MEDICATION ADHERENCE AND ITS ASSOCIATION WITH SOCIO-DEMOGRAPHICS,PERCEIVED FAMILY SUPPORT AND BLOOD PRESSURE CONTROL AMONG ADULTS HYPERTENSIVE PATIENTS IN RURAL SOUTHWESTERN NIGERIA

Authors

  • Sito KO Federal Teaching Hospital, Ido-Ekiti, Ekiti State, Nigeria. Author
  • Ibrahim AO Afe Babalola University, Ado-Ekiti, Ekiti State, Nigeria Author
  • Adeshina GO FDederal University, Oye-Ekiti, Ekiti Stste, Nigeria Author
  • Afolabi-Obe EA Lagos State University Teaching Hospital, Ikeja, Nigeria Author
  • Olanrewaju MT Federal Teaching Hospital, Ido-Ekiti, Ekiti State, Nigeria.  Author
  • Alabi AK Afe Babalola University, Ado-Ekiti, Ekiti State, Nigeria.  Author

Keywords:

Hypertension, Medication adherence, Family support, Blood pressure, Rural Nigeria

Abstract

Background: Perceived Family support and blood pressure control are important outcome measures to medication adherence in clinical trials. However, there is limited research on this topic among adult hypertensive patients in rural Southwest Nigeria. This study determined the pattern of medication adherence, blood pressure control and perceived family support and ascertained the determinants of medication adherence among adult hypertensive patients attending a tertiary hospital in rural Southwestern Nigeria.

Methods: Hospital-based cross-sectional study was conducted on 282 hypertensive patients on follow up using systematic random sampling technique. Standardized semi-structured interviewer administered questionnaire was employed to seek information on respondents' sociodemographic characteristics. Adherence level was determined using the Morisky's Medication Adherence Scale, while Perceived Social Support family (PSS-Fa) scale was employed to assess the level of respondents' perceived family support. Data were analyzed using SPSS 20. Multivariate logistic regression analysis was used to identify the determinants of medication adherence.

Results: The majority of the respondents had high medication adherence (61.0%), good controlled blood pressure (60.6%), and strong perceived family support (56.0%). Being a middle age (p<0.05), formal education (p<0.01), civil servants (p<0.001), higher income level (p<0.001), higher pill burden (p<0.001), normal BMI (p=0.012, controlled blood pressure (p<0.001) and strong perceived family support (p<0.001) were the independent determinants of medication adherence.

Conclusion: The pattern of medication adherence, perceived family support and blood pressure control were good. The findings would assist the stakeholders at improving adherence to medication among patients with hypertension in rural Southwest Nigeria. 

Author Biographies

  • Sito KO, Federal Teaching Hospital, Ido-Ekiti, Ekiti State, Nigeria.

    Department of Family Medicine, Federal Teaching Hospital, Ido-Ekiti, Ekiti State, Nigeria.

  • Ibrahim AO, Afe Babalola University, Ado-Ekiti, Ekiti State, Nigeria

    Department of Family Medicine, Afe Babalola University, Ado-Ekiti, Ekiti State, Nigeria

  • Adeshina GO, FDederal University, Oye-Ekiti, Ekiti Stste, Nigeria

    University Health Services, Federal University, Oye-Ekiti, Ekiti Stste, Nigeria

  • Afolabi-Obe EA, Lagos State University Teaching Hospital, Ikeja, Nigeria

    Department of Family Medicine, Lagos State University Teaching Hospital, Ikeja, Nigeria

  • Olanrewaju MT, Federal Teaching Hospital, Ido-Ekiti, Ekiti State, Nigeria. 

    Department of Family Medicine, Federal Teaching Hospital, Ido-Ekiti, Ekiti State, Nigeria. 

  • Alabi AK, Afe Babalola University, Ado-Ekiti, Ekiti State, Nigeria. 

    Department of Community Medicine, Afe Babalola University, Ado-Ekiti, Ekiti State, Nigeria. 

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Published

2025-04-14

Issue

Vol. 15 No. 2 (2024): Nigerian Journal of Family Practice

Section

Articles