El estrés crónico como mediador de la relación entre posición socioeconómica y adherencia farmacológica en pacientes hipertensos

Translated title of the contribution: Chronic stress as a mediator of the relationship between socioeconomic status and pharmacological adherence in hypertensive patients

Deivis Nicolás Guzmán-Tordecilla, Andrés Ignacio Vecino-Ortiz, Diego Lucumí, Graciela Mentz

Research output: Contribution to journalArticle

Abstract

Introduction: Worldwide high blood pressure (HBP) is a public health problem. In Colombia, HBP has a prevalence of 25% and a high mortality rate; however, the psychosocial factors that affect pharmacological adherence have not been sufficiently studied. Despite international evidence on psychosocial factors in adherence to adherence to hypertension, in Colombia there is a paucity of research on the role of chronic stress in the relationship between socioeconomic status (PSE) and pharmacological adherence. Objetive: To examine the role of chronic stress in the relationship between socioeconomic status and pharmacological adherence in hypertensive patients aged 45 to 70 years old in three Colombian cities. Materials and methods: A cross-sectional study was carried out in a population of hypertensive patients during 2015 to 2016. Data for this study came from the first wave of longitudinal study aims to examine social factors associated to the control of hypertension in Bogota, Medellin and Quibdo. Patients with hypertension were selected randomly from a sample of those that attended a hypertension control program. For the statistical analysis of the data we used factorial analysis and multivariate regressions. Results: We found a positive association of PSE with the measure of pharmacological adherence and negative with chronic stress. In addition, evidence was found that stress has a negative association with the measure of adherence. Conclusions: The results suggest that stress is not a likely mediator between PSE and the pharmacological adherence of hypertensive patients in Colombia. Additional studies are required to confirm these relationships with a larger sample.

Translated title of the contributionChronic stress as a mediator of the relationship between socioeconomic status and pharmacological adherence in hypertensive patients
Original languageSpanish
JournalBiomedica
Volume40
Issue number2
StatePublished - 2020

Keywords

  • Colombia
  • Hypertension
  • Medication adherence
  • Social class
  • Stress, psychological
  • Treatment adherence and compliance

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

Fingerprint Dive into the research topics of 'Chronic stress as a mediator of the relationship between socioeconomic status and pharmacological adherence in hypertensive patients'. Together they form a unique fingerprint.

  • Cite this