{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:30:52Z","timestamp":1753893052103,"version":"3.41.2"},"reference-count":64,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,3,24]],"date-time":"2025-03-24T00:00:00Z","timestamp":1742774400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Background\/objectives<\/jats:title><jats:p>One of the major challenges in managing hypertension is non-adherence to treatment recommendations. This issue poses a significant barrier to effectively controlling blood pressure and preventing related cardiovascular complications. The main objective of this study was to demonstrate the level of adherence to therapeutic recommendations by hypertensive patients, and to determine how socio-demographic and medical variables affect adherence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study was conducted among 205 patients with diagnosed hypertension hospitalized in the West Pomeranian Voivodeship. The study used a diagnostic survey method, a survey technique, and a self-administered questionnaire and the Adherence to Refills and Medication Scale.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The overall score for the ARMS questionnaire was 24.32, which is 2.03 points per question and indicates that adherence to therapeutic recommendations among the hypertensive patients surveyed was at a good level. Based on the collected data, it was shown that the older the age, the worse the adherence was. In addition, urban residents adhered to therapeutic recommendations less frequently than other respondents.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Patients with diabetes were more likely to be non-compliant than patients without diabetes. And respondents with diagnosed CHF were more likely to adhere to recommendations than other respondents. Age, occupational activity and place of residence influenced adherence to treatment recommendations among hypertensive patients surveyed.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2025.1536430","type":"journal-article","created":{"date-parts":[[2025,3,24]],"date-time":"2025-03-24T05:36:39Z","timestamp":1742794599000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors influencing self-report adherence to treatment in a sample of patients with hypertension in the west Pomeranian Voivodeship of Poland"],"prefix":"10.3389","volume":"13","author":[{"given":"Izabela","family":"Cerzniewska","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edyta","family":"Gierycz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kamila","family":"Rachubi\u0144ska","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daria","family":"Schneider-Matyka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ireneusz","family":"Walaszek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dorota","family":"\u0106wiek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Przemys\u0142aw","family":"Ustianowski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"El\u017cbieta","family":"Grochans","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna Maria","family":"Cybulska","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,3,24]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1007\/978-3-319-40010-5_9","article-title":"Cardiovascular Aging","volume-title":"Integrative cardiology","author":"Galiuto","year":"2017"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"2361","DOI":"10.1016\/j.jacc.2022.11.005","article-title":"The global burden of cardiovascular diseases and risk: a compass for future health","volume":"80","author":"Vaduganathan","year":"2022","journal-title":"J Am Coll Cardiol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"957","DOI":"10.1016\/S0140-6736(21)01330-1","article-title":"Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: a pooled analysis of 1201 population-representative studies with 104 million participants","volume":"398","year":"2021","journal-title":"Lancet"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"2627","DOI":"10.1016\/S0140-6736(17)32129-3","article-title":"Worldwide trends in body-mass index, under-weight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128.9 million children, adolescents, and adults","volume":"390","year":"2017","journal-title":"Lancet"},{"year":"2021","key":"ref5","article-title":"Nadci\u015bnienie t\u0119tnicze"},{"key":"ref6","article-title":"Guidelines of national consultants in family medicine, hypertensiology, and cardiology for the care of the patient with hypertension","author":"Konarska","year":"2023","journal-title":"PTMR Guidelines POZ Physician Termedia"},{"key":"ref7","first-page":"141","article-title":"Rozpowszechnienie nadci\u015bnienia t\u0119tniczego na \u015bwiecie i w Polsce","volume":"5","author":"Baszczuk","year":"2014","journal-title":"Forum Zaburze\u0144 Metabolicznych"},{"key":"ref8","first-page":"1031","article-title":"Przegl\u0105d polskich bada\u0144 epidemiologicznych w kardiologii","volume":"64","author":"Podolec","year":"2006","journal-title":"Kardiol Pol"},{"key":"ref9","first-page":"155","article-title":"Rozpowszechnienie, \u015bwiadomo\u015b\u0107 i skuteczno\u015b\u0107 leczenia nadci\u015bnienia t\u0119tniczego u os\u00f3b powy\u017cej 65. roku \u017cycia w Polsce","volume-title":"PolSenior. Aspekty medyczne, psychologiczne, socjologiczne i ekonomiczne starzenia si\u0119 ludzi w Polsce","author":"Zdrojewski","year":"2012"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"D97","DOI":"10.1093\/eurheartj\/suz067","article-title":"Do we know more about hypertension in Poland after the may measurement month 2017?