OJPM> Vol.3 No.9, December 2013

How hypertensive patients in the rural areas use home blood pressure monitoring and its relationship with medication adherence: A primary care survey in China

DownloadDownload as PDF (Size:176KB)  HTML    PP. 510-516  

ABSTRACT

Despite an increasing popularity of home blood pressure monitoring (HBPM) over the last few decades, little is known about HBPM use among hypertensive patients in the rural areas. A cross-sectional survey including 318 hypertensive patients was conducted in a rural community in Beijing, China, in 2012. Participants were mainly recruited from a community health clinic and completed the questionnaires assessing HBPM usage. Binary logistic regression models were used for the analysis of medication adherence with age, gender, level of education marital status, perceived health status, duration of hypertension, HBPM use, and frequency of performing BP measurement. Among the total population, 78 (24.5%) reported currently use of HBPM. Only 5.1% of the HBPM users cited doctor’s advice as the reason for using HBPM. Analysis of the risk factors of poor medication adherence by multivariable modeling indicated significant associations between the duration of hypertension (adjusted OR, 3.31; 95% CI, 1.91-5.72; P < 0.001), frequency of performing BP measurements (adjusted OR, 2.33; 95% CI, 1.42-3.83; P < 0.001) and medication adherence. We found that most use of HBPM was without the involvement of a doctor or nurse. Further study is required to understand if HBPM is effective and the role of health professionals in its use for improved hypertension control.

 

Cite this paper

Hu, H. , Li, G. and Arao, T. (2013) How hypertensive patients in the rural areas use home blood pressure monitoring and its relationship with medication adherence: A primary care survey in China. Open Journal of Preventive Medicine, 3, 510-516. doi: 10.4236/ojpm.2013.39069.

