Adherence to Antihypertensive Treatment and Associated Factors in Semi-urban Area in North Togo

Tchaa Tcherou; Komlavi Yayehd; Machihuede Pio; Doguensaga Borgatia Atta; Mario Abalo Bakai; Tchalla Yowdema Abena; Findibe Damorou

doi:doi:10.11648/j.ccr.20210504.20

Adherence to Antihypertensive Treatment and Associated Factors in Semi-urban Area in North Togo

Tchaa Tcherou, Komlavi Yayehd, Machihuede Pio, Doguensaga Borgatia Atta, Mario Abalo Bakai, Tchalla Yowdema Abena, Findibe Damorou

Published in Cardiology and Cardiovascular Research (Volume 5, Issue 4)

Received: 1 November 2021 Accepted: 6 December 2021 Published: 24 December 2021

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Abstract

Background. The purpose of this study was to determine the rate of non-adherence to antihypertensive therapy and to investigate factors that may explain this non-adherence. Methods. This is a cross-sectional study conducted from March to December 2017 in two public hospitals in the city of Kara. It included hypertensive patients known to have been on treatment for at least six months, and who were able to provide information to the Girerd self-questionnaire. A survey form was used to collect sociodemographic, clinical and therapeutic data. Results. Of the 216 received patients, 35.2% had good adherence and 64.8% had difficulties in adhering to their treatment (16.7% had minor adherence problems and 48.1% had poor adherence). The low level of education (OR=1.87; 95% CI=1.01-3.44; p=0.04), the short duration of progression (<5 years) of hypertension (OR=2.90; 95% CI=1.62-5.17; p=0.001), lack of financial resources (OR=2.78; 95% CI=1.37-5.64; p=0.04), non-staff status (OR=2.89; 95% CI 1.60-5.20, p<0.001) and the high number of tablets to be taken per day (OR=3.32; 95% CI 1.80-6.10; p≤ 0.001) were predictive factors for treatment non-compliance. Conclusion. Adherence to antihypertensive therapy was low in a hypertensive population in Northern Togo. Low education level, a duration of hypertension evolution of less than five years, lack of financial means, non-civil servant status and high number of tablets were the factors associated with nonadherence to treatment.

Published in	Cardiology and Cardiovascular Research (Volume 5, Issue 4)
DOI	10.11648/j.ccr.20210504.20
Page(s)	219-224
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Adherence to Treatment, Hypertension, Semi-urban Environment, North Togo

References

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[7]	M. S. Ikama, B. M. Nsitou, M. Loumouamou et al., “L'observance médicamenteuse et ses facteurs dans un groupe d'hypertendus congolais,” [Medication compliance and its factors in a group of Congolese hypertensive people] Pan Afr Med J, vol. 15, pp. 121- 126, 2013.
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APA Style

Tchaa Tcherou, Komlavi Yayehd, Machihuede Pio, Doguensaga Borgatia Atta, Mario Abalo Bakai, et al. (2021). Adherence to Antihypertensive Treatment and Associated Factors in Semi-urban Area in North Togo. Cardiology and Cardiovascular Research, 5(4), 219-224. https://doi.org/10.11648/j.ccr.20210504.20

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ACS Style

Tchaa Tcherou; Komlavi Yayehd; Machihuede Pio; Doguensaga Borgatia Atta; Mario Abalo Bakai, et al. Adherence to Antihypertensive Treatment and Associated Factors in Semi-urban Area in North Togo. Cardiol. Cardiovasc. Res. 2021, 5(4), 219-224. doi: 10.11648/j.ccr.20210504.20

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AMA Style

Tchaa Tcherou, Komlavi Yayehd, Machihuede Pio, Doguensaga Borgatia Atta, Mario Abalo Bakai, et al. Adherence to Antihypertensive Treatment and Associated Factors in Semi-urban Area in North Togo. Cardiol Cardiovasc Res. 2021;5(4):219-224. doi: 10.11648/j.ccr.20210504.20

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@article{10.11648/j.ccr.20210504.20,
  author = {Tchaa Tcherou and Komlavi Yayehd and Machihuede Pio and Doguensaga Borgatia Atta and Mario Abalo Bakai and Tchalla Yowdema Abena and Findibe Damorou},
  title = {Adherence to Antihypertensive Treatment and Associated Factors in Semi-urban Area in North Togo},
  journal = {Cardiology and Cardiovascular Research},
  volume = {5},
  number = {4},
  pages = {219-224},
  doi = {10.11648/j.ccr.20210504.20},
  url = {https://doi.org/10.11648/j.ccr.20210504.20},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20210504.20},
  abstract = {Background. The purpose of this study was to determine the rate of non-adherence to antihypertensive therapy and to investigate factors that may explain this non-adherence. Methods. This is a cross-sectional study conducted from March to December 2017 in two public hospitals in the city of Kara. It included hypertensive patients known to have been on treatment for at least six months, and who were able to provide information to the Girerd self-questionnaire. A survey form was used to collect sociodemographic, clinical and therapeutic data. Results. Of the 216 received patients, 35.2% had good adherence and 64.8% had difficulties in adhering to their treatment (16.7% had minor adherence problems and 48.1% had poor adherence). The low level of education (OR=1.87; 95% CI=1.01-3.44; p=0.04), the short duration of progression (Conclusion. Adherence to antihypertensive therapy was low in a hypertensive population in Northern Togo. Low education level, a duration of hypertension evolution of less than five years, lack of financial means, non-civil servant status and high number of tablets were the factors associated with nonadherence to treatment.},
 year = {2021}
}

