Perceived Family Support and Medication Adherence Among Hypertensive Patients in Rivers State, Nigeria

Authors

  • Janny Ikurayake Department of Family Medicine, Rivers State University /Rivers State University Teaching Hospital Port Harcourt.
  • Nnenna Nwanze Department of Family Medicine, Rivers State University /Rivers State University Teaching Hospital Port Harcourt. https://orcid.org/0009-0002-8411-6299
  • Simon Sylvester Uriah Department of Family Medicine, Rivers State University /Rivers State University Teaching Hospital Port Harcourt.
  • Chinwe Tonye Atata Department of Family Medicine, Rivers State University /Rivers State University Teaching Hospital Port Harcourt.
  • Paul Owajionyi Dienye Department of Family Medicine, Rivers State University /Rivers State University Teaching Hospital Port Harcourt.

DOI:

https://doi.org/10.71637/tnhj.v25i2.1075

Keywords:

Perceived family support, medication adherence, hypertension, MMAS-8 (Morisky Medication Adherence Scale), PSS-Fa (Perceived Social Support–Family)

Abstract

Background: Hypertension is a major public health problem worldwide. As a chronic condition posing a major health challenge to the adult population, poor medication adherence has been shown to cause uncontrolled blood pressure and poor treatment outcomes.  This study assessed the perceived family support and medication adherence among hypertensive patients at a Tertiary Centre in Rivers State.

Method: This was a cross-sectional design conducted among 414 adult hypertensive patients using a simple random sampling technique. Data were collected using an interviewer-administered questionnaire. Eligible participants were adult aged 18 years and above and who were on antihypertensive medications, were recruited for the study, while critically ill patients were excluded.  Chi-square test was used to assess the association between categorical variables.

Results:  The mean age of participants was 57.68 ± 12.0 years. Females made up the majority of participants (65.7%). Only 33.6% of the participants were adherent to their medications. Perceived family support was rated as strong in 97% of the participants and weak in 3%. A statistically significant association was found between perceived family support and medication adherence (p = 0.0409).          

Conclusion: Medication adherence was low despite the reported presence of strong family support.  A significant association was observed between perceived family support and medication adherence. Healthcare providers, therefore, should leverage this support system by encouraging active family involvement in patient care.

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References

1.Alsolami, F, Hou, XY, Correa-Velez, I. Factors affecting antihypertensive medication adherence among hypertensive patients in Saudi Arabia. American Journal of Medical and Medical Sciences.2015; 5(4): 181–189. https://doi.org/10.5923/j.ajmms.20150504.07

2.Nagarkar AM, Gadhave SA, Sharma I, Choure A, Morisky DE. Factors Influencing Medication Adherence among Hypertensives in a Tertiary Care Hospital, Pune, Maharashtra. National Journal of Community Medicine. 2013;4(4):559-63.

3.World Health Organization. Global report on hypertension: the race against a silent killer. Geneva, Switzerland: World Health Organization; 2023, p. 1–276.

4.Kario K, Okura A, Hoshide S, Mogi M. The WHO Global report 2023 on hypertension warning the emerging hypertension burden in globe and its treatment strategy. Hypertension Research. 2024; 47(5):1099-102.

5.Adeloye D, Basquill C, Aderemi AV, Thompson JY, Obi FA. An estimate of the prevalence of hypertension in Nigeria: a systematic review and meta-analysis. Journal of hypertension. 2015;33: 230–242.

6.Akinlua JT, Meakin R, Umar AM, Freemantle N. Current prevalence pattern of hypertension in Nigeria: A systematic review. PloS one. 2015; 10(10): 0140021.

7.AlHewiti A. Adherence to Long‐term therapies and beliefs about medications. International journal of family medicine. 2014; 2014(1):479596.

8.Gupta R, Gupta S. Hypertension in India: Trends in prevalence, awareness, treatment and control. RUHS Journal of Health Sciences. 2017; 2(1):40-6.

