ArticleJournal of cardiovascular disease research2010
Predictors of uncontrolled hypertension and antihypertensive medication nonadherence.
Article in Journal of cardiovascular disease research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 3 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
39 citing papers in PubMed, 3 syntheses or guidelines pooled it, 93 citations in OpenAlex.
- Prevalence of uncontrolled hypertension and contributing factors in Ethiopia: a systematic review and meta-analysis.Frontiers in cardiovascular medicine · 2024Pooled it
- BASIS: The blood pressure awareness and insight scale.Journal of clinical hypertension (Greenwich, Conn.) · 2018Pooled it
- A systematic review of patient self-reported barriers of adherence to antihypertensive medications using the world health organization multidimensional adherence model.Journal of clinical hypertension (Greenwich, Conn.) · 2012Pooled it
- Clinical effectiveness and safety of low cost versus innovator brand amlodipine in hypertension: A single-blinded, randomized, crossover, noninferiority trial.Indian journal of pharmacologyTrial
- Overcoming Psychological Barriers to Treatment Adherence: The Case of Antihypertensive Medication.Cardiology clinics · 2026Review
- Adherence to Pharmacological Therapy for Hypertension in Portugal: Insights from Patients' Focus Groups.Patient preference and adherence · 2026Article
- Multispectral brain connectivity during visual attention distinguishes controlled from uncontrolled hypertension.The Journal of physiology · 2024Article
- Prevalence of undiagnosed depression among patients with hypertension: A cross-sectional study of Malaysian primary care perspective.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2023Article
- Determinants of blood pressure control among hypertensive patients of rural areas in a South Indian State: A community based cross sectional study.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2023Article
- Prevalence and determinants of medications non-adherence among patients with uncontrolled hypertension in primary care setting in Sarawak, Malaysia: A cross-sectional study.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2022Article
- Laboratory testing and antihypertensive medication adherence following initial treatment of incident, uncomplicated hypertension: A real-world data analysis.Journal of clinical hypertension (Greenwich, Conn.) · 2022Article
- Adherence to Antibiotic Prescription of Dental Patients: The Other Side of the Antimicrobial Resistance.Healthcare (Basel, Switzerland) · 2022Article
- Blood pressure control in hypertensive patients attending a rural community health centre in Gauteng Province, South Africa: A cross-sectional study.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2022Article
- Uncontrolled blood pressure and contributing factors among patients with hypertension at outpatient care of Bedele General Hospital, Southwest Ethiopia: A cross-sectional study.SAGE open medicine · 2022Article
- Prevalence and determinants of hypertension unawareness among Egyptian adults: the 2015 EHIS.Journal of human hypertension · 2021Article
- The Burden of Diabetes-Related Preventable Hospitalization: 11-Year Trend and Associated Factors in a Region of Southern Italy.Healthcare (Basel, Switzerland) · 2021Article
- Antihypertensive medication adherence trends by sex and drug class: A pilot study.American heart journal plus : cardiology research and practice · 2021Article
- Review
- Poorly controlled ambulatory blood pressure in outpatients with peripheral arterial disease.Upsala journal of medical sciences · 2021Article
- Nonadherence to Self-Care Practices, Antihypertensive Medications, and Associated Factors among Hypertensive Patients in a Follow-up Clinic at Asella Referral and Teaching Hospital, Ethiopia: A Cross-Sectional Study.International journal of hypertension · 2021Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough hypertension is, in most cases, a controllable major risk factor in the development of cardiovascular disease, studies have demonstrated that hypertension remains poorly controlled in Portugal. Our aim was to evaluate the covariates associated with poor blood pressure (BP) control in a Portuguese hypertensive population. PATIENTS AND
resultsWe conducted a cross-sectional survey in a hospital hypertension outpatient clinic, located in the Eastern Central Region of Portugal. Patients attending the clinic from July to September 2009 were asked to participate in a structured interview including medication adherence and knowledge about hypertension. Eligible participants were all adults aged 18 or over with an established diagnosis of arterial hypertension and had been on antihypertensive drug treatment for at least 6 months. Exclusion criteria were dementia, pregnancy, and breastfeeding. Detailed clinical information was prospectively obtained from medical records. A total of 197 patients meeting the inclusion criteria and consenting to participate completed the interview. Of these, only 33.0% had their BP controlled according to the JNC 7 guidelines. Logistic regression analysis revealed three independent predictors of poor BP control: living alone (OR = 5.3, P = 0.004), medication nonadherence (OR = 4.8, P < 0.001), and diabetes (OR = 4.4, P = 0.011). Predictors of medication nonadherence were: unawareness of target BP values (OR = 3.7, P < 0.001), a report of drug side effects (OR = 3.7, P = 0.002), lack of BP monitoring (OR = 2.5, P = 0.015) and unawareness of medication indications (OR = 2.4, P = 0.021), and of hypertension risks (OR = 2.1, P = 0.026).
conclusionsPoor medication adherence, lack of information about hypertension, and side effects should be considered as possible underlying causes of uncontrolled BP and must be addressed in any intervention aimed to improve BP control.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.