Relationship of Health Belief Model with Medication Adherence and Risk Factor Prevention in Hypertension Patients in Cimahi City, Indonesia

Background: Medical adherence is critical to hypertension treatment. Medication non-adherence is one of the problems affecting hypertensive patients. Belief in health treatment is very important to support adherence behavior, especially in hypertension.  Aim: The present research aimed to determine the relationship of the health belief model with medical adherence and risk factor prevention in hypertension patients. Method: This cross-sectional study was conducted on patients referring to health centers in Cimahi City, Indonesia, in ۲۰۲۰. A total of ۱۸۰ patients were selected via the purposive sampling method. The instrument used to measure medical treatment adherence and risk factor prevention was the Hill-Bone Compliance to High Blood Pressure Therapy Scale. The data were analyzed in SPSS Software using the Chi-square test and Logistic regression test. Results: The majority of participants were female (۸۸.۹%), unemployed (۷۶.۷%), within the age range of ۴۰-۵۹ years (۶۰.۰%), and had low education (۷۵.۰%). Moreover, most cases had health insurance (۹۱.۷%), with a maximum duration of hypertension less than ۵ years (۷۰.۶%), and a body mass index (BMI) between ۱۸.۵-۲۵.۰ (۴۵%). The health belief model was related to adherence to hypertension treatment (P<۰.۰۵); nonetheless, in the multivariate model, the perceived benefit had no significant relationship when entering into the regression model. Implications for Practice: To improve medication adherence and risk factor prevention in hypertensive patients, it is necessary to strengthen the health belief model with continuous and ongoing education about hypertension. 

کلیدواژه ها:

Health belief model ، Hypertension ، Medical adherence