| Abstract: | OBJECTIVE: to evaluate the indexes and the main factors associated with non-adherence tomedication treatment for systemic arterial hypertension between urban and ruralareas. METHOD: analytical study based on an epidemiological survey with a sample of 247hypertensive residents of rural and urban areas, with application of asocio-demographic and economic questionnaire, and treatment adherence assessment.The Pearson''s Chi-square test was used and the odds ratio (OD) was calculated toanalyze the factors related to non-adherence. RESULTS: the prevalence of non-adherence was 61.9% and it was higher in urban areas(63.4%). Factors significantly associated with non-adherence were: male gender(OR=1.95; 95% CI 1.08-3.50), age 20-59 years old (OR=2.51; 95% CI 1.44-4.39), loweconomic status (OR=1.95; 95% CI 1.09-3.47), alcohol consumption (OR=5.92, 95% CI1.73-20.21), short time of hypertension diagnosis (OR=3.07; 95% CI 1.35-6.96) andnot attending the health service for routine consultations (OR=2.45; 1.35-4.42).CONCLUSION: the socio-demographic/economic characteristics, lifestyle habits and how torelate to health services were the factors that presented association withnon-adherence regardless of the place of residence. |
