Abstract P189: Age-related Differences in Antihypertensive Medication Adherence in Hispanics: A Cross-sectional Community Based Survey in New York City
Introduction: U.S. Hispanics, particularly younger adults in this population, experience a disproportionate burden of uncontrolled hypertension. Little is known about predictors of antihypertensive medication adherence - a major determinant of hypertension control and cardiovascular disease - and differences between age groups in this fast-growing population.
Methods: The study included 1,043 community dwelling Hispanic hypertensives residing in three Northern Manhattan neighborhoods. Age-stratified analyses assessed the prevalence and predictors of high medication adherence (score 8 on Morisky Medication Adherence Scale, MMAS-8) among younger (<60 years) and older (≥60 years) Hispanic adults.
Results: Prevalence of high adherence was significantly lower in younger vs. older adults (24.5% [105 of 429] vs. 34.0% [209 of 614], p=0.001). In younger adults, heavy alcohol consumption, a longer duration of hypertension, and recent poor physical health were negatively associated with high adherence, but poor self-rated general health was positively associated with high adherence. In older adults, age, education level, knowledge of hypertension control, private insurance/Medicare vs. Medicaid and poor health-related activity limitations were negatively associated with high adherence.
Conclusion: Equitable achievement of national hypertension control goals will require particular attention to suboptimal antihypertensive medication adherence found in this study and other samples of U.S. Hispanics, particularly in younger adults. Age differences in predictors of high adherence highlight the need to tailor efforts to the specific life stage of hypertensive individuals.
Author Disclosures: P. Bandi: None. E. Goldmann: None. N.S. Parikh: None. P. Farsi: None. B. Boden-Albala: None.
- © 2017 by American Heart Association, Inc.