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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

by 1,2,†, 1,2,†, 1, 1, 1,2, 1,2 and 1,2,*
1
School of Health Sciences, Wuhan University, Wuhan 430071, China
2
Global Health Institute, Wuhan University, Wuhan 430072, China
*
Author to whom correspondence should be addressed.
These authors contributed equally to this study.
Int. J. Environ. Res. Public Health 2020, 17(19), 7341; https://doi.org/10.3390/ijerph17197341
Received: 2 September 2020 / Revised: 5 October 2020 / Accepted: 6 October 2020 / Published: 8 October 2020
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. View Full-Text
Keywords: patient compliance; medication adherence; blood pressure monitoring; hypertension; middle-aged and older adults; Health Ecology Model patient compliance; medication adherence; blood pressure monitoring; hypertension; middle-aged and older adults; Health Ecology Model
MDPI and ACS Style

Liu, J.; Yang, Y.; Zhou, J.; Liu, T.; Zhang, W.; Wei, L.; Wu, S. 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. Int. J. Environ. Res. Public Health 2020, 17, 7341. https://doi.org/10.3390/ijerph17197341

AMA Style

Liu J, Yang Y, Zhou J, Liu T, Zhang W, Wei L, Wu S. 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. International Journal of Environmental Research and Public Health. 2020; 17(19):7341. https://doi.org/10.3390/ijerph17197341

Chicago/Turabian Style

Liu, Jianjian, Ying Yang, Jiayi Zhou, Tianyu Liu, Wenjie Zhang, Liuyi Wei, and 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" International Journal of Environmental Research and Public Health 17, no. 19: 7341. https://doi.org/10.3390/ijerph17197341

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