Why hypertensive patients do not comply with their treatment? A case-control study in Perlis, Malaysia

A. R. Mohd Anuar, Shamsul Azhar Shah

Research output: Contribution to journalArticle

Abstract

Introduction: Hypertension is the most common chronic disease in Perlis. This study was done to identify the factors influencing noncompliance among hypertensive patients. Methods: This was a case-control study involving 230 patients as cases (came for treatments but did not comply with their scheduled treatments and follow-ups) and 230 patients as controls. Data was collected by reviewing medical record and interviews, and analyzed using SPSS software. Results: Cases are more high risk to noncompliance compared to control in low-level of knowledge (AOR 2.113; 95%CI 1.392-3.207), practices of traditional medicine (AOR 2.134; 95%CI 1.366-3.334), dissatisfaction with services by the health staffs (AOR 4.670; 95%CI 1.228-17.755), obesity (AOR 1.516; 95%CI 1.009-2.278) and difficulties in transportation to the clinics (AOR 1.484; 95%CI 1.006-2.188). Comparing with controls, there are also more high risk to noncompliance in those who were low educational level (OR 1.551; 95%CI 1.037-2.322), uncontrolled their systolic pressure (OR 1.7331; 95%CI 1.162-2.579), uncontrolled their diastolic pressure (OR 1.699; 95%CI 1.140-2.532) and don't care about their disease (OR 1.665; 95%CI 1.098-2.525). Conclusions: Several factors are significantly found to be risk factors towards noncompliance among hypertensive patients. Therefore, the promotion programmed on hypertension should be continued and the contents should be periodically revised from time to time.

Original languageEnglish
Pages (from-to)2-4
Number of pages3
JournalInternational Medical Journal
Volume19
Issue number1
Publication statusPublished - Mar 2012

Fingerprint

Malaysia
Case-Control Studies
Blood Pressure
Hypertension
Traditional Medicine
Therapeutics
Health Services
Medical Records
Chronic Disease
Software
Obesity
Interviews

Keywords

  • Compliance
  • Hypertension
  • Noncompliance
  • Risk factors

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Why hypertensive patients do not comply with their treatment? A case-control study in Perlis, Malaysia. / Mohd Anuar, A. R.; Shah, Shamsul Azhar.

In: International Medical Journal, Vol. 19, No. 1, 03.2012, p. 2-4.

Research output: Contribution to journalArticle

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