Disease belief, medication belief and adherence to treatment in patients with high blood pressure




Jazmín Suárez-Argüello, Unidad de Investigación Epidemiológica y en Servicios de Salud Querétaro, Instituto Mexicano del Seguro Social (IMSS); Residencia de Medicina Familiar, Unidad de Medicina Familiar No. 9 Querétaro, IMSS; Querétaro, México
Leticia Blanco-Castillo, Servicio de Educación e Investigación, Unidad de Medicina Familiar No. 9 Querétaro, IMSS, Querétaro, México
José A. Perea-Rangel, Unidad de Medicina Familiar No. 11 Querétaro, IMSS. Querétaro, México
Enrique Villarreal-Ríos, Unidad de Investigación Epidemiológica y en Servicios de Salud Querétaro, Instituto Mexicano del Seguro Social, Querétaro de Arteaga, Qro., México
Emma R. Vargas-Daza, Unidad de Investigación Epidemiológica y en Servicios de Salud Querétaro, Instituto Mexicano del Seguro Social (IMSS), Querétaro, México
Liliana Galicia-Rodríguez, Unidad de Investigación Epidemiológica y en Servicios de Salud Querétaro, Instituto Mexicano del Seguro Social (IMSS), Querétaro, México
Lidia Martínez-González, Unidad de Investigación Epidemiológica y en Servicios de Salud Querétaro, Instituto Mexicano del Seguro Social (IMSS), Querétaro, México


Objective: Compare disease beliefs and medication beliefs with adherence to treatment in patients with hypertension without diabetes mellitus. Method: Comparative transverse design in hypertensive population, a group of 137 adherent patients and a group of 129 non-adherent patients. The beliefs of the disease and beliefs about the medication were evaluated. The statistical analysis included chi squared, odds ratio and confidence interval for odds ratio. Results: In the group of adherent patients, 71.5% have an adequate belief of the disease and in the group of non-adherent patients, 43.4% also have an adequate belief of the disease (p = 0.000). When the belief of the disease and beliefs about the medication are grouped, there is an association with adherence to treatment in hypertensive patients. Conclusions: There is an association between beliefs about the disease and medication with adherence to antihypertensive treatment.



Keywords: Arterial hypertension. Adherence. Perception. Beliefs.