9.Shen Y, Peng X, Wang M, et al. Family member-based supervision of patients with hypertension: a cluster randomized trial in rural China. Journal of human hypertension. 2017; 31(1):29-36.

10.Ojo OS, Malomo SO, Sogunle PT. Blood pressure (BP) control and perceived family support in patients with essential hypertension seen at a primary care clinic in Western Nigeria. Journal of family medicine and primary care. 2016; 5(3):569-75.

11.Sheilini M, Hande HM, George A. Family support and medication nonadherence among elderly on antihypertensives. Indian Journal of Public Health Research & Development. 2019; 10(4):294-298.

12.Olusegun EG, Oluwaserimi AA, Olabode MS, et al. Influence of Family Dynamics on Medication Adherence among Hypertensive Patients in a Tertiary Hospital in South-West Nigeria. Journal of Medical science and Clinical research. 2017; 5(7):25146-55.

13.Olowookere AJ, Olowookere SA, Talabi AO, Etonyeaku AC, Adeleke OE, Akinboboye OO. Perceived family support and factors influencing medication adherence among hypertensive patients attending a Nigerian tertiary hospital. Annals of Tropical Medicine and Public Health. 2015; 8(6):241-245.

14.Alabi AO, Otoru O, Uvomata AO, Adekanye OS, Ojebode TO. Family support and blood pressure pattern in adult patients attending Baptist Medical Centre, Saki. Nigerian Journal of Family Practice. 2015; 6(2):27-34.

15.Kurniawati ND, Wahyuni ED, Toulasik YA. Family Support Improves Hypertensive Patient Drug Compliance. Indian Journal of Public Health Research & Development. 2019; 10(8):2660-2665.

16.Ekundayo OO, Elegbede OT, Gabriel-Alayode OE, et al. Role of perceived spousal social support in medication adherence among hypertensive patients attending family medicine clinic in federal teaching hospital, ido-ekiti, Nigeria. Archives of Clinical hypertension. 2020; 6(2):205-12.

17.Hu HH, Li G, Arao T. The association of family social support, depression, anxiety and self-efficacy with specific hypertension self-care behaviours in Chinese local community. Journal of human hypertension. 2015; 29(3):198-203.

18.Padhy M, Lalnuntluangi R, Chelli K, Padiri RA. Social support and adherence among hypertensive patients. Amity Journal of Healthcare Management.2016; 1(1):33-40.

19.Araoye MO. Sample Size Determination. In: Araoye MO, (ed) Research Methodology with Statistics for Health and Social Sciences. Ilorin: Nathadex Publishers; 2004:115-120.

20.Iloh GUP, Ofoedu JN, Njoku PU, Amadi AN, Godswill-Uko EU. Medication adherence and blood pressure control amongst adults with primary hypertension attending a tertiary hospital primary care clinic in Eastern Nigeria. African Journal of Primary Health Care and Family Medicine. 2013; 5(1):446-452.

21.Morisky DE, Ang A, Krousel-Wood M, Ward HJ. Predictive validity of a medication adherence measure in an outpatient setting. The journal of clinical hypertension. 2008; 10:348–354.

22.Basu S, Garg S, Sharma N, Singh MM. Improving the assessment of medication adherence: challenges and considerations with a focus on low-resource settings. Tzu Chi Medical Journal. 2019; 31(2):73-80.

23.Bagonza J, Rutebemberwa E, Bazeyo W. Adherence to anti diabetic medication among patients with diabetes in eastern Uganda; a cross-sectional study. BMC health services research. 2015; 15(1);1-7.

24.Tan X, Patel I, Chang J. Review of the four item Morisky Medication Adherence Scale (MMAS-4) and eight item Morisky Medication Adherence Scale (MMAS-8). Innovations in Pharmacy. 2014; 5(3):165.

