Abstract：
OBJECTIVE: This study aimed to determine factors associated with changes in adherence to hypertension management (medication adherence and blood pressure control) in respondents with hypertension before and during the COVID-19 pandemic in Bogor city, Indonesia.
METHODS: An observational study was conducted using two sources of data (before and during COVID-19 pandemic). Data before the pandemic were derived from the 2019 Cohort Study of non-communicable disease risk factors. Data during the pandemic were derived from an online survey conducted in September and October 2020. Information from 880 participants were analyzed. The dependent variable was the change in adherence to hypertension management before and during the COVID-19 pandemic. Multivariate analysis was performed using logistic polynomial regression.
RESULTS: Respondents who adhered to hypertension management decreased from 82.0% in 2019 to 47.8% in 2020. The likelihood of non-adherence (respondents who did not adhere to hypertension management both before and during the pandemic) increased in respondents below 55 years old, who did not own any healthcare insurance, who were not obese, and who had no other comorbidities. In the partial adherence group (respondents who did not adhere to hypertension management either before or during the pandemic), we found that most respondents adhered before the pandemic but no longer adhered during the COVID-19 pandemic. We found an increased partial adherence in young and highly educated respondents.
CONCLUSIONS: Efforts to improve adherence to hypertension management after the COVID-19 pandemic should target those who were young, highly educated, who did not have any healthcare insurance, and who did not perceive themselves as not having comorbidities.
METHODS: An observational study was conducted using two sources of data (before and during COVID-19 pandemic). Data before the pandemic were derived from the 2019 Cohort Study of non-communicable disease risk factors. Data during the pandemic were derived from an online survey conducted in September and October 2020. Information from 880 participants were analyzed. The dependent variable was the change in adherence to hypertension management before and during the COVID-19 pandemic. Multivariate analysis was performed using logistic polynomial regression.
RESULTS: Respondents who adhered to hypertension management decreased from 82.0% in 2019 to 47.8% in 2020. The likelihood of non-adherence (respondents who did not adhere to hypertension management both before and during the pandemic) increased in respondents below 55 years old, who did not own any healthcare insurance, who were not obese, and who had no other comorbidities. In the partial adherence group (respondents who did not adhere to hypertension management either before or during the pandemic), we found that most respondents adhered before the pandemic but no longer adhered during the COVID-19 pandemic. We found an increased partial adherence in young and highly educated respondents.
CONCLUSIONS: Efforts to improve adherence to hypertension management after the COVID-19 pandemic should target those who were young, highly educated, who did not have any healthcare insurance, and who did not perceive themselves as not having comorbidities.
摘要：
目的：这项研究旨在确定在茂物市COVID-19大流行之前和期间，高血压患者对高血压管理的依从性（药物依从性和血压控制）变化的相关因素，印度尼西亚。
方法：一项观察性研究使用两个数据来源（在COVID-19大流行之前和期间）进行。大流行前的数据来自2019年非传染性疾病危险因素队列研究。大流行期间的数据来自2020年9月和10月进行的在线调查。对880名参与者的信息进行了分析。因变量是COVID-19大流行之前和期间对高血压管理依从性的变化。采用Logistic多项式回归进行多因素分析。
结果：坚持高血压管理的受访者从2019年的82.0%下降到2020年的47.8%。55岁以下的受访者出现不依从（在大流行之前和期间均未坚持高血压管理的受访者）的可能性增加，他们没有任何医疗保险，没有肥胖的人，没有其他合并症的人。在部分依从性组中（在大流行之前或期间未坚持高血压管理的受访者），我们发现，大多数受访者在大流行之前坚持，但在COVID-19大流行期间不再坚持。我们发现年轻和受过高等教育的受访者的部分依从性增加。
结论：努力改善COVID-19大流行后对高血压管理的依从性，受过高等教育,他们没有任何医疗保险，他们不认为自己没有合并症。
方法：一项观察性研究使用两个数据来源（在COVID-19大流行之前和期间）进行。大流行前的数据来自2019年非传染性疾病危险因素队列研究。大流行期间的数据来自2020年9月和10月进行的在线调查。对880名参与者的信息进行了分析。因变量是COVID-19大流行之前和期间对高血压管理依从性的变化。采用Logistic多项式回归进行多因素分析。
结果：坚持高血压管理的受访者从2019年的82.0%下降到2020年的47.8%。55岁以下的受访者出现不依从（在大流行之前和期间均未坚持高血压管理的受访者）的可能性增加，他们没有任何医疗保险，没有肥胖的人，没有其他合并症的人。在部分依从性组中（在大流行之前或期间未坚持高血压管理的受访者），我们发现，大多数受访者在大流行之前坚持，但在COVID-19大流行期间不再坚持。我们发现年轻和受过高等教育的受访者的部分依从性增加。
结论：努力改善COVID-19大流行后对高血压管理的依从性，受过高等教育,他们没有任何医疗保险，他们不认为自己没有合并症。
