Medical and Psychological Factors Associated with Medication Adherence among Hypertensive Patients at Menelik II Referral Hospital, Addis Ababa, Ethiopia

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Studies that examined the multidimensional factors in hypertension patients’ medication adherence are scant. The present study aimed at investigating the effects of demographic, medical and psychological factors over hypertension patients’ medication adherence. A hospital-based, cross-sectional study was conducted among 367 hypertensive patients who were receiving treatment and on follow-up at Menelik II Referral Hospital. Data was collected using questionnaire assessing patients’ demographic, medical, psychological characteristics as well as their adherence. Adherence to medication was assessed by the Morisky’s Medication Adherence Scale (MMAS-8). Descriptive and inferential statistics were used to analyse the data collected. In the present study it was revealed that 72.5% of the respondents were adherent to their medication. Besides, the independent effects of demographic, medical and psychological factors were found to be insignificant. Further, patients with controlled BP were found to have higher adherence level than their counterparts. Finally it is concluded that the cumulative effects of demographic, medical and psychological factors over patients’ adherence far exceeds their independent effects. Therefore, it is recommended that interventions to improve patients’ adherence need to consider variables from the three domains equally



Medication, Adherence, Medication, Adherence