Predictors of Noncompliance to Antihypertensive Therapy among Hypertensive Patients Ghana: Application of Health Belief Model
This study determined noncompliance to antihypertensive therapy (AHT) and its associated factors in a Ghanaian population by using the health belief model (HBM). This descriptive cross-sectional study conducted at Kintampo Municipality in Ghana recruited a total of 678 hypertensive patients. The que...
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| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | International Journal of Hypertension |
| Online Access: | http://dx.doi.org/10.1155/2018/4701097 |
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| author | Yaa Obirikorang Christian Obirikorang Emmanuel Acheampong Enoch Odame Anto Daniel Gyamfi Selorm Philip Segbefia Michael Opoku Boateng Dari Pascal Dapilla Peter Kojo Brenya Bright Amankwaa Evans Asamoah Adu Emmanuel Nsenbah Batu Adjei Gyimah Akwasi Beatrice Amoah |
| author_facet | Yaa Obirikorang Christian Obirikorang Emmanuel Acheampong Enoch Odame Anto Daniel Gyamfi Selorm Philip Segbefia Michael Opoku Boateng Dari Pascal Dapilla Peter Kojo Brenya Bright Amankwaa Evans Asamoah Adu Emmanuel Nsenbah Batu Adjei Gyimah Akwasi Beatrice Amoah |
| author_sort | Yaa Obirikorang |
| collection | DOAJ |
| description | This study determined noncompliance to antihypertensive therapy (AHT) and its associated factors in a Ghanaian population by using the health belief model (HBM). This descriptive cross-sectional study conducted at Kintampo Municipality in Ghana recruited a total of 678 hypertensive patients. The questionnaire constituted information regarding sociodemographics, a five-Likert type HBM questionnaire, and lifestyle-related factors. The rate of noncompliance to AHT in this study was 58.6%. The mean age (SD) of the participants was 43.5 (±5.2) years and median duration of hypertension was 2 years. Overall, the five HBM constructs explained 31.7% of the variance in noncompliance to AHT with a prediction accuracy of 77.5%, after adjusting for age, gender, and duration of condition. Higher levels of perceived benefits of using medicine [aOR=0.55(0.36-0.82),p=0.0001] and cue to actions [aOR=0.59(0.38-0.90),p=0.0008] were significantly associated with reduced noncompliance while perceived susceptibility [aOR=3.05(2.20-6.25), p<0.0001], perceived barrier [aOR=2.14(1.56-2.92), p<0.0001], and perceived severity [aOR=4.20(2.93-6.00),p<0.0001] were significantly associated with increased noncompliance to AHT. Participant who had completed tertiary education [aOR=0.27(0.17-0.43), p<0.0001] and had regular source of income [aOR=0.52(0.38-0.71), p<0.0001] were less likely to be noncompliant. However, being a government employee [aOR=4.16(1.93-8.96), p=0.0002)] was significantly associated increased noncompliance to AHT. Noncompliance to AHT was considerably high and HBM is generally reliable in assessing treatment noncompliance in the Ghanaian hypertensive patients. The significant predictors of noncompliance to AHT were higher level of perceived barriers, susceptibility, and severity. Intervention programmes could be guided by the association of risk factors, HBM constructs with noncompliance to AHT in clinical practice. |
| format | Article |
| id | doaj-art-273de0f33b004de3b164606aa2987366 |
| institution | Kabale University |
| issn | 2090-0384 2090-0392 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Hypertension |
| spelling | doaj-art-273de0f33b004de3b164606aa29873662025-02-03T05:58:12ZengWileyInternational Journal of Hypertension2090-03842090-03922018-01-01201810.1155/2018/47010974701097Predictors of Noncompliance to Antihypertensive Therapy among Hypertensive Patients Ghana: Application of Health Belief ModelYaa Obirikorang0Christian Obirikorang1Emmanuel Acheampong2Enoch Odame Anto3Daniel Gyamfi4Selorm Philip Segbefia5Michael Opoku Boateng6Dari Pascal Dapilla7Peter Kojo Brenya8Bright Amankwaa9Evans Asamoah Adu10Emmanuel Nsenbah Batu11Adjei Gyimah Akwasi12Beatrice Amoah13Department of Nursing, Faculty of Health and Allied Sciences, Garden City University College (GCUC), Kenyasi, Kumasi, GhanaDepartment of Molecular Medicine, School of Medical Science, Kwame Nkrumah University of Science and Technology (KNUST), Kumasi, GhanaDepartment of Molecular Medicine, School of Medical Science, Kwame Nkrumah University of Science and Technology (KNUST), Kumasi, GhanaDepartment of Molecular Medicine, School of Medical Science, Kwame Nkrumah University of Science and Technology (KNUST), Kumasi, GhanaDepartment