Determinantes sociales de la adherencia terapéutica de adultos mayores hipertensos atendidos en el Subcentro de salud de la parroquia El Vecino, Cuenca – Ecuador, 2015

Abstract

Introduction: Adherence to antihypertensive treatment is an important aspect to consider in order to have an adequate control of the disease, to reduce morbidity and mortality in health Objective: To characterize the relationship between social determinants and adherence of elderly hypertensive patients treated at the Health Subcentro Parish "The Neighbor" Cuenca - Ecuador, 2015. Material and Methods: A quantitative, analytical and cross-sectional study was performed in 83 older adults with hypertension who attended the Health Subcentro parish "El Vecino", Cuenca - Ecuador. An instrument of data collection was applied to explore the sociodemographic characteristics and social determinants. Bonilla's test was used to determine the adherence in patients and to assess the family functionalism was used the FFSIL test. The variables were expressed in absolute and relative frequencies. The chi square test and the odds ratio (OR) was used to determine associations. Results: Of the 83 older adults studied, 32.5% were male and 67.5% were male. 45.8% had an age of 65 to 74 years and 54.2% of 75 years and over. 73.5% of the patients had therapeutic adherence. Which was associated with the educational level (primary education), type of nucleus of coexistence (living with spouse) and functional family (functional family). Social determinants that were favorable for adherence were mental health hygiene (OR = 5.07) and access to health services (OR = 5.64).

Conclusions: The social determinants of mental health and access to health services show a significant influence on adherence in the patients of the El Vecino parish. Likewise, adherence is reduced with family dysfunction, living alone and having a low educational level