ArticleInternational journal of hypertension2015
Factors Associated with Medication Nonadherence among Hypertensives in Ghana and Nigeria.
Article in International journal of hypertension, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 4 of them syntheses that pooled it.
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Who cites it
68 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- High Burden and Trend in Nonadherence to Blood Pressure-Lowering Medications: Meta-Analysis of Data From Over 34 000 Adults With Hypertension in Sub-Saharan Africa.Journal of the American Heart Association · 2025Pooled it
- Interventions and contextual factors to improve retention in care for patients with hypertension in primary care: Hermeneutic systematic review.Preventive medicine · 2024Pooled it
- Safety classification of herbal medicine use among hypertensive patients: a systematic review and meta-analysis.Frontiers in pharmacology · 2024Pooled it
- Assessing the Effectiveness of mHealth Interventions for Diabetes and Hypertension Management in Africa: Systematic Review and Meta-Analysis.JMIR mHealth and uHealth · 2023Pooled it
- Efficacy of short message service (SMS) intervention on medication adherence and knowledge of stroke prevention among clinic attendees at risk of stroke: a randomized controlled trial.BMC public health · 2025Trial
- mHealth for chronic disease management: effects on adherence in Ghanaian patients with diabetes and hypertension.Journal of global health · 2026Article
- Antihypertensive medication adherence and associated risk factors among adults with hypertension: a cross-sectional study in a teaching hospital, Ghana.BMC cardiovascular disorders · 2026Article
- The predictors of treatment adherence among hypertensive patients with cost-free access.Scientific reports · 2026Article
- Prevalence and social determinants of anxiety and depressive disorders and symptoms among adults in Ghana: A systematic review and meta-analysis.Global mental health (Cambridge, England) · 2026Review
- Factors associated with lost to follow-up (LTFU) among patients with hypertension: A scoping review.PLOS global public health · 2026Article
- Article
- Knowledge, attitudes and practices on hypertension among patients in a district hospital.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025Article
- Impact of hypertension knowledge on adherence to antihypertensive therapy: a cross-sectional study in primary health care centers during the 2024 Sudan conflict.BMC primary care · 2025Article
- Article
- Article
- Association Between Receiving Medication Information and Adherence to Antihypertensive Medication: Findings from the 2023 Indonesian Health Survey.Patient preference and adherence · 2025Article
- Adherence to antihypertensive medications and associated factors in patients with hypertension, Oromia, Ethiopia: a multicenter study.Scientific reports · 2024Article
- Estimating the Lifetime Cost of Managing Hypertension in Ghana: A Modelling Study.Health services insights · 2024Article
- Medication Adherence and Its Influencing Factors among Patients with Heart Failure: A Cross Sectional Study.Medicina (Kaunas, Lithuania) · 2023Article
- Contemporary aetiology of acute heart failure in a teaching hospital in Ghana.BMC cardiovascular disorders · 2023Article
8 more citing papers are in PubMed but not listed here.
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Authors and funding
9 authors.
Funding
Abstract
Background. Blood pressure (BP) control is poor among hypertensives in many parts of sub-Saharan Africa. A potentially modifiable factor for control of BP is medication nonadherence (MNA); our study therefore aimed to determine factors associated with MNA among hypertensives in Ghana and Nigeria. Methodology. We conducted a multicenter cross-sectional study. Patients were recruited from Korle-Bu Hospital (n = 120), Ghana; and University of Port Harcourt Teaching Hospital, (n = 73) Apapa General Hospital Lagos (n = 79) and University College Hospital Ibadan (n = 85), Nigeria. Results. 357 hypertensive patients (42.6% males) participated. MNA was found in 66.7%. Adherence showed correlation with depression (r = -0.208, P < 0.001), concern about medications (r = -0.0347, P = 0.002), and knowledge of hypertension (r = 0.14, P = 0.006). MNA was associated with formal education (P = 0.001) and use of herbal preparation (P = 0.014). MNA was found in 61.7% of uninsured participants versus 73.1% of insured participants (P = 0.032). Poor BP control was observed in 69.7% and there was significant association between MNA and poor BP control (P = 0.006). Conclusion. MNA is high among hypertensives in Ghana and Nigeria and is associated with depression, concern about hypertensive medications, formal education, and use of herbal preparations. The negative association between health insurance and MNA suggests interplay of other factors and needs further investigation.
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