of Medical Laboratory Technology, Faculty of Allied Health Sciences, KNUST, GhanaDepartment of Molecular Medicine, School of Medical Science, Kwame Nkrumah University of Science and Technology (KNUST), Kumasi, GhanaDepartment of Nursing, Faculty of Health and Allied Sciences, Garden City University College (GCUC), Kenyasi, Kumasi, GhanaDepartment of Nursing, Faculty of Health and Allied Sciences, Garden City University College (GCUC), Kenyasi, Kumasi, GhanaDepartment of Molecular Medicine, School of Medical Science, Kwame Nkrumah University of Science and Technology (KNUST), Kumasi, GhanaDepartment of Molecular Medicine, School of Medical Science, Kwame Nkrumah University of Science and Technology (KNUST), Kumasi, GhanaDepartment of Medical Laboratory Technology, Faculty of Allied Health Sciences, KNUST, GhanaDepartment of Molecular Medicine, School of Medical Science, Kwame Nkrumah University of Science and Technology (KNUST), Kumasi, GhanaDepartment of Community Health, School of Medical Sciences, KNUST, GhanaDepartment of Molecular Medicine, School of Medical Science, Kwame Nkrumah University of Science and Technology (KNUST), Kumasi, GhanaThis study determined noncompliance to antihypertensive therapy (AHT) and its associated factors in a Ghanaian population by using the health belief model (HBM). This descriptive cross-sectional study conducted at Kintampo Municipality in Ghana recruited a total of 678 hypertensive patients. The questionnaire constituted information regarding sociodemographics, a five-Likert type HBM questionnaire, and lifestyle-related factors. The rate of noncompliance to AHT in this study was 58.6%. The mean age (SD) of the participants was 43.5 (±5.2) years and median duration of hypertension was 2 years. Overall, the five HBM constructs explained 31.7% of the variance in noncompliance to AHT with a prediction accuracy of 77.5%, after adjusting for age, gender, and duration of condition. Higher levels of perceived benefits of using medicine [aOR=0.55(0.36-0.82),p=0.0001] and cue to actions [aOR=0.59(0.38-0.90),p=0.0008] were significantly associated with reduced noncompliance while perceived susceptibility [aOR=3.05(2.20-6.25), p<0.0001], perceived barrier [aOR=2.14(1.56-2.92), p<0.0001], and perceived severity [aOR=4.20(2.93-6.00),p<0.0001] were significantly associated with increased noncompliance to AHT. Participant who had completed tertiary education [aOR=0.27(0.17-0.43), p<0.0001] and had regular source of income [aOR=0.52(0.38-0.71), p<0.0001] were less likely to be noncompliant. However, being a government employee [aOR=4.16(1.93-8.96), p=0.0002)] was significantly associated increased noncompliance to AHT. Noncompliance to AHT was considerably high and HBM is generally reliable in assessing treatment noncompliance in the Ghanaian hypertensive patients. The significant predictors of noncompliance to AHT were higher level of perceived barriers, susceptibility, and severity. Intervention programmes could be guided by the association of risk factors, HBM constructs with noncompliance to AHT in clinical practice.http://dx.doi.org/10.1155/2018/4701097 |
| spellingShingle | Yaa Obirikorang Christian Obirikorang Emmanuel Acheampong Enoch Odame Anto Daniel Gyamfi Selorm Philip Segbefia Michael Opoku Boateng Dari Pascal Dapilla Peter Kojo Brenya Bright Amankwaa Evans Asamoah Adu Emmanuel Nsenbah Batu Adjei Gyimah Akwasi Beatrice Amoah Predictors of Noncompliance to Antihypertensive Therapy among Hypertensive Patients Ghana: Application of Health Belief Model International Journal of Hypertension |
| title | Predictors of Noncompliance to Antihypertensive Therapy among Hypertensive Patients Ghana: Application of Health Belief Model |
| title_full | Predictors of Noncompliance to Antihypertensive Therapy among Hypertensive Patients Ghana: Application of Health Belief Model |
| title_fullStr | Predictors of Noncompliance to Antihypertensive Therapy among Hypertensive Patients Ghana: Application of Health Belief Model |
| title_full_unstemmed | Predictors of Noncompliance to Antihypertensive Therapy among Hypertensive Patients Ghana: Application of Health Belief Model |
| title_short | Predictors of Noncompliance to Antihypertensive Therapy among Hypertensive Patients Ghana: Application of Health Belief Model |
| title_sort | predictors of noncompliance to antihypertensive therapy among hypertensive patients ghana application of health belief model |
| url | http://dx.doi.org/10.1155/2018/4701097 |
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