Predictors of Noncompliance to Antihypertensive Therapy among Hypertensive Patients Ghana: Application of Health Belief Model

This study determined noncompliance to antihypertensive therapy (AHT) and its associated factors in a Ghanaian population by using the health belief model (HBM). This descriptive cross-sectional study conducted at Kintampo Municipality in Ghana recruited a total of 678 hypertensive patients. The que...

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Bibliographic Details
Published in:International journal of hypertension 2018-01, Vol.2018 (2018), p.1-9
Main Authors: Brenya, Peter Kojo, Adu, Evans Asamoah, Nsenbah, Emmanuella Batu, Gyimah Akwasi, Adjei, Amoah, Beatrice, Pascal Dapilla, Dari, Opoku Boateng, Michael, Philip Segbefia, Selorm, Gyamfi, Daniel, Odame Anto, Enoch, Acheampong, Emmanuel, Obirikorang, Christian, Obirikorang, Yaa, Amankwaa, Bright
Format: Article
Language:English
Subjects:
Antihypertensives
Care and treatment
Data collection
Hospitals
Hypertension
Lifestyles
Low income groups
Medicine
Noncompliance
Patient compliance
Patients
Questionnaires
Risk factors
Transplants & implants
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Summary:This study determined noncompliance to antihypertensive therapy (AHT) and its associated factors in a Ghanaian population by using the health belief model (HBM). This descriptive cross-sectional study conducted at Kintampo Municipality in Ghana recruited a total of 678 hypertensive patients. The questionnaire constituted information regarding sociodemographics, a five-Likert type HBM questionnaire, and lifestyle-related factors. The rate of noncompliance to AHT in this study was 58.6%. The mean age (SD) of the participants was 43.5 (±5.2) years and median duration of hypertension was 2 years. Overall, the five HBM constructs explained 31.7% of the variance in noncompliance to AHT with a prediction accuracy of 77.5%, after adjusting for age, gender, and duration of condition. Higher levels of perceived benefits of using medicine [aOR=0.55(0.36-0.82),p=0.0001] and cue to actions [aOR=0.59(0.38-0.90),p=0.0008] were significantly associated with reduced noncompliance while perceived susceptibility [aOR=3.05(2.20-6.25), p
ISSN:2090-0384
2090-0392
2090-0392
DOI:10.1155/2018/4701097