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dc.contributor.authorAbu Khudair, Sara
dc.contributor.authorKhader, Yousef S
dc.contributor.authorMorrissey, Hana
dc.contributor.authorEl-Khatib, Ziad
dc.contributor.authorSandor, Janos
dc.date.accessioned2021-09-23T08:05:55Z
dc.date.available2021-09-23T08:05:55Z
dc.date.issued2021-09-21
dc.identifier.citationAbu Khudair, S., Khader, Y.S., Morrissey, H., El-Khatib, Z. and Sandor, J. (2021) Factors associated with suboptimal adherence to hypertensive medications among Syrian refugees – cross-sectional study at the Zaatari camp, Jordan. Patient Preference and Adherence, 15, pp. 2125–2135.en
dc.identifier.issn1177-889Xen
dc.identifier.doi10.2147/ppa.s327903en
dc.identifier.urihttp://hdl.handle.net/2436/624357
dc.description© 2021 The Authors. Published by Dove Medical Press. This is an open access article available under a Creative Commons licence. The published version can be accessed at the following link on the publisher’s website: https://doi.org/10.2147/PPA.S327903en
dc.description.abstractObjective: This study aimed to assess the level of medication adherence and associated factors among Syrian refugees with hypertension in Jordan. Methods: This cross-sectional study included 180 randomly selected Syrian refugees diagnosed with hypertension residing in Zaatari camp, Jordan. The Adherence to Refills and Medications Scale (ARMS) was used to assess adherence to antihypertensive medications. Additional data were collected on sociodemographics, therapy-related factors, patients’ behaviors and knowledge of hypertension disease and therapy, and health system-related factors. Multivariate linear regression was used to assess the association between adherence scores and other variables. Results: The mean (SD) of ARMS scores was 15.7 (2.9). Based on ARMS scores, 22.8% of patients were adherents and 77.2% were non-adherents. Multivariate analysis showed that newly initiated therapy (≤ 2 years) and illiteracy were both strong predictors of lower adherence with p < 0.001 and p = 0.012, respectively. Other variables that were significantly associated with lower adherence included discontinuation of antihypertensive medications due to side effects (p = 0.032), reporting irregular availability of free antihypertensive medications dispensed by non-governmental organizations (NGOs) (p = 0.024), and dissatisfaction with health services (p = 0.022). Conclusion: Suboptimal adherence to antihypertensive medications remains a substantial unmet need among Syrian refugees with hypertension. As illiteracy appears to have a negative impact on adherence levels, educational interventions that promote medication adherence and favorable health behaviors through auditory and visual aids are needed to better reach and engage people with limited literacy skills. Strengthening the pharmaceutical supply chain at various levels is strongly recommended to respond quickly to changes in demand and prevent an indirect negative impact on adherence levels.en
dc.formatapplication/pdfen
dc.languageen
dc.language.isoenen
dc.publisherDove Medical Pressen
dc.relation.urlhttps://www.dovepress.com/factors-associated-with-suboptimal-adherence-to-hypertensive-medicatio-peer-reviewed-fulltext-article-PPAen
dc.subjectSyrian refugeesen
dc.subjectmedication adherenceen
dc.subjecthypertensionen
dc.subjectilliteracyen
dc.subjectmedications availabilityen
dc.subjectZaatari campen
dc.titleFactors associated with suboptimal adherence to hypertensive medications among Syrian refugees – cross-sectional study at the Zaatari camp, Jordanen
dc.typeJournal articleen
dc.identifier.eissn1177-889X
dc.identifier.journalPatient Preference and Adherenceen
dc.date.updated2021-09-20T18:22:50Z
dc.date.accepted2021-08-25
rioxxterms.funderUniversity of Wolverhamptonen
rioxxterms.identifier.projectUOW23092021HMen
rioxxterms.versionVoRen
rioxxterms.licenseref.urihttps://creativecommons.org/licenses/by-nc/4.0/en
rioxxterms.licenseref.startdate2021-09-23en
dc.source.volume15
dc.source.beginpage2125
dc.source.endpage2135
dc.description.versionPublished online
refterms.dateFCD2021-09-23T08:05:46Z
refterms.versionFCDVoR
refterms.dateFOA2021-09-23T08:05:56Z


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