Industry workers with hypertension and diabetes mellitus, the prevalence of self-reported adherence, and disease control
DOI:
https://doi.org/10.1590/s2175-97902022e20153Keywords:
Drug adherence, Hypertension, Diabetes mellitus, Occupational health, workers, BrazilAbstract
To evaluate the prevalence of self-reported drug adherence and factors associated, as well as clinical health outcomes, for industry workers with hypertension (HTN) and diabetes mellitus (DM). This was a cross-sectional study of 137 Brazilian industry workers with HTN and/ or DM. Self-reported adherence was assessed, and the disease control was defined through blood pressure and capillary glycemia values. Data were descriptively analyzed and the factors associated with adherence were evaluated using the Poisson model with robust variance to calculate prevalence ratios. The prevalence of self-reported drug adherence was 79.6% and the prevalence of disease control was 53.8%. There was no statistically significant association between the two variables. In the controlled disease group, non-adherence was associated with being under 40 years of age, not having a partner, and having a risky alcohol consumption habit. In the uncontrolled disease group, adherence was highest for participants aged 40 years and older. The prevalence of self-reported drug adherence was high, but the prevalence of disease control was low and not associated with adherence, indicating that the self-reported adherence measure may be inaccurate. Our findings identify some factors that explain non-adherent behavior in the workforce.
Downloads
References
Bezerra VM, Andrade ACdS, César CC, Caiaffa WT. Unawareness of hypertension and its determinants among ‘quilombolas’ (inhabitants of ‘quilombos’ - hinterland settlements founded by people of African origin) living in Southwest Bahia, Brazil. Cien Saude Colet. 2015;20(3):797-807.
Bosu WK. The prevalence, awareness, and control of hypertension among workers in West Africa: a systematic review. Glob Health Action. 2015;8:26227.
Bulgiba A, Mohammed UY, Chik Z, Lee C, Peramalah, D. How well does self-reported adherence fare compared to therapeutic drug monitoring. Prev Med. 2013;57 Suppl:S34-S36.
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Secretaria de Vigilância em Saúde. Saúde do trabalhador e da trabalhadora. Cadernos de Atenção Básica. 2018. [citad 2019 05 mai]. Disponível em: Disponível em: http://renastonline.ensp.fiocruz.br/recursos/caderno-atencao-basica-41-saude-trabalhador-trabalhadora
Breaux-Shropshire TL, Brown KC, Pryor ER, Maples EH. Prevalence of blood pressure self-monitoring, medication adherence, self-efficacy, stage of change, and blood pressure control among municipal workers with hypertension. Workplace Health Saf. 2012;60(6):265-71.
Breaux-Shropshire TL, Whitt L, Griffin RL, Shropshire AT, Calhoun DA. Characterizing workers participating in a worksite wellness health screening program using blood pressure control, self-monitoring, medication adherence, depression, and exercise. Workplace Health Saf . 2014;62(7):292-300.
Costa CMFN, Silveira MR, Guerra Junior AA, Costa EAII, Acurcio FAII, Guibu IAIII, et al. Utilização de medicamento pelos usuários da atenção primária do Sistema Único de Saúde. Rev Saude Publica. 2017;51(Supl 2):18s.
Cunha JB, Blank VLG, Boing AF. Tendência temporal de afastamento do trabalho em servidores públicos (1995-2005). Rev Bras Epidemiol. 2009;12(2):226-36.
de Oliveira JEP. Diretrizes da Sociedade Brasileira de Diabetes 2017-2018. São Paulo: Editora Clannad. 2017.
DiMatteo MR. Variations in patients’ adherence to medical recommendations: a quantitative review of 50 years of research. Med Care. 2004;42(3):200-9.
Duncan BB, Chor D, Aquino EM, Bensenor IM, Mill JG, Schmidt MI, et al. Chronic non communicable diseases in Brazil: priorities for disease management and research. Rev Saude Publica . 2012;46(Suppl 1):126-34.
Ferreira AP, Grams MT, Erthal RMdC, Girianelli VR, de Oliveira MHB. Revisão da literatura sobre os riscos do ambiente de trabalho quanto às condições laborais e o impacto na saúde do trabalhador. Rev Bras Med Trab. 2018;16(3):360-70.
Flor LS, Wilson S, Bhatt P, Bryant M, Burnett A, Camarda JN. Community-based interventions for detection and management of diabetes and hypertension in underserved communities: a mixed-methods evaluation in Brazil, India, South Africa and the USA. BMJ Global Health. 2020;5(6):e001959.
Garcia LMT, Silva KS, Del Duca GF, da Costa FF, Nahas MV. Sedentary Behaviors, Leisure-Time Physical Inactivity, and Chronic Diseases in Brazilian Workers: A Cross Sectional Study. J Phys Act Health. 2014;11(8):1622-634.
Girotto E, Andrade SMd, Cabrera MAS, Matsuo T. Adesão ao tratamento farmacológico e não farmacológico e fatores associados na atenção primária da hipertensão arterial. Cienc Saude Colet. 2013;18(6):1763-72.
Hallal PC, Victora CG, Wells JCK, Lima RC. Physical inactivity: prevalence and associated variables in Brazilian adults. Med Sci Sports Exerc. 2003;35(11);1894-900.