References

[1] Kearney, P.M., Whelton, M., Reynolds, K., Muntner, P., Whelton, P.K. and He, J. (2005) Global burden of hypertension: Analysis of worldwide data. The Lancet, 365, 217-223.
[2] Perkovic, V., Huxley, R., Wu, Y., Prabhakaran, D. and MacMahon, S. (2007) The burden of BP-related disease: a neglected priority for global health. Hypertension, 50, 991-997. http://dx.doi.org/10.1161/HYPERTENSIONAHA.107.095497
[3] Hu, S.S, Kong, L.Z., Gao, R.L., Zhu, M.L., Wang, W., Wang, Y.J., Wu, Z.S., Chen, W.W. and Liu, M.B. (2012) Outline of the report on cardiovascular disease in China, 2010. Biomedical and Environmental Sciences, 25, 251-256.
[4] Ma, W.J., Tang, J.L., Zhang, Y.H., Xu, Y.J., Lin, J.Y., Li, J.S., Lao, X.Q., Tam, W.W., Wong, M.C. and Yu, I.T. (2012) Hypertension prevalence, awareness, treatment, control, and associated factors in adults in southern China. American Journal of Hypertension, 25, 590-596.
http://dx.doi.org/10.1038/ajh.2012.11
[5] Zhang, M., Meng, Y., Yang, Y., Liu, Y., Dong, C., Xiao, J., Zhao, L. and Li, F. (2011) Major inducing factors of hypertensive complications and the interventions required to reduce their prevalence: An epidemiological study of hypertension in a rural population in China. BMC Public Health, 11, 301.
http://dx.doi.org/10.1186/1471-2458-11-301
[6] Chobanian, A.V., Bakris, G.L., Black, H.R., Cushman, W.C., Green, L.A., Izzo Jr., J.L., Jones, D.W., Materson, B.J., Oparil, S., Wright Jr., J.T., Roccella, E.J., National Heart, Lung, and Blood Institute Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure and National High Blood Pressure Education Program Coordinating Committee (2003) The seventh report of the joint national committee on prevention, detection, e valuation, and treatment of high blood pressure: The JNC 7 report. Journal of the American Medical Association, 289, 2560-2572.
http://dx.doi.org/10.1001/jama.289.19.2560
[7] Dickinson, H.O., Mason, J.M., Nicolson, D.J., Campbell, F., Beyer, F.R., Cook, J.V., Williams, B. and Ford, G.A. (2006) Lifestyle interventions to reduce raised blood pressure: A systematic review of randomized control trials. Journal of Hypertension, 24, 215-233.
http://dx.doi.org/10.1097/01.hjh.0000199800.72563.26
[8] McManus, R.J., Mant, J., Bray, E.P., Holder, R., Jones, M.I., Greenfield, S., Kaambwa, B., Banting, M., Bryan, S., Little, P., Williams, B. and Hobbs, F.D. (2010) Telemonitoring and self-management in the control of hypertension (TASMINH2): A randomised controlled trial. The Lancet, 376, 163-172.
http://dx.doi.org/10.1016/S0140-6736(10)60964-6
[9] Bosworth, H.B., DuBard, C.A., Ruppenkamp, J., Trygstad,T., Hewson, D.L. and Jackson, G.L. (2011) Evaluation of a self-management implementation intervention to improve hypertension control among patients in Medicaid. Translational Behavioral Medicine, 1, 191-199.
http://dx.doi.org/10.1007/s13142-010-0007-x
[10] Cuspidi, C., Meani, S., Lonati, L., Fusi, V., Magnaghi, G,. Garavelli, G., Palumbo, G., Pini, C., Vaccarella, A., Parati, G., Leonetti, G., Zanchetti, A. and Lombardy Regional Section of the Italian Hypertension Society (2005) Prevalence of home BP measurement among selected hypertensive patients: Results of a multicenter survey from six hospital outpatient hypertension clinics in Italy. Blood Pressure, 14, 251-256.
http://dx.doi.org/10.1080/08037050500210765
[11] Logan, A.G., Dunai, A., McIsaac, W.J., Irvine, M.J. and Tisler, A. (2008) Attitudes of primary care physicians and their patients about home blood pressure monitoring in Ontario. Journal of Hypertension, 26, 446-452.
http://dx.doi.org/10.1097/HJH.0b013e3282f2fdd4
[12] Viera, A.J., Cohen, L.W., Mitchell, C.M. and Sloane, P.D. (2008) How and why do patients use home blood pressure monitors. Blood Pressure Monitoring, 13, 133-137.
http://dx.doi.org/10.1097/MBP.0b013e32830263b7
[13] Verberk, W.J., Kroon, A.A., Kessels, A.G. and de Leeuw, P.W. (2005) Home blood pressure measurement: A systematic review. Journal of the American College of Cardiology, 46, 743-751.
http://dx.doi.org/10.1016/j.jacc.2005.05.058
[14] Cappuccio, F.P., Kerry, S.M., Forbes, L. and Donald, A. (2004) Blood pressure control by home monitoring: Meta-analysis of randomized trials. British Medical Journal, 329, 145-150.
http://dx.doi.org/10.1136/bmj.38121.684410.AE
[15] Cuspidi, C., Meani, S., Fusi, V., Salerno, M., Valerio, C., Severgnini, B., Catini, E., Leonetti, G., Magrini, F. and Zanchetti, A. (2004) Home blood pressure measurement and its relationship with blood pressure control in a large selected hypertensive population. Journal of Human Hypertension, 18, 725-731.
