Factors associated to adherence to hypertensive medicinal treatment for african descent people resident in quilombola community: a cross-sectional study

Palabras clave: Treatment Adherence and Compliance, Hypertension, Minority Groups, African Continental Ancestry Group

Resumen

Introduction: Hypertension is a severe public health problem, especially in African descent people, such as those living in quilombos. Drug adherence helps reducing blood pressure levels. However, little is known about the factors related to drug adherence in hypertensive people living in the urban quilombola community. Objetive: To analyze the adherence to drug treatment and factors associated with cardiovascular health in Afro-descendants with hypertension, living in families from the urban quilombola community.  Material and Methods: A cross-sectional delineate, community-based census study carried out in an urban quilombola community in a municipality of the Brazilian northeast. The study population consisted of 302 people between 35 and 79 years old, of both genders and with a diagnosis of arterial hypertension registered in medical records of the adscript basic health unit. The following instruments were used for data collect: a questionnaire on arterial hypertension in primary care and Morisky's drug adherence scale (MMAS-8).  Results: There was a predominance of black hypertensive female subjects, low schooling and financial income, resident with relatives, retirees and not working. In the analysis of multiple regression the following was associated with drug adherence: Female Gender (OR 0.50 95% IC: 0.29-0.89, Adjusted OR 0.49 95% CI: 0.29-0.84), age (OR 0,96 95% IC: 0.96-0.99 Adjusted OR 0.95 95% CI: 0.93-0.97) and systolic blood pressure (SBP) (OR 1,00 95% IC: 0.99-1.02, Adjusted OR 1.11 95% CI:1.00-1.02). Of the hypertensive people who adhered to the medication, 91% lived with a companion and the majority had a sedentary behavior.  Conclusions: The variables gender, age and SBP influence drug adherence of hypertensive people living in the urban quilombola community. Living with relatives can positively influence this adherence. Promoting interventions that encourage the adoption of healthy life habits can potentiate blood pressure control.

How to cite this article: Rosa, Randson Souza; Silva, Jaine Kareny; Ribeiro, Ícaro José dos Santos; Mussi, Ricardo Franklin de Freitas; Damasceno, Rudson Oliveira; Santos, Isleide Santana Cardoso; Fonseca, Jorge Lucas Teixeira; Boery, Rita Narriman Silva de Oliveira. Factors associated to adherence to hypertensive medicinal treatment for african descent people resident in Quilombola community:  a cross-sectional study. Revista Cuidarte. 2020;11(3):e1168. http://dx.doi.org/10.15649/cuidarte.1168

 

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Biografía del autor/a

Randson Souza Rosa, State University of Southwest Bahia

MSc Nursing and Health, Health Department, Postgraduate Program in Nursing & Health, State University of Southwest Bahia (UESB), Jequie, BA, Brazil

Jaine Kareny da Silva, State University of Bahia (UNEB)

PhD. Professor, Department of Education, State University of Bahia (UNEB), Guanambi, BA, Brazil

Ícaro José dos Santos Ribeiro , State University of Southwest Bahia (UESB)

PhD Nursing and Health, Health Department, Postgraduate Program in Nursing & Health, State University of Southwest Bahia (UESB), Jequie, BA, Brazil

Ricardo Franklin de Freitas Mussi, State University of Bahia (UNEB)

PhD. Professor, Department of Education, State University of Bahia (UNEB), Caetité, BA, Brazil

Rudson Oliveira Damasceno, State University of Southwest Bahia (UESB)

MSc Nursing and Health, Health Department, Postgraduate Program in Nursing & Health, State University of Southwest Bahia (UESB), Jequie, BA, Brazil

Isleide Santana Cardoso Santos, State University of Southwest Bahia (UESB)

PhD Student Nursing and Health, Health Department, Postgraduate Program in Nursing & Health, State University of Southwest Bahia (UESB), Jequie, BA, Brazil

Jorge Lucas Teixeira da Fonseca, Federal University of São Paulo

PhD Student in Pharmacology, Postgraduate Program in Pharmacology, Federal University of São Paulo, Sao Paulo, SP, Brazil

Rita Narriman Silva de Oliveira Boery, State University of Southwest Bahia (UESB)

PhD. Professor, Health Department, Professor of the postgraduate program in nursing health,  State University of Southwest Bahia (UESB), Jequie, BA, Brazil.

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Publicado
2020-08-31
Cómo citar
1.
Rosa RS, Silva JK da, Ribeiro Ícaro J dos S, Mussi RF de F, Damasceno RO, Santos ISC, Fonseca JLT da, Boery RNS de O. Factors associated to adherence to hypertensive medicinal treatment for african descent people resident in quilombola community: a cross-sectional study. Rev Cuid [Internet]. 31 de agosto de 2020 [citado 19 de septiembre de 2020];11(3). Disponible en: https://revistacuidarte.udes.edu.co/index.php/cuidarte/article/view/1168
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Artículos de Investigación