Determinants of Compliance to Prescribed Antihypertensive Therapy among Adult Hypertensive Patients in Kilifi County Kenya

Simple item page
dc.contributor.advisorHarun Kimanien_US
dc.contributor.advisorIsaac Mwanzoen_US
dc.contributor.author. Moss, John T. K
dc.date.accessioned2023-02-20T08:50:43Z
dc.date.available2023-02-20T08:50:43Z
dc.date.issued2022
dc.descriptionA Research Thesis Submitted in Partial Fulfillment of the Requirements for the Award of the Degree of Master of Public Health (Epidemiology and Disease Control) in the School of Public Health and Applied Human Sciences of Kenyatta University, July, 2022en_US
dc.description.abstractHypertension/ High Blood Pressure is a condition that presents with elevated BP. Globally the overall prevalence of high BP is estimated to be 31%. Non-compliance to anti-hypertensive therapy is both public health and medical problem worldwide. Compliance to prescribed anti-hypertensive therapy is key in avoiding hypertension complications. This study aimed to evaluate the determinants of compliance to prescribed anti-hypertensive therapy among adults with hypertension condition in Kilifi County. A facility-based cross-sectional study was undertaken in four public health facilities in Kilifi County. Two hundred and thirteen patients were recruited in this study. Data was collected using a pretested questionnaire and analysed using Statistical Package for Social Sciences (SPSS) version 23. Chi-square test was utilized in establishing the associations between compliance to anti-hypertensive therapy and variables while logistic regression was adopted to determine independent risk factors of compliance. Compliance to anti-hypertensive therapy was recorded in 31(14.6%) of the hypertensive patients. A statistically significant association was established between compliance to anti-hypertensive therapy and patients’ knowledge (p<0.001); age (p=0.024); education level (p=0.05); income (p=0.013); duration on treatment (p=0.005); cost (p=0.029); health care provider advises (p=0.009); consistency of therapy (p=0.002); availability of medicines (p=0.021); and health facility distance (p=0.013). Independent risk factors for compliance to anti-hypertensive therapy were duration on treatment (OR=0.383; 95% CI 0.151-0.972); Knowledge on hypertension (OR= 2.715; 95% CI 1.598-4.615); Consistency of therapy (OR= 0.452; 95% CI 0.282-0.726); and cost of medication (OR =2.682; 95% CI 1.134-6.345). Prescribed anti-hypertensive therapy compliance among patients was low. This could be attributed to factors such as social-demographic, patient, and health service-related in nature as demonstrated in this study. Prompt public health interventions that are patient-community centered are required to improve the compliance to anti-hypertensive therapyen_US
dc.description.sponsorshipKenyatta Universityen_US
dc.identifier.urihttp://ir-library.ku.ac.ke/handle/123456789/24802
dc.language.isoenen_US
dc.publisherKenyatta Universityen_US
dc.subjectDeterminantsen_US
dc.subjectComplianceen_US
dc.subjectPrescribed Anti hypertensive Therapyen_US
dc.subjectAdult Hypertensive Patientsen_US
dc.subjectKilifi County Kenyaen_US
dc.titleDeterminants of Compliance to Prescribed Antihypertensive Therapy among Adult Hypertensive Patients in Kilifi County Kenyaen_US
dc.typeThesisen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Determinants of Compliance to Prescribed Antihypertensive Therapy among Adult Hypertensive Patients in Kilifi County Kenya.pdf
Size:
1.88 MB
Format:
Adobe Portable Document Format
Description:
Full text Thesis
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
MST-Department of Public Health