Association between health-related quality of life and nonadherence to antihypertensive medication.
Ka Young Kim
PMID 36598870WHAT IT FOUND
In hypertensive adults, anxiety and depression were linked to skipping medication in both men and women.
Living with others helped men stick to their regimen. For women, having mobility problems was linked to taking their medication more often.
Key findings
01Anxiety and depression were significantly associated with nonadherence to antihypertensive medication in both men and women after adjusting for other factors.
02Men who lived with two or more people had lower odds of being nonadherent to their medication compared to those living alone.
03Women reporting problems with mobility had lower odds of being nonadherent compared to women with no mobility problems.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study design is cross-sectional, so it cannot establish cause and effect. For example, it is unclear if depression causes nonadherence or if nonadherence worsens depression. Data relies on self-reported medication adherence, which may be inaccurate due to recall bias or social desirability bias. The analysis excluded patients who took medication partially (e.g., missed doses), focusing only on daily users versus non-users, which may not reflect the full spectrum of adherence issues. The study did not account for comorbidities, which could influence both quality of life and medication adherence.
Declared interests
The study used data from the Korea Disease Control and Prevention Agency. The authors declared no conflicts of interest.
The easy way to misread this
Do not conclude that mobility problems cause women to take their medication more often. The association may reflect other factors, such as increased healthcare contact or caregiver assistance, and the cross-sectional design cannot determine causality.