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TY - JOUR
T1 - Adherence to Antihypertensive Treatment and Associated Factors in Semi-urban Area in North Togo
AU - Tchaa Tcherou
AU - Komlavi Yayehd
AU - Machihuede Pio
AU - Doguensaga Borgatia Atta
AU - Mario Abalo Bakai
AU - Tchalla Yowdema Abena
AU - Findibe Damorou
Y1 - 2021/12/24
PY - 2021
N1 - https://doi.org/10.11648/j.ccr.20210504.20
DO - 10.11648/j.ccr.20210504.20
T2 - Cardiology and Cardiovascular Research
JF - Cardiology and Cardiovascular Research
JO - Cardiology and Cardiovascular Research
SP - 219
EP - 224
PB - Science Publishing Group
SN - 2578-8914
UR - https://doi.org/10.11648/j.ccr.20210504.20
AB - Background. The purpose of this study was to determine the rate of non-adherence to antihypertensive therapy and to investigate factors that may explain this non-adherence. Methods. This is a cross-sectional study conducted from March to December 2017 in two public hospitals in the city of Kara. It included hypertensive patients known to have been on treatment for at least six months, and who were able to provide information to the Girerd self-questionnaire. A survey form was used to collect sociodemographic, clinical and therapeutic data. Results. Of the 216 received patients, 35.2% had good adherence and 64.8% had difficulties in adhering to their treatment (16.7% had minor adherence problems and 48.1% had poor adherence). The low level of education (OR=1.87; 95% CI=1.01-3.44; p=0.04), the short duration of progression (Conclusion. Adherence to antihypertensive therapy was low in a hypertensive population in Northern Togo. Low education level, a duration of hypertension evolution of less than five years, lack of financial means, non-civil servant status and high number of tablets were the factors associated with nonadherence to treatment.
VL - 5
IS - 4
ER -

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Author Information

Tchaa Tcherou

Department of Cardiology, University Teaching Hospital of Kara, Kara, Togo
Komlavi Yayehd

Department of Cardiology, University Teaching Hospital of Campus, Lomé, Togo
Machihuede Pio

Department of Cardiology, University Teaching Hospital of Kara, Kara, Togo
Doguensaga Borgatia Atta

Department of Cardiology, Regional Hospital of Sokode, Sokode, Togo
Mario Abalo Bakai

Department of Cardiology, University Teaching Hospital of Kara, Kara, Togo
Tchalla Yowdema Abena

Department of Cardiology, Regional Hospital of Kara Tomdè, Kara, Togo
Findibe Damorou

Department of Cardiology, University Teaching Hospital of Campus, Lomé, Togo

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APA Style

Tchaa Tcherou, Komlavi Yayehd, Machihuede Pio, Doguensaga Borgatia Atta, Mario Abalo Bakai, et al. (2021). Adherence to Antihypertensive Treatment and Associated Factors in Semi-urban Area in North Togo. Cardiology and Cardiovascular Research, 5(4), 219-224. https://doi.org/10.11648/j.ccr.20210504.20

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ACS Style

Tchaa Tcherou; Komlavi Yayehd; Machihuede Pio; Doguensaga Borgatia Atta; Mario Abalo Bakai, et al. Adherence to Antihypertensive Treatment and Associated Factors in Semi-urban Area in North Togo. Cardiol. Cardiovasc. Res. 2021, 5(4), 219-224. doi: 10.11648/j.ccr.20210504.20

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AMA Style

Tchaa Tcherou, Komlavi Yayehd, Machihuede Pio, Doguensaga Borgatia Atta, Mario Abalo Bakai, et al. Adherence to Antihypertensive Treatment and Associated Factors in Semi-urban Area in North Togo. Cardiol Cardiovasc Res. 2021;5(4):219-224. doi: 10.11648/j.ccr.20210504.20

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@article{10.11648/j.ccr.20210504.20,
  author = {Tchaa Tcherou and Komlavi Yayehd and Machihuede Pio and Doguensaga Borgatia Atta and Mario Abalo Bakai and Tchalla Yowdema Abena and Findibe Damorou},
  title = {Adherence to Antihypertensive Treatment and Associated Factors in Semi-urban Area in North Togo},
  journal = {Cardiology and Cardiovascular Research},
  volume = {5},
  number = {4},
  pages = {219-224},
  doi = {10.11648/j.ccr.20210504.20},
  url = {https://doi.org/10.11648/j.ccr.20210504.20},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20210504.20},
  abstract = {Background. The purpose of this study was to determine the rate of non-adherence to antihypertensive therapy and to investigate factors that may explain this non-adherence. Methods. This is a cross-sectional study conducted from March to December 2017 in two public hospitals in the city of Kara. It included hypertensive patients known to have been on treatment for at least six months, and who were able to provide information to the Girerd self-questionnaire. A survey form was used to collect sociodemographic, clinical and therapeutic data. Results. Of the 216 received patients, 35.2% had good adherence and 64.8% had difficulties in adhering to their treatment (16.7% had minor adherence problems and 48.1% had poor adherence). The low level of education (OR=1.87; 95% CI=1.01-3.44; p=0.04), the short duration of progression (Conclusion. Adherence to antihypertensive therapy was low in a hypertensive population in Northern Togo. Low education level, a duration of hypertension evolution of less than five years, lack of financial means, non-civil servant status and high number of tablets were the factors associated with nonadherence to treatment.},
 year = {2021}
}

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