Evidence map›Paper›PMID 40529799›Full record

ArticlePatient preference and adherence2025

Socioeconomic Factors Associated with Non-Adherence to Antihypertensive Treatment Among Older Adults Affiliated to the "Pension 65" Program in Peru.

Juliana Anabella Schutt-Cerdan, Yngrid Estrella Marcelo-Lluen, Susan M Oblitas-Guerrero, Norma Del Carmen Gálvez-Díaz, Jacksaint Saintila

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Article in Patient preference and adherence, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

5 authors.

Juliana Anabella Schutt-CerdanSchool of Nursing, Faculty of Health Sciences, Universidad Señor de Sipan, Chiclayo, Peru.
Yngrid Estrella Marcelo-LluenSchool of Nursing, Faculty of Health Sciences, Universidad Señor de Sipan, Chiclayo, Peru.
Susan M Oblitas-GuerreroSchool of Nursing, Faculty of Health Sciences, Universidad Señor de Sipan, Chiclayo, Peru.ORCID 0000-0003-1651-7584
Norma Del Carmen Gálvez-DíazSchool of Nursing, Faculty of Health Sciences, Universidad Señor de Sipan, Chiclayo, Peru.
Jacksaint SaintilaSchool of Medicine, Faculty of Health Sciences, Universidad Señor de Sipán, Chiclayo, Peru.ORCID 0000-0002-7340-7974

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Hypertension is one of the leading causes of morbidity and mortality among older adults, and its management largely depends on treatment adherence. Previous studies have shown that socioeconomic factors such as income, education, and access to healthcare can significantly influence adherence. However, little is known about how these factors affect older adults living in extreme poverty in Peru, particularly beneficiaries of the "Pension 65" program. This study aims to explore these associations in a highly vulnerable population. Objective: To identify the socioeconomic factors associated with non-adherence to antihypertensive treatment in older adults enrolled in the "Pension 65" program in Peru. Methods: A cross-sectional and analytical study was conducted among 108 older adults enrolled in the "Pension 65" program in Peru. Participants were selected using non-probabilistic convenience sampling. Data on sociodemographic and economic characteristics were collected through a validated questionnaire, and non-adherence to antihypertensive treatment was self-reported. Logistic regression models were applied to identify factors independently associated with non-adherence. Results: Being male (OR = 28.3, 95% CI: 5.3-149.7), single (OR = 10.9, 95% CI: 2.501-48.0), having an incomplete primary education (OR = 7.7, 95% CI: 1.9-30.5), and being affiliated with the Comprehensive Health Insurance (SIS) (OR = 25.3, 95% CI: 5.3-119.6) were significantly associated with a higher likelihood of non-adherence to treatment. Furthermore, individuals who had never held formal employment (OR = 4.4, 95% CI: 1.6-11.8), those with an income below $120 USD per month (OR = 8.8, 95% CI: 2.1-35.6), and those who did not receive financial support (OR = 3.2, 95% CI: 1.1-9.3) were more likely to be non-adherent to treatment. Conclusion: The findings indicate that various socioeconomic factors hinder adherence to antihypertensive treatment in this vulnerable population. These results highlight the need for interventions, including public policies aimed at improving health education and strengthening access to healthcare services, particularly for older adults with economic constraints.

Indexed as

antihypertensive agentshypertensionmorbiditypensionssocioeconomic factorsvulnerable populations

Identifiers

PMID40529799
PMCPMC12170445

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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.