Unknown

Dataset Information

0

Medication adherence in older clinic patients with hypertension after Hurricane Katrina: implications for clinical practice and disaster management.


ABSTRACT: In post-disaster situations, additional barriers may reduce antihypertensive medication adherence.Between November 2005 and August 2006, 210 hypertensive patients receiving care at a multispecialty group practice in New Orleans completed a structured questionnaire. Antihypertensive medication adherence was measured with the Hill-Bone medication compliance subscale. In a subset of patients, data on difficulties patients encountered with blood pressure medications in the aftermath of Hurricane Katrina were collected.: Seventy-six percent of patients reported damage to their residence and 46% of patients had less-than-perfect medication adherence. After multivariate adjustment, less than perfect medication adherence postdisaster was more common among people aged <65 years (prevalence ratio = 1.37; 95% confidence interval: 1.03-1.82) and non-whites (1.32; 95% confidence interval: 1.02-1.71). Uncontrolled blood pressure (systolic/diastolic > or =140/> or =90 mm Hg) was more common in those with less-than-perfect adherence than their counterparts with perfect adherence (51% versus 42%, respectively). In addition, 7% of patients reported not bringing their blood pressure medications when they evacuated, 28% ran out of blood pressure medications, 16% reported difficulties getting medications filled, and 28% reported a blood pressure medication change postdisaster.Opportunities exist to improve disaster planning and prescription refill processes and increase medication adherence and hypertension control postdisasters.

SUBMITTER: Krousel-Wood MA 

PROVIDER: S-EPMC2561300 | BioStudies | 2008-01-01

REPOSITORIES: biostudies

Similar Datasets

2020-01-01 | S-EPMC6957668 | BioStudies
2013-01-01 | S-EPMC3636185 | BioStudies
2016-01-01 | S-EPMC4592365 | BioStudies
2015-01-01 | S-EPMC4567373 | BioStudies
1000-01-01 | S-EPMC5769214 | BioStudies
2020-01-01 | S-EPMC7058724 | BioStudies
2009-01-01 | S-EPMC2797520 | BioStudies
1000-01-01 | S-EPMC6194717 | BioStudies
2018-01-01 | S-EPMC6145760 | BioStudies
2017-01-01 | S-EPMC5287944 | BioStudies