\u2014Europe","volume":"21","author":"Ma\u0142yszko","year":"2019","journal-title":"Eur Heart J Suppl"},{"year":"2019","key":"ref11","first-page":"71"},{"year":"2021","key":"ref12","article-title":"Guideline for the pharmacological treatment of hypertension in adults [Internet]. Geneva: World Health Organization"},{"key":"ref13","first-page":"1","article-title":"Position statement of the polish Society of Hypertension and the polish Society of Lifestyle Medicine on sports and sexual activity in patients with hypertension","volume":"9","author":"Doroszko","year":"2023","journal-title":"Hypertension in Practice"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"882","DOI":"10.1016\/j.amjmed.2011.12.013","article-title":"Adherence to drugs that prevent cardiovascular disease: meta-analysis on 376,162 patients","volume":"125","author":"Naderi","year":"2012","journal-title":"Am J Med"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"2749","DOI":"10.2147\/PPA.S368784","article-title":"A critical review of medication adherence in hypertension: barriers and facilitators clinicians should consider","volume":"16","author":"Hamrahian","year":"2022","journal-title":"Patient Prefer Adherence"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"196","DOI":"10.3109\/08037051.2011.557902","article-title":"Cardiovascular consequences of poor compliance to antihypertensive therapy","volume":"20","author":"Grassi","year":"2011","journal-title":"Blood Press"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1111\/j.1742-1241.2010.02569.x","article-title":"Effects on blood pressure and cardiovascular risk of variations in patients' adherence to prescribed antihypertensive drugs: role of duration of drug action","volume":"65","author":"Lowy","year":"2011","journal-title":"Int J Clin Pract"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1111\/j.1742-1241.2010.02616.x","article-title":"Impact of prolonged antihypertensive duration of action on predicted clinical outcomes in imperfectly adherent patients: comparison of aliskiren, irbesartan and ramipril","volume":"65","author":"Burnier","year":"2011","journal-title":"Int J Clin Pract"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"303","DOI":"10.1186\/s12875-022-01918-1","article-title":"Perception of risk of hypertension-related complications and adherence to antihypertensive drugs: a primary healthcare-based cross-sectional study","volume":"23","author":"Shiraly","year":"2022","journal-title":"BMC Prim Care"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.29333\/ejgm\/12946","article-title":"The rate of medication non-adherence and influencing factors: a systematic review","volume":"20","author":"Aljofan","year":"2023","journal-title":"Electron J Gen Med"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"2661","DOI":"10.2147\/PPA.S185305","article-title":"Psychometric evaluation of the polish version of the adherence to refills and medications scale (ARMS) in adults with hypertension","volume":"12","author":"Lomper","year":"2018","journal-title":"Patient Prefer Adherence"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"e32137","DOI":"10.1097\/MD.0000000000032137","article-title":"Adherence to hypertension and dyslipidemia treatment and its implication on control of cardiovascular disease in Vietnam: a semi-systematic review","volume":"101","author":"Hung","year":"2022","journal-title":"Medicine"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3389\/fphar.2017.00100","article-title":"Current situation of medication adherence in hypertension","volume":"8","author":"Vrijens","year":"2017","journal-title":"Front Pharmacol"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"2346","DOI":"10.1097\/HJH.0000000000001502","article-title":"Medication adherence among patients with apparent treatment-resistant hypertension: systematic review and meta-analysis","volume":"35","author":"Durand","year":"2017","journal-title":"J Hypertens"},{"key":"ref25","first-page":"137","article-title":"Hypertension in the elderly - principles of management forum of metabolic disorders","author":"Skrypnik","year":"2015"},{"volume-title":"Behavioral medicine: A guide for clinical practice","year":"2014","author":"Feldman","key":"ref26"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"2437","DOI":"10.2147\/PPA.S117269","article-title":"Relationship between patients' knowledge and medication adherence among patients with hypertension","volume":"10","author":"Jankowska-Pola\u0144ska","year":"2016","journal-title":"Patient Prefer Adherence"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.3390\/medicina55110715","article-title":"Urt\u0101ne a.I knowledge about disease, medication therapy, and related medication adherence levels among patients with hypertension","volume":"55","author":"Gavrilova","year":"2019","journal-title":"Medicina"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"6789","DOI":"10.3390\/ijerph17186789","article-title":"Acceptance of illness and compliance with therapeutic recommendations in patients with hypertension","volume":"17","author":"Pluta","year":"2020","journal-title":"Int J Environ Res Public Health"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"e24654","DOI":"10.1097\/MD.0000000000024654","article-title":"Non-adherence to hypotensive medication in patients with uncontrolled hypertension: a retrospective study","volume":"100","author":"Kulkarni","year":"2021","journal-title":"Medicine"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"1113","DOI":"10.1161\/HYPERTENSIONAHA.116.08729","article-title":"Risk factors for nonadherence to antihypertensive treatment","volume":"69","author":"Gupta","year":"2017","journal-title":"Hypertension"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"47","DOI":"10.2147\/CEOR.S15619","article-title":"Adherence to antihypertensive medications and health outcomes among newly treated hypertensive patients","volume":"3","author":"Degli Esposti","year":"2011","journal-title":"Clinicoecon Outcomes Res"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"206","DOI":"10.1016\/j.jval.2014.12.013","article-title":"Predictors of self-reported adherence to antihypertensive medicines: a multinational, cross-sectional survey","volume":"18","author":"Morrison","year":"2015","journal-title":"Value Heal"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"371","DOI":"10.1016\/j.pec.2008.06.016","article-title":"Exploring the impact of depressive symptoms and medication beliefs on medication adