ADHERENCE TO ANTIHYPERTENSIVE MEDICATION AMONG PATIENTS WITH HYPERTENSION IN PESHAWAR, PAKISTAN: A CROSS-SECTIONAL STUDY
DOI:
https://doi.org/10.52764/jms.26.34.2.4Keywords:
Hill Bone Compliance Scale, Adherence, Anti-Hypertensive TreatmentAbstract
Objective: To assess the adherence to antihypertensive therapy and its associated sociodemographic factors among hypertensive patients attending public sector tertiary care hospitals in Peshawar.
Materials and Methods: A cross-sectional descriptive study was conducted from May to November 2024 using the Hill-Bone Compliance to High Blood Pressure Therapy Scale (CHBPTS). A sample of 390 was collected through consecutive sampling from three public-sector tertiary care hospitals in Peshawar. Data were analyzed using SPSS version 25. Continuous outcomes were compared using the Mann–Whitney U test and the Kruskal–Wallis test, with Dunn–Bonferroni post hoc tests for significant pairwise comparisons. Spearman’s rank correlation coefficient was used to assess correlations between variables.
Results: The study included participants with a mean age of 54.0 ± 10.3 years, of whom 39.2% were men and 60.8% were women. The mean overall adherence score on the Hill-Bone Compliance to High Blood Pressure Therapy Scale (Hill-Bone CHBPTS) was 27.27 ± 6.8. The mean subscale scores were 17.52 ± 4.29 for medication-taking, 5.03 ± 1.38 for reduced sodium intake, and 4.70 ± 1.38 for appointment-keeping. According to the Hill-Bone CHBPTS scoring criteria, 44.6% of participants were adherent to antihypertensive treatment.
Conclusion: The study results showed that adherence to antihypertensive treatment requires attention to better control of hypertension in our local context. Sociodemographic factors play an important role in adherence to antihypertensive treatment.
Keywords: Hill Bone Compliance Scale, Hypertension, adherence.
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Copyright (c) 2026 Usman Safwat Ghayyur, Aliya Bibi, Shahkaar Syed, Muhammad Abbas Ghani, Muhammad Azam, Sumayya Rafi
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