{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T11:49:38Z","timestamp":1791460178957,"version":"4.3.4"},"reference-count":39,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,2,14]],"date-time":"2021-02-14T00:00:00Z","timestamp":1613260800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Hypertension"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This study aimed to examine the relationship of adherence with blood pressure (BP) control and its associated factors in hypertensive patients. This cross\u2010sectional nationwide BP screening study was conducted in Malaysia from May to October 2018. Participants with self\u2010declared hypertension completed the Hill\u2010Bone Compliance to High Blood Pressure Therapy Scale (Hill\u2010Bone CHBPTS) which assesses three important domains of patient behavior to hypertension management namely medication taking, appointment keeping and reduced salt intake. Lower scores indicate better compliance while higher scores indicate otherwise. Participant's body mass index and seated BP were measured based on standard measurement protocol. Determinants of adherence to treatment were analyzed using multiple linear regression. Out of 5167 screened subjects, 1705 were known hypertensives. Of these, 927 (54.4%) answered the Hill\u2010Bone CHBPTS and were entered into analysis. The mean age was 59.0\u00a0\u00b1\u00a013.2\u00a0years, 55.6% were female and 42.2% were Malays. The mean Hill\u2010Bone CHBPTS score was 20.4\u00a0\u00b1\u00a04.4 (range 14\u201047), and 52.1% had good adherence. The mean systolic BP and diastolic BP were 136.4\u00a0\u00b1\u00a017.9 and 80.6\u00a0\u00b1\u00a011.6\u00a0mmHg, respectively. BP was controlled in 58.3% of those with good adherence compared to 50.2% in those with poor adherence (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.014). Based on multiple linear regression analysis, female gender (<jats:italic>\u03b2<\/jats:italic>\u00a0=\u00a0\u22120.72, 95% confidence interval [CI] \u22121.30, \u22120.15, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.014), older age (<jats:italic>\u03b2<\/jats:italic>\u00a0=\u00a0\u22120.05, 95% CI \u22120.07, \u22120.03, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.001), and individuals with primary or lower educational level (\u03b2\u00a0=\u00a0\u22120.91, 95% CI \u22121.59, \u22120.23, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.009) had better adherence to BP management. Interventional programs targeted at the less adherent groups are needed in order to improve their adherence and BP control.<\/jats:p>","DOI":"10.1111\/jch.14212","type":"journal-article","created":{"date-parts":[[2021,2,17]],"date-time":"2021-02-17T17:46:19Z","timestamp":1613583979000},"page":"638-645","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Relationship of an adherence score with blood pressure control status among patients with hypertension and their determinants: Findings from a nationwide blood pressure screening program"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1995-0359","authenticated-orcid":false,"given":"Yook Chin","family":"Chia","sequence":"first","affiliation":[{"name":"Department of Medical Sciences School of Medical and Live Sciences Sunway University  Bandar Sunway Selangor Malaysia"},{"name":"Department of Primary Care Medicine Faculty of Medicine University of Malaya  Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9081-2162","authenticated-orcid":false,"given":"Navin Kumar","family":"Devaraj","sequence":"additional","affiliation":[{"name":"Department of Family Medicine Faculty of Medicine and Health Sciences Universiti Putra Malaysia  Serdang Malaysia"},{"name":"Malaysian Research Institute on Ageing Universiti Putra Malaysia  Serdang Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siew Mooi","family":"Ching","sequence":"additional","affiliation":[{"name":"Department of Family Medicine Faculty of Medicine and Health Sciences Universiti Putra Malaysia  Serdang Malaysia"},{"name":"Malaysian Research Institute on Ageing Universiti Putra Malaysia  Serdang Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pei Boon","family":"Ooi","sequence":"additional","affiliation":[{"name":"Department of Medical Sciences School of Medical and Live Sciences Sunway University  Bandar Sunway Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ming Tsuey","family":"Chew","sequence":"additional","affiliation":[{"name":"Department of Medical Sciences School of Medical and Live Sciences Sunway University  Bandar Sunway Selangor Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bee Nah","family":"Chew","sequence":"additional","affiliation":[{"name":"Department of Primary Care Medicine Faculty of Medicine University of Malaya  Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohazmi","family":"Mohamed","sequence":"additional","affiliation":[{"name":"Department of Primary Care Medicine Faculty of Medicine University of Malaya  Kuala Lumpur Malaysia"},{"name":"Student Health Unit University of Malaya  Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hooi Min","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Primary Care Medicine University Malaya Medical Centre  Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hooi Chin","family":"Beh","sequence":"additional","affiliation":[{"name":"Department of Primary Care Medicine University Malaya Medical Centre  Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azli Shahril","family":"Othman","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Cyberjaya  Cyberjaya Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanis Saadah","family":"Husin","sequence":"additional","affiliation":[{"name":"International Medical School Management and Science University  Shah Alam Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdul Hafiz","family":"Mohamad Gani","sequence":"additional","affiliation":[{"name":"Mahmoodiah Government Health Clinic  Johor Bahru Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dalyana","family":"Hamid","sequence":"additional","affiliation":[{"name":"AU2 Keramat Government Health Clinic  Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pei San","family":"Kang","sequence":"additional","affiliation":[{"name":"Gopeng Government Health Clinic  Perak Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chai Li","family":"Tay","sequence":"additional","affiliation":[{"name":"Simpang Government Health Clinic  Perak Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ping Foo","family":"Wong","sequence":"additional","affiliation":[{"name":"Cheras Baru Government Health Clinic  Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haslinda","family":"Hassan","sequence":"additional","affiliation":[{"name":"Puchong Batu 14 Government Health Clinic  Puchong Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,2,14]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)17741-1"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.115.018912"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00128-2"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)60655-8"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6632a3"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jch.13058"},{"key":"e_1_2_10_8_1","unstructured":"Malaysia Ministry of Health.National Health and Morbidity Survey 2015 (NHMS 2015). 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