ArticleJournal of the American Geriatrics Society2013
Sex differences in barriers to antihypertensive medication adherence: findings from the cohort study of medication adherence among older adults.
Article in Journal of the American Geriatrics Society, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 5 of them syntheses that pooled it.
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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
59 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Epidemiology of non-communicable diseases among professional drivers in LMICs: a systematic review and meta-analysis.Health promotion international · 2024Pooled it
- Sex differences in the adherence of antihypertensive drugs: a systematic review with meta-analyses.BMJ open · 2020Pooled it
- Self-Reported Medication Adherence Measured With Morisky Medication Adherence Scales and Its Determinants in Hypertensive Patients Aged ≥60 Years: A Systematic Review and Meta-Analysis.Frontiers in pharmacology · 2019Pooled it
- Factors associated with antihypertensive medication non-adherence: a systematic review.Journal of human hypertension · 2017Pooled it
- Pooled it
- Gender Differences in Cardiac Organ Damage in Arterial Hypertension: Assessing the Role of Drug Nonadherence.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2024Trial
- More rigorous protocol adherence to intensive structured management improves blood pressure control in primary care: results from the Valsartan Intensified Primary carE Reduction of Blood Pressure study.Journal of hypertension · 2014Trial
- Gender-related determinants of hypertension self-care behaviours in primary care: Perspectives of patients and healthcare professionals.Atencion primaria · 2026Article
- Incidence of hypertension and factors associated with blood pressure control among older adults living with HIV in Western Kenya: a retrospective cohort study.BMC cardiovascular disorders · 2026Article
- Inpatient Admissions for Hypertensive Crises in the USA by Race and Gender: A Retrospective Study From the National Inpatient Sample From 2016 to 2022.Journal of clinical hypertension (Greenwich, Conn.) · 2026Article
- Article
- Socioeconomic Factors Associated with Non-Adherence to Antihypertensive Treatment Among Older Adults Affiliated to the "Pension 65" Program in Peru.Patient preference and adherence · 2025Article
- Article
- Effect of medication adherence on quality of life, activation measures, and health imagine in the elderly people: a cross-sectional study.BMC geriatrics · 2024Article
- Medical Measures in Hypertensives Considered Resistant.American journal of hypertension · 2024Article
- Article
- Trait-anxiety, depressive symptoms, family support and life satisfaction as determinants conditioning the degree of adherence of people in pre-older adults and older adults.Frontiers in public health · 2024Article
- Medication Adherence of Older Adults with Hypertension: A Systematic Review.Patient preference and adherence · 2024Review
- Attendance-Based Adherence and Outcomes of Obesity Management Program in Arab Adolescents.Children (Basel, Switzerland) · 2023Article
- Productivity-adjusted life-years and correlates of uncontrolled hypertension at two health facilities in Zambia.PloS one · 2023Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectivesTo determine whether sociodemographic, clinical, healthcare system, psychosocial, and behavioral factors are differentially associated with low antihypertensive medication adherence scores in older men and women.
designCross-sectional analysis of baseline data.
settingCohort Study of Medication Adherence in Older Adults (N = 2,194). MEASUREMENTS: Low antihypertensive medication adherence was defined as a score less than 6 on the 8-item Morisky Medication Adherence Scale. Information on risk factors for low adherence was collected using telephone surveys and administrative databases.
resultsThe prevalence of low medication adherence scores did not differ according to sex (women, 15.0%; men 13.1%; P = .21). In sex-specific multivariable models, having problems with medication cost and practicing fewer lifestyle modifications for blood pressure control were associated with low adherence scores in men and women. Factors associated with low adherence scores in men but not women were poor sexual functioning (odds ratio (OR) = 2.03, 95% confidence interval (CI) = 1.31-3.16 for men and OR = 1.28, 95% CI = 0.90-1.82 for women), and body mass index of 25.0 kg/m(2) or more (OR = 3.23, 95% CI = 1.59-6.59 for men; OR = 1.23, 95% CI = 0.82-1.85 for women). Factors associated with low adherence scores in women but not men included dissatisfaction with communication with their healthcare provider (OR = 1.75, 95% CI = 1.16-2.65 for women; OR = 1.16, 95% CI = 0.57-2.34 for men) and depressive symptoms (OR = 2.29, 95% CI = 1.55-3.38 for women; OR = 0.93, 95% CI = 0.48-1.80 for men).
conclusionFactors associated with low antihypertensive medication adherence scores differed according to sex. Interventions designed to improve adherence in older adults should be customized to account for the sex of the target population.
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