Evaluation of Medication Adherence and Associated Factors in Hypertensive Patients in Bangalore, India; A Cross-Sectional Study

Background: This survey aims to determine medication compliance among hypertension patients and discover factors influencing medication compliance. Methods: This study incorporated a cross-sectional study design. The Hill-Bone Compliance to High Blood Pressure Therapy Scale was used in this study to evaluate medication adherence in hypertensive individuals. Additionally, this scale aids in monitoring sodium intake control and appointment-keeping habits. Results: 69 (77%) of 90 hypertension patients comply with their antihypertensive therapy, whereas 21 (23%) are non-compliant. The average score of patients on the Hill-Bone Compliance to High Blood Pressure Therapy Scale is 20.21 ± 4.21. Subsequently, the medication-taking score is 11.97 ± 3.44, the sodium reduction score is 4.37 ± 1.4, and the appointment-keeping score is 3.88 ± 1.34. Simultaneously, studying the impact of patients’ socio-demographic characteristics and medical history on medication adherence. There was a considerable drop in the overall score of patients having more than five children by 5.59 (P-value < .05), thus improving medication adherence. In contrast, the total score of patients with hypertension from 6 to 10 years shot up by 2.4 (P-value < .05), whereas the total score of patients with comorbidities more than 5 have a sharp rise of 3.4 (P-value < .05). Therefore, reducing medication adherence. Conclusion: According to this survey, only 77% of patients are adherent to their antihypertensive medicines. Additionally, this study reveals that individuals with more than five children positively affect medication adherence. However, patients with long-term hypertension and many comorbidities have a detrimental effect.