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Adherence to Antihypertensive Treatment and Associated Factors in Semi-urban Area in North Togo

Received: 1 November 2021     Accepted: 6 December 2021     Published: 24 December 2021
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Abstract

Background. The purpose of this study was to determine the rate of non-adherence to antihypertensive therapy and to investigate factors that may explain this non-adherence. Methods. This is a cross-sectional study conducted from March to December 2017 in two public hospitals in the city of Kara. It included hypertensive patients known to have been on treatment for at least six months, and who were able to provide information to the Girerd self-questionnaire. A survey form was used to collect sociodemographic, clinical and therapeutic data. Results. Of the 216 received patients, 35.2% had good adherence and 64.8% had difficulties in adhering to their treatment (16.7% had minor adherence problems and 48.1% had poor adherence). The low level of education (OR=1.87; 95% CI=1.01-3.44; p=0.04), the short duration of progression (<5 years) of hypertension (OR=2.90; 95% CI=1.62-5.17; p=0.001), lack of financial resources (OR=2.78; 95% CI=1.37-5.64; p=0.04), non-staff status (OR=2.89; 95% CI 1.60-5.20, p<0.001) and the high number of tablets to be taken per day (OR=3.32; 95% CI 1.80-6.10; p≤ 0.001) were predictive factors for treatment non-compliance. Conclusion. Adherence to antihypertensive therapy was low in a hypertensive population in Northern Togo. Low education level, a duration of hypertension evolution of less than five years, lack of financial means, non-civil servant status and high number of tablets were the factors associated with nonadherence to treatment.

Published in Cardiology and Cardiovascular Research (Volume 5, Issue 4)
DOI 10.11648/j.ccr.20210504.20
Page(s) 219-224
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Adherence to Treatment, Hypertension, Semi-urban Environment, North Togo

References
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Cite This Article
  • APA Style

    Tchaa Tcherou, Komlavi Yayehd, Machihuede Pio, Doguensaga Borgatia Atta, Mario Abalo Bakai, et al. (2021). Adherence to Antihypertensive Treatment and Associated Factors in Semi-urban Area in North Togo. Cardiology and Cardiovascular Research, 5(4), 219-224. https://doi.org/10.11648/j.ccr.20210504.20

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    ACS Style

    Tchaa Tcherou; Komlavi Yayehd; Machihuede Pio; Doguensaga Borgatia Atta; Mario Abalo Bakai, et al. Adherence to Antihypertensive Treatment and Associated Factors in Semi-urban Area in North Togo. Cardiol. Cardiovasc. Res. 2021, 5(4), 219-224. doi: 10.11648/j.ccr.20210504.20

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    AMA Style

    Tchaa Tcherou, Komlavi Yayehd, Machihuede Pio, Doguensaga Borgatia Atta, Mario Abalo Bakai, et al. Adherence to Antihypertensive Treatment and Associated Factors in Semi-urban Area in North Togo. Cardiol Cardiovasc Res. 2021;5(4):219-224. doi: 10.11648/j.ccr.20210504.20

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  • @article{10.11648/j.ccr.20210504.20,
      author = {Tchaa Tcherou and Komlavi Yayehd and Machihuede Pio and Doguensaga Borgatia Atta and Mario Abalo Bakai and Tchalla Yowdema Abena and Findibe Damorou},
      title = {Adherence to Antihypertensive Treatment and Associated Factors in Semi-urban Area in North Togo},
      journal = {Cardiology and Cardiovascular Research},
      volume = {5},
      number = {4},
      pages = {219-224},
      doi = {10.11648/j.ccr.20210504.20},
      url = {https://doi.org/10.11648/j.ccr.20210504.20},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20210504.20},
      abstract = {Background. The purpose of this study was to determine the rate of non-adherence to antihypertensive therapy and to investigate factors that may explain this non-adherence. Methods. This is a cross-sectional study conducted from March to December 2017 in two public hospitals in the city of Kara. It included hypertensive patients known to have been on treatment for at least six months, and who were able to provide information to the Girerd self-questionnaire. A survey form was used to collect sociodemographic, clinical and therapeutic data. Results. Of the 216 received patients, 35.2% had good adherence and 64.8% had difficulties in adhering to their treatment (16.7% had minor adherence problems and 48.1% had poor adherence). The low level of education (OR=1.87; 95% CI=1.01-3.44; p=0.04), the short duration of progression (Conclusion. Adherence to antihypertensive therapy was low in a hypertensive population in Northern Togo. Low education level, a duration of hypertension evolution of less than five years, lack of financial means, non-civil servant status and high number of tablets were the factors associated with nonadherence to treatment.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Adherence to Antihypertensive Treatment and Associated Factors in Semi-urban Area in North Togo
    AU  - Tchaa Tcherou
    AU  - Komlavi Yayehd
    AU  - Machihuede Pio
    AU  - Doguensaga Borgatia Atta
    AU  - Mario Abalo Bakai
    AU  - Tchalla Yowdema Abena
    AU  - Findibe Damorou
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    N1  - https://doi.org/10.11648/j.ccr.20210504.20
    DO  - 10.11648/j.ccr.20210504.20
    T2  - Cardiology and Cardiovascular Research
    JF  - Cardiology and Cardiovascular Research
    JO  - Cardiology and Cardiovascular Research
    SP  - 219
    EP  - 224
    PB  - Science Publishing Group
    SN  - 2578-8914
    UR  - https://doi.org/10.11648/j.ccr.20210504.20
    AB  - Background. The purpose of this study was to determine the rate of non-adherence to antihypertensive therapy and to investigate factors that may explain this non-adherence. Methods. This is a cross-sectional study conducted from March to December 2017 in two public hospitals in the city of Kara. It included hypertensive patients known to have been on treatment for at least six months, and who were able to provide information to the Girerd self-questionnaire. A survey form was used to collect sociodemographic, clinical and therapeutic data. Results. Of the 216 received patients, 35.2% had good adherence and 64.8% had difficulties in adhering to their treatment (16.7% had minor adherence problems and 48.1% had poor adherence). The low level of education (OR=1.87; 95% CI=1.01-3.44; p=0.04), the short duration of progression (Conclusion. Adherence to antihypertensive therapy was low in a hypertensive population in Northern Togo. Low education level, a duration of hypertension evolution of less than five years, lack of financial means, non-civil servant status and high number of tablets were the factors associated with nonadherence to treatment.
    VL  - 5
    IS  - 4
    ER  - 

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Author Information
  • Department of Cardiology, University Teaching Hospital of Kara, Kara, Togo

  • Department of Cardiology, University Teaching Hospital of Campus, Lomé, Togo

  • Department of Cardiology, University Teaching Hospital of Kara, Kara, Togo

  • Department of Cardiology, Regional Hospital of Sokode, Sokode, Togo

  • Department of Cardiology, University Teaching Hospital of Kara, Kara, Togo

  • Department of Cardiology, Regional Hospital of Kara Tomdè, Kara, Togo

  • Department of Cardiology, University Teaching Hospital of Campus, Lomé, Togo

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