http://dx.doi.org/10.1038/sj.jhh.1001737
[16] Bobrie, G., Chatellier, G., Genes, N., Clerson, P., Vaur, L., Vaisse, B., Menard, J. and Mallion, J.M. (2004) Cardiovascular prognosis of masked hypertension detected by blood pressure self-measurement in elderly treated hypertensive patients. Journal of the American Medical Association, 291, 1342-1349.
http://dx.doi.org/10.1001/jama.291.11.1342
[17] Staessen, J.A., Den Hond, E., Celis, H., Fagard, R., Keary, L., Vandenhoven, G., O’Brien, E.T. and Treatment of Hypertension Based on Home or Office Blood Pressure (THOP) Trial Investigators (2004) Antihypertensive treatment based on blood pressure measurement at home or in the physician’s office. Journal of the American Medical Association, 291, 955-964.
http://dx.doi.org/10.1001/jama.291.8.955
[18] Pickering, T.G., Miller, N.H., Ogedegbe, G., Krakoff, L.R., Artinian, N.T., Goff, D., American Heart Association, American Society of Hypertension and Preventive Cardiovascular Nurses Association (2008) Call to action on use and reimbursement for home BP monitoring: Executive Summary. A joint scientific statement from the American Heart Association, American Society of Hypertension, and Preventive Cardiovascular Nurses Association. Hypertension, 52, 1-9.
http://dx.doi.org/10.1161/HYPERTENSIONAHA.107.189011
[19] Abdullah, A. and Othman, S. (2011) The influence of self-owned home blood pressure monitoring (HBPM) on primary care patients with hypertension: A qualitative study. BMC Family Practice, 12, 143.
http://dx.doi.org/10.1186/1471-2296-12-143
[20] Worth, H.B., Powers, B.J., Olsen, M.K., McCant, F., Grubber, J., Smith, V., Gentry, P.W., Rose, C., Van Houtven, C., Wang, V., Goldstein, M.K. and Oddone, E.Z. (2011) Home blood pressure management and improved BP control: Results from a randomized controlled trial. Archives of Internal Medicine, 171, 1173-1180.
http://dx.doi.org/10.1001/archinternmed.2011.276
[21] Hu, H.H., Li, G. and Arao, T. (2013) Prevalence rates of self-care behaviors and related factors in a rural hypertension population: A questionnaire survey. International Journal of Hypertension, 2013, Article ID: 526949.
http://dx.doi.org/10.1155/2013/526949
[22] WHO (1995) World Health Organization: Physical status: The use and interpretation of anthropometry report of a WHO expert committee. WHO Technical Report Series, World Health Organization, Geneva.
[23] Chen, C. and Lu, F.C. (2004) The guidelines for prevention and control of overweight and obesity in Chinese adults. Biomedical and Environmental Sciences, 17, 1-36.
[24] Tan, N.C., Khin, L.W. and Pagi, R. (2005) Home blood-pressure monitoring among hypertensive patients in an Asian population. Journal of Human Hypertension, 19, 559-564. http://dx.doi.org/10.1038/sj.jhh.1001865
[25] McManus, R.J., Ryan, A., Greenfield, S., Pattison, H.M., Clifford, S., Marriott, J. and Wilson S. (2007) Self measurement of blood pressure: A community survey. Journal of Human Hypertension, 21, 741-743.
http://dx.doi.org/10.1038/sj.jhh.1002217
[26] Baral-Grant, S., Haque, M.S., Nouwen, A., Greenfield, S.M. and McManus, R.J. (2012) Self-Monitoring of blood pressure in hypertension: A UK primary care survey. International Journal of Hypertension, 2012, Article ID: 582068. http://dx.doi.org/10.1155/2012/582068
[27] Chai, Y., Xu, H., Wang, W., Liu, B., Yang, D., Fan, H., Song, F. and Lu, Z. (2011) A survey of factors associated with the utilization of community health centers for managing hypertensive patients in Chengdu, China. PLos One, 6, Article ID: e21718.
http://dx.doi.org/10.1371/journal.pone.0021718
[28] Wan, Y., Heneghan, C., Stevens, R., McManus, R.J., Ward, A., Perera, R., Thompson, M., Tarassenko, L. and Mant, D. (2010) Determining which automatic digital blood pressure device performs adequately: A systematic review. Journal of Human Hypertension, 24, 431-438.
http://dx.doi.org/10.1038/jhh.2010.37
[29] Hahn, L.P., Folsom, A.R., Sprafka, J.M. and Prineas, R.J. (1987) Prevalence and accuracy of home sphygmomanometers in an urban population. American Journal of Public Health, 77, 1459-1461.
http://dx.doi.org/10.2105/AJPH.77.11.1459
[30] Ogedegbe, G. and Schoenthaler, A. (2006) A systematic review of the effects of home blood pressure monitoring on medication adherence. Journal of Clinical Hypertension (Greenwich), 8, 174-180.
http://dx.doi.org/10.1111/j.1524-6175.2006.04872.x

  
comments powered by Disqus

Copyright © 2014 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.