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. 2016 Sep;18(9):892-900.
doi: 10.1111/jch.12786. Epub 2016 Feb 3.

Nonadherence to Antihypertensive Medication Among Hypertensive Adults in the United States─HealthStyles, 2010

Xin Tong  1 , Elizabeth K Chu  2 , Jing Fang  2 , Hilary K Wall  2 , Carma Ayala  2
Affiliations

Nonadherence to Antihypertensive Medication Among Hypertensive Adults in the United States─HealthStyles, 2010

Xin Tong et al. J Clin Hypertens (Greenwich). 2016 Sep.

Abstract

Nonadherence, or not taking medications as prescribed, to antihypertensive medications has been associated with uncontrolled hypertension. The authors analyzed data from HealthStyles 2010 to assess medication nonadherence among adults with hypertension. The overall prevalence of hypertension was 27.4% and the prevalence of nonadherence was 30.5% among hypertensive adult respondents. Nonadherence rates were highest among younger adults (aged 18-44 years), Hispanics, those who reported lowest annual income (<$25,000), and those who reported depression. The most common reason stated for nonadherence was "I cannot afford the medication" (35.1%). A multivariate logistic regression model showed age, race, and household income to be associated with nonadherence. These findings suggest that certain subgroups are more likely to report barriers to adherence. Interventions to support the management of hypertension should consider the identification of certain at-risk subgroups and utilize community and clinical evidenced-based resources to improve long-term control.

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Figures

Figure 1
Figure 1
Reasons nonadherent hypertensive adults reported not taking blood pressure medications—HealthStyles Survey, 2010.
Figure 2
Figure 2
Rationales nonadherent hypertensive adults reported nonadherence—HealthStyles Survey, 2010.
See this image and copyright information in PMC

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