ArticlePatient preference and adherence2021
Factors Associated with Suboptimal Adherence to Hypertensive Medications Among Syrian Refugees - Cross-Sectional Study at the Zaatari Camp, Jordan.
Article in Patient preference and adherence, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Medicine Adherence and Associated Factors in Immigrants and Refugees: A Systematic Review.International journal of clinical practice · 2022Pooled it
- Self-care Practices of Hypertensive Adult Female Patients in the City of Marikina amidst the COVID-19 Lockdown: A Phenomenological Inquiry.Acta medica Philippina · 2026Article
- Depression, anxiety, and medication adherence among Sudanese refugees with chronic illnesses in Aftit refugee camp, northwest Ethiopia: a cross-sectional study.Global health action · 2025Article
- Chronic disease patients during the armed conflict in Sudan: a cross-sectional study on mental health and quality of life.Conflict and health · 2025Article
- Dissatisfaction with SUS pharmaceutical services and nonadherence to medication use.Revista de saude publica · 2025Article
- Factors Affecting the Level of Adherence to Hypertension Medications: A Cross-Sectional Study Using the Hill-Bone Questionnaire.Patient preference and adherence · 2024Article
- Barriers and facilitators to self-measured blood pressure monitoring among US-resettled Arab refugees with hypertension: a qualitative study.BMC primary care · 2023Article
- Self-reported medication adherence instruments and their applicability in low-middle income countries: a scoping review.Frontiers in public health · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study aimed to assess the level of medication adherence and associated factors among Syrian refugees with hypertension in Jordan.
methodsThis cross-sectional study included 180 randomly selected Syrian refugees diagnosed with hypertension residing in Zaatari camp, Jordan. The Adherence to Refills and Medications Scale (ARMS) was used to assess adherence to antihypertensive medications. Additional data were collected on sociodemographics, therapy-related factors, patients' behaviors and knowledge of hypertension disease and therapy, and health system-related factors. Multivariate linear regression was used to assess the association between adherence scores and other variables.
resultsThe mean (SD) of ARMS scores was 15.7 (2.9). Based on ARMS scores, 22.8% of patients were adherents and 77.2% were non-adherents. Multivariate analysis showed that newly initiated therapy (≤2 years) and illiteracy were both strong predictors of lower adherence with p < 0.001 and p = 0.012, respectively. Other variables that were significantly associated with lower adherence included discontinuation of antihypertensive medications due to side effects (p = 0.032), reporting irregular availability of free antihypertensive medications dispensed by non-governmental organizations (NGOs) (p = 0.024), and dissatisfaction with health services (p = 0.022).
conclusionSuboptimal adherence to antihypertensive medications remains a substantial unmet need among Syrian refugees with hypertension. As illiteracy appears to have a negative impact on adherence levels, educational interventions that promote medication adherence and favorable health behaviors through auditory and visual aids are needed to better reach and engage people with limited literacy skills. Strengthening the pharmaceutical supply chain at various levels is strongly recommended to respond quickly to changes in demand and prevent an indirect negative impact on adherence levels.
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