Vol 17: Locus of control and anti-hypertensive medication adherence in Ghana.Report as inadecuate



 Vol 17: Locus of control and anti-hypertensive medication adherence in Ghana.


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This article is from The Pan African Medical Journal, volume 17.AbstractIntroduction: Medication non-adherence is a major public health problem in Ghana. Locus of control LoC may influence adherence to medication. In this study we examine the association between locus orientation and adherence to hypertensive medication among adult patients. We also take into account the role of medication side effects. Methods: We conducted a hospital-based cross-sectional study involving two tertiary hospitals in southern and northern Ghana. Data were collected from 400 hypertensive patients using a structured questionnaire. We gathered information on patient’s sociodemographic characteristics, health LoC, side effects of anti-hypertensive medication and adherence to anti-hypertensive medication. Results: Participants exhibited features of mixed LoC both internal and external usually referred to as bi-local expectancy. However, orientation was skewed towards external LoC. Females were marginally more likely than males to have an internal LoC. Education was associated with a greater likelihood of internal LoC. While most patients 93.3% poorly adhered to antihypertensive medications, logistic regression model revealed that non-adherence was significantly associated with low internal LoC, medication side effects and the combined effect of medication side effects and external LoC. Conclusion: Medication non-adherence, experiences of medication side effects and LoC are associated. Multifaceted intervention programmes highlighting personality characteristics like LoC may improve anti-hypertensive medication adherence.



Author: Kretchy, Irene Akwo; Owusu-Daaku, Frances Thelma; Danquah, Samuel

Source: https://archive.org/







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