ArticleRevista da Escola de Enfermagem da U S P2026
The relationship between religious health fatalism, medication adherence, and health literacy among patients with hypertension: a cross-sectional study.
Article in Revista da Escola de Enfermagem da U S P, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesHypertension remains a leading global public health challenge requiring consistent self-management, particularly through medication adherence and adequate health literacy. This study aimed to examine the relationship between religious health fatalism, medication adherence, and health literacy among patients with hypertension.
methodsA descriptive, cross-sectional study was conducted among 211 hypertensive patients in two public hospitals in southeastern Türkiye. Data were collected using a sociodemographic questionnaire, the Religious Health Fatalism Scale (RHFS), the Medication Adherence Report Scale (MARS), and the Health Literacy Scale (HLS).
resultsThe mean RHFS score was 59.41 ± 12.14, indicating a moderate-to-high level of fatalistic belief. Participants also demonstrated moderate levels of health literacy and medication adherence. A weak positive correlation was observed between religious health fatalism and health literacy (r = 0.16, p = 0.04).
conclusionsAlthough health literacy was positively associated with medication adherence in correlation analysis, this association did not remain statistically significant in the regression model. Religious health fatalism showed a stronger association with medication adherence.
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