSS/WIN 18.0 program, data were analyzed using descriptive statistics, χ² test, t-test, and logistic regression.

Results

Of the patients with hypertension, 8.8% had showed non-adherence to medication. Medication adherence was associated with age, spouse, Medicare insurance, number of other diseases, and current smoking status. The cases with older age, a spouse, Medicare insurance, higher number of other diseases, and no current smoking status showed significantly high medication adherence.

Conclusion

Nursing interventions and further studies are needed to achieve high levels of medication adherence based on factors influencing medication adherence such as age, spouse, Medicare insurance, number of other disease, and current smoking status.

Keywords: Medication adherence, Hypertension

Figures and Tables

Table 1

General Characteristics, Health Status of Participants, and Health-related behaviors for Managing Hypertension (N=1,247)

Note. n (%), M±SE was except missing values.

Table 2

Medical Adherence according to Participants Characteristics (N=1,247)

Note. M±SE was except missing values.

Table 3

Factors Influencing Medication Adherence (N=1,247)

OR=odds ratio CI=confidence interval.

Notes

This study was supported by Department Research Program from the College of Nursing at Yonsei University.

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