Research Article

Factors Associated with Medication Nonadherence among Hypertensives in Ghana and Nigeria

Table 1

Distribution of study population characteristics by site.

ParameterKorle Bu P. Harcourt Lagos Ibadan Pooled

Total (%) 120 (33.6) 73 (20.4) 79 (22.1) 85 (23.8) 357 (100)
Age (years)a57.0 ± 13.7 47.4 ± 12.5 57.8 ± 9.8 62.9 ± 11.5 56.6 ± 13.2
Females (%)a70 (58.3) 37 (50.7) 56 (70.9) 42 (49.4) 205 (57.5)
Insurance (%)a114 (95) 20 (27.4) 5 (6.3) 17 (20) 156 (43.7)
HTN with comorbidities (%)a57.4 20.5 34.2 62.4 45.8
Depression (%)
 No (%)70 (58.3) 43 (58.9) 60 (75.9) 72 (84.7) 245 (68.6)
 Mild (%)32 (26.7) 18 (24.7) 18 (22.8) 10 (11.8) 78 (21.8)
 Moderate (%)10 (8.3) 5 (6.8) 1 (1.3) 3 (3.5) 19 (5.3)
 Mord-severe (%)4 (3.3) 6 (8.2) 10 (2.8)
 Severe (%)4 (3.3) 1 (1.4) 5 (1.4)
 Total (%)120 (100) 73 (100) 79 (100) 85 (100) 357 (100)
BMQ-necessity median (IQR)14 (11–15) 11 (9–13) 15 (13–15) 10.5 (7–13)
BMQ-concern [median (IQR)]7.5 (5–11) 11 (9–12.5) 7 (8-9) 7 (5–9)
Knowledge about HTN [median (IQR)]15 (14–16) 13 (11–14) 13 (12–15) 14 (13–15) 14 (13–15)
Nonadherence (%) 72.5 95.9 53.2 45.9 66.7
 Medium adherence (%)41.7 12.3 38.0 32.9 32.8
 Low adherence (%)30.8 83.6 15.2 12.9 33.9
Blood pressure control (%)a27.7 9.6 53.2 54.1 35.9
Educational status
 None (%) 6.7 1.4 53.2 16.5 18.2
 Primary (%) 7.5 31.5 19.0 21.2 18.2
 Junior secondary (%) 31.7 12.3 8.9 1.2 15.4
 Senior Secondary (%) 15.0 28.8 13.9 18.8 18.5
 Tertiary (%) 39.2 26.0 5.1 42.4 29.7
Occupationa
 Petty trader (%) 24.6 12.3 45.5 13.1 23.9
 JCS (%) 23.7 19.2 6.5 3.6 14.2
 SCS (%) 11.0 15.1 2.6 14.3 10.8
 Businessman (%) 11.0 20.5 22.1 17.9 17.0
 Unemployed (%) 4.2 5.5 15.61.2 6.3
 Housewife (%) 0.8 9.6 01.2 2.6
 Others (%) 1.7 9.6 2.6 0 3.1
 Artisans (%) 5.9 0.0 1.3 7.1 4.0
 Retired (%) 16.9 8.2 3.9 41.7 18.2
Use of herbal preparation (%)a15.8 35.6 11.7 9.4 17.5

.
BMQ: beliefs about medication questionnaire; IQR: interquartile range; HTN: hypertension; JCS: junior civil servant; P. Harcourt: Port Harcourt; SCS: senior civil servant.