25.Alkhamis AM, Alsalman AJ, Al Khamis M, Alkhamis A, Alotaibi NM. Prevalence of Nonadherence to Antihypertensive Medications among Adults Attending Primary Healthcare Clinics in Al-Hasa Region: A Cross-Sectional Study. Dr. Sulaiman Al Habib Medical Journal. 2019; 1(2):36-43.

26.Bolarinwa OA, Bamgbola OA, Sanya EO, Kolo P, Ameen HA, Durowade KA, Uthman MM, Ogunmodede JA, Buliaminu SA, Odeigah LO, Akande TM. Pattern and explanatory factors for medication adherence among patients with hypertension, diabetes mellitus and their comorbidity in a North Central State of Nigeria. International Journal of Public Health and Clinical Sciences. 2017 Aug 11;4(4):126-41.

27.Procidano ME, Heller K. Measures of perceived social support from friends and from family: three validation studies. American journal of community psychology. 1983; 11(1):1-24.

28.Daniel DA, Yohanna S. The effect of perceived family support on medication adherence and blood pressure control among hypertensive patients at the general outpatient clinic of Federal Medical centre, Makurdi. Nigeria. Benue Journal of Medicine. 2020; 11(1):27-33.

29.Religioni U, Barrios-Rodríguez R, Requena P, Borowska M, Ostrowski J. Enhancing Therapy Adherence: Impact on Clinical Outcomes, Healthcare Costs, and Patient Quality of Life. Medicina. 2025; 61(1):153. https://doi.org/10.3390/medicina61010153

30.Oluwole EO, Osibogun O, Adegoke O, Adejimi AA, Adewole AM, Osibogun A. Medication adherence and patient satisfaction among hypertensive patients attending outpatient clinic in Lagos University Teaching Hospital, Nigeria. Nigerian Postgraduate Medical Journal. 2019;26(2):129-37.

31.Mistry N, Keepanasseril A, Wilczynski NL, Nieuwlaat R, Ravall M, Haynes RB, Patient Adherence Review Team. Technology-mediated interventions for enhancing medication adherence. Journal of the American Medical Informatics Association. 2015; (1):177-93.

32.Ajayi DT, Adedokun BO, Owoeye DO, Akpa OM. Treatment satisfaction and medication adherence among hypertensive patients seeking care in selected hospitals in Ibadan, Nigeria. Archives of basic and applied medicine.2018; 6:67-72.

33.Boima V, Ademola AD, Odusola AO, Agyekum F, Nwafor CE, Cole H, Salako BL, Ogedegbe G, Tayo BO. Factors associated with medication nonadherence among hypertensives in Ghana and Nigeria. International journal of hypertension. 2015;2015(1):205716..

34.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 research notes 2015; 8(1):1-8.

35.Akintunde AA, Akintunde T S. Antihypertensive Medications Adherence among Nigerian Hypertensive Subjects in a Specialist Clinic Compared to a General Outpatient Clinic. Annals of medical and health sciences research. Annals of medical and health sciences research. 2015; 5(3):173–178.

36.Pauline EO. Social support and management of hypertension in South-West Nigeria. Cardiovascular journal of Africa. 2015; 26:29-33.

37.Ebereonwu C. Evaluating Nigeria using Geert Hofstede’s six-dimension of culture. Business Day. 2021 Jun;10.

38.Xiong S, Peoples N, Østbye T, et al. Family support and medication adherence among residents with hypertension in informal settlements of Nairobi, Kenya: a mixed-method study. Journal of human hypertension. 2022; (1):1-6.

39.Spikes T, Higgins M, Quyyumi A, Reilly C, Pemu P, Dunbar S. The Relationship Among Health Beliefs, Depressive Symptoms, Medication Adherence, and Social Support in African Americans with Hypertension. Journal of human hypertension. 2019;34(1):44-51.

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Published

2025-07-03

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Section

Original Articles

How to Cite

Perceived Family Support and Medication Adherence Among Hypertensive Patients in Rivers State, Nigeria. (2025). The Nigerian Health Journal, 25(2), 716-724. https://doi.org/10.71637/tnhj.v25i2.1075

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