Factors for nonadherence to the Arterial Hypertension Control Program in Campo Grande, MS, Brazil Fatores para não-adesão ao Programa de Controle da Hipertensão Arterial em Campo Grande, MS
Tipo
Artigo
Data de publicação
2010
Periódico
Revista de Ciencias Farmaceuticas Basica e Aplicada
Citações (Scopus)
1
Autores
Oshiro M.L.
Castro L.L.C.
Cymrot R.
Castro L.L.C.
Cymrot R.
Orientador
Título da Revista
ISSN da Revista
Título de Volume
Membros da banca
Programa
Resumo
Adherence to the pharmacological treatment of chronic diseases such as arterial hypertension is decisive in their control, in preventing complications, and in decreasing mortality rates. To identify factors that led patients to drop out of an arterial hypertension control program available at local district clinics of the government-run National Health Service in Campo Grande, MS, Brazil, and to design a model to predict adherence. A nested case-control study was conducted on subjects selected from within a cohort of patients enrolled in the above program, from 2002 to 2005. Binary logistic regression was used, with 'adherence to program' as the binary response variable. Data were subjected to logistic regression analysis to generate a model capable of predicting adherence. Factors identified: difficulty in going to the venue where the program was available, family income, presence of diabetes, level of education and living with a partner. When the logistic regression model was used, the probability of a patient being correctly classified as adherent and nonadherent was approximately 80% and 67%, respectively. The model enables early identification of patients prone to nonadherence to the control program, thus making it possible to implement measures directed at potentially nonadherent participants.