Instituto Brasileiro de Geografia e Estatística. Pesquisa Nacional de Saúde 2013: percepção do estado de saúde, estilos de vida e doenças crônicas - Brasil, Grandes Regiões e Unidades da Federação. Rio de Janeiro: Instituto Brasileiro de Geografia e Estatística; 2014.
Klein JM, Gonçalves AdGA. A adesão terapêutica em contexto de cuidados de saúde primários. Psico-USF. 2005;10(2):113-20.
Krass I, Schieback P, Dhippayom T. Adherence to diabetes medication: a systematic review. Diabet Med. 2015;32(6):725-37.
Lam WY, Fresco P. Medication Adherence Measures: An Overview. Biomed Res Int. 2015;2015:1-12.
Leite SN, Vasconcellos MdPC. Adesão à terapêutica medicamentosa: elementos para a discussão de conceitos e pressupostos adotados na literatura. Ciênc Saúde Colet. 2003;8(3):775-82.
Lulebo AM, Mutombo PB, Mapatano MA, Mafuta EM, Kayembe PK, Ntumba LT, et al. Predictors of non-adherence to antihypertensive medication in Kinshasa, Democratic Republic of Congo: a cross-sectional study. BMC Res Notes. 2015;8:526.
Manfredini R, De Giorgi A, Tiseo R, Boari B, Cappadona R, Salmi R, et al. Marital status, cardiovascular diseases, and cardiovascular risk factors: a review of the evidence. J Womens Health. 2017;26(6):624-32.
Meiners M, Tavares NUL, Guimaraes LSP, Bertoldi AD, Pizzol TDSD, Luiza VL, et al. Access and adherence to medication among people with diabetes in Brazil: evidences from PNAUM. Rev Bras Epidemiol . 2017;20(3):445-59.
Mengue SS, Bertoldi AD, Ramos LR, Farias MR, Oliveira MA, Tavares NUL, et al. Acesso e uso de medicamentos para hipertensão arterial no Brasil. Rev Saude Publica . 2016;50(supl 2):8s.
Oksanen T, Kawachi I, Kouvonen A, Suzuki E, Takao S, Sjösten N, et al. Workplace social capital and adherence to antihypertensive medication: a cohort study. PLoS One. 2011;6(9):e24732.
Pohl HH, Reckziegel MB, Reuter ÉM, Galliano LM, Coberllini VA, Stein MJ. Perfil de saúde dos trabalhadores do comércio: um estudo relacionado com a aptidão física. Rev Bras Pesq Saúde. 2013;15(1):17-24.
Sabaté E. Adherence to long-term therapies: evidence for action. World Health Organization; 2003.
Santos JAF. Classe social e desigualdade de saúde no Brasil. Rev Bras Cienc Soc. 2011;26(75):27-55.
Selinger CP, Ochieng AO, George V, Leong RW. The Accuracy of Adherence Self-report Scales in Patients on Thiopurines for Inflammatory Bowel Disease: a Comparison With Drug Metabolite Levels and Medication Possession Ratios. Inflamm Bowel Dis. 2019;25(5):919-24.
Sociedade Brasileira de Cardiologia. 7ª Diretriz brasileira de hipertensão arterial. Arq Bras Cardiol. 2016;107(3):1-103.
Soteriades ES, Kales SN, Liarokapis D, Christiani DC. Prospective surveillance of hypertension in firefighters. J Clin Hypertens. 2003;5(5):315-20.
Tavares NUL, Bertoldi AD, Thume E, Facchini LA, de França GVA, Mengue SS. Factors associated with low adherence to medication in older adults. Rev Saude Publica . 2013;47(6):1092-101.
Tavares NUL, Bertoldi AD, Mengue SS, Arrais PSD, Luiza VL, Oliveira MA, et al. Fatores associados à baixa adesão ao tratamento farmacológico de doenças crônicas no Brasil. Rev Saude Publica . 2016a;50(suppl 2):1s-11s.
Tavares NUL, Luiza VL, Oliveira MA, Costa KS, Mengue SS, Arrais PSD, et al. Acesso gratuito a medicamentos para tratamento de doenças crônicas no Brasil. Rev Saude Publica . 2016b;50(suppl 2):1s-10s.
Tizato Feriato K, Lima de Gusmão J, Silva A, dos Santos CA, Pereira RSF, Amendola F. Adesão ao tratamento anti-hipertensivo em trabalhadores de um Hospital Geral. Rev Bras Enferm. 2018;71(4):1895-2.
Worl Health Organization. Workers’ health: global plan of action. Sixtieth World Health Assembly. [citad 2019 05 mai] 2007. Disponível em: Disponível em: https://www.who.int/occupational_health/WHO_health_assembly_en_web.pdf?ua=1
» https://www.who.int/occupational_health/WHO_health_assembly_en_web.pdf?ua=1
World Health Organization. Non communicable diseases. [citad 2019 06 mai]. Disponível em: Disponível em: https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases
» https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases
World Health Organization. Self-help strategies for cutting down or stopping substance use: a guide. 2010. ISSN 9522728594.
Downloads
Published
Issue
Section
License
Copyright (c) 2022 Brazilian Journal of Pharmaceutical Sciences
This work is licensed under a Creative Commons Attribution 4.0 International License.
All content of the journal, except where identified, is licensed under a Creative Commons attribution-type BY.
The on line journal has open and free access.
