Association between social position indicators and hypertension treatment adherence in Colombia

Authors

  • Silvia Patricia Quiroz Universidad Tecnológica del Chocó. Facultad de Ciencias de la Salud
  • Diana María Agudelo Universidad de los Andes. Facultad de Ciencias Sociales
  • Diego Iván Lucumi Universidad de los Andes. Escuela de Gobierno Alberto Lleras Camargo
  • Graciela Mentz University of Michigan. Escuela de Medicina. Ann Arbor, USA

Abstract

Introduction: To generate evidence on the effects of social position on therapeutic adherence among individuals with hypertension (HT) in Colombia. Materials and Methods: A cross-sectional study was carried out, using quantitative data from the Social Determinants and Inequities in the Control of HT Program in Colombia. Descriptive and inferential analyses (logistic regression) were developed to model the associations. Results: The prevalence of adherence was high, especially for pharmacological treat¬ment and compliance with appointments (>50%). Individuals with less education and lower income are less likely to adhere to pharmacological treatment, while tho¬se with higher socioeconomic status are less likely to adhere to appointments and healthy behaviors. Afro-Colombians were less likely to adhere to pharmacological treatment, appointments, and indications regarding physical activity. Discussion: There is a gap in HT treatment adherence in Colombia, due to socioeco¬nomic and ethnic/racial condition

Keywords:

Estatus económico, Etnia, Adherencia al tratamiento, Hipertensión arterial, Economic status, Ethnicity, Treatment adherence, Arterial hypertension