Prevalence and Associated Factors of Compliance Behaviors among Middle-Aged and Older Hypertensive Patients in China: Results from the China Health and Retirement Longitudinal Study

Jianjian Liu, Ying Yang, Jiayi Zhou, Tianyu Liu, Wenjie Zhang, Liuyi Wei and Shaotang Wu
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Jianjian Liu: School of Health Sciences, Wuhan University, Wuhan 430071, China
Ying Yang: School of Health Sciences, Wuhan University, Wuhan 430071, China
Jiayi Zhou: School of Health Sciences, Wuhan University, Wuhan 430071, China
Tianyu Liu: School of Health Sciences, Wuhan University, Wuhan 430071, China
Wenjie Zhang: School of Health Sciences, Wuhan University, Wuhan 430071, China
Liuyi Wei: School of Health Sciences, Wuhan University, Wuhan 430071, China
Shaotang Wu: School of Health Sciences, Wuhan University, Wuhan 430071, China

IJERPH, 2020, vol. 17, issue 19, 1-15

Abstract: Partial or total non-adherence has been recognized as major issues in the long-term management of hypertension. This study aims to investigate the prevalence and associated factors of compliance behaviors among Chinese middle-aged and older hypertensive patients. A sample of 6308 hypertensive patients aged ≥45 years was obtained from the 2015 China Health and Retirement Longitudinal Study (CHARLS) data. Two compliance behaviors were involved including medication and blood pressure monitoring. Stratified binary logistic regression analysis was employed to examine the associated factors. 77.2% of the participants reported medication compliance, and 40.7% complied with blood pressure monitoring. Better medication compliance associated with older age, overweight or obesity, one or ≥3 complications, no drinking, living in urban areas, and health education. Better blood pressure monitoring compliance associated with older age, overweight or obesity, ≥3 complications, normal activities of daily living (ADL), no smoking, sleep duration of 6–8 h, better cognitive function, living in urban areas, education level of middle school or above, and health education. Chinese middle-aged and older hypertensive patients experienced unoptimistic compliance behaviors, especially for blood pressure monitoring. Special attention and targeted interventions are urgent for the high-risk population of poor compliance behaviors, such as rural individuals, low educational population, and younger hypertensive patients.

Keywords: patient compliance; medication adherence; blood pressure monitoring; hypertension; middle-aged and older adults; Health Ecology Model (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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