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Prevalence and Associated Factors of Compliance Behaviors among Middle-Aged and Older Hypertensive Patients in China: Results from the China Health and Retirement Longitudinal Study

Author

Listed:
  • Jianjian Liu

    (School of Health Sciences, Wuhan University, Wuhan 430071, China
    Global Health Institute, Wuhan University, Wuhan 430072, China
    These authors contributed equally to this study.)

  • Ying Yang

    (School of Health Sciences, Wuhan University, Wuhan 430071, China
    Global Health Institute, Wuhan University, Wuhan 430072, China
    These authors contributed equally to this study.)

  • Jiayi Zhou

    (School of Health Sciences, Wuhan University, Wuhan 430071, China)

  • Tianyu Liu

    (School of Health Sciences, Wuhan University, Wuhan 430071, China)

  • Wenjie Zhang

    (School of Health Sciences, Wuhan University, Wuhan 430071, China
    Global Health Institute, Wuhan University, Wuhan 430072, China)

  • Liuyi Wei

    (School of Health Sciences, Wuhan University, Wuhan 430071, China
    Global Health Institute, Wuhan University, Wuhan 430072, China)

  • Shaotang Wu

    (School of Health Sciences, Wuhan University, Wuhan 430071, China
    Global Health Institute, Wuhan University, Wuhan 430072, China)

Abstract

Partial or total non-adherence has been recognized as major issues in the long-term management of hypertension. This study aims to investigate the prevalence and associated factors of compliance behaviors among Chinese middle-aged and older hypertensive patients. A sample of 6308 hypertensive patients aged ≥45 years was obtained from the 2015 China Health and Retirement Longitudinal Study (CHARLS) data. Two compliance behaviors were involved including medication and blood pressure monitoring. Stratified binary logistic regression analysis was employed to examine the associated factors. 77.2% of the participants reported medication compliance, and 40.7% complied with blood pressure monitoring. Better medication compliance associated with older age, overweight or obesity, one or ≥3 complications, no drinking, living in urban areas, and health education. Better blood pressure monitoring compliance associated with older age, overweight or obesity, ≥3 complications, normal activities of daily living (ADL), no smoking, sleep duration of 6–8 h, better cognitive function, living in urban areas, education level of middle school or above, and health education. Chinese middle-aged and older hypertensive patients experienced unoptimistic compliance behaviors, especially for blood pressure monitoring. Special attention and targeted interventions are urgent for the high-risk population of poor compliance behaviors, such as rural individuals, low educational population, and younger hypertensive patients.

Suggested Citation

  • Jianjian Liu & Ying Yang & Jiayi Zhou & Tianyu Liu & Wenjie Zhang & Liuyi Wei & Shaotang Wu, 2020. "Prevalence and Associated Factors of Compliance Behaviors among Middle-Aged and Older Hypertensive Patients in China: Results from the China Health and Retirement Longitudinal Study," IJERPH, MDPI, vol. 17(19), pages 1-15, October.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:19:p:7341-:d:424902
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    References listed on IDEAS

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    1. Hye-Young Jang, 2020. "Factors Associated with Successful Aging among Community-Dwelling Older Adults Based on Ecological System Model," IJERPH, MDPI, vol. 17(9), pages 1-12, May.
    2. Junmin Zhou & Shu Fang, 2019. "Association between Undiagnosed Hypertension and Health Factors among Middle-Aged and Elderly Chinese Population," IJERPH, MDPI, vol. 16(7), pages 1-12, April.
    3. Hong Wu, 2020. "How do Co‐ and Non‐Residential Children Impact your Subjective Life Expectancy: An Empirical Study on CHARLS Data?," International Journal of Health Planning and Management, Wiley Blackwell, vol. 35(2), pages 532-544, March.
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    Cited by:

    1. Zhigang Guo & Lin Bai & Zhenhuan Luo & Mengyuan Fu & Liguang Zheng & Xiaodong Guan & Luwen Shi, 2021. "Factors Associated with Free Medicine Use in Patients with Hypertension and Diabetes: A 4-Year Longitudinal Study on Full Coverage Policy for Essential Medicines in Taizhou, China," IJERPH, MDPI, vol. 18(22), pages 1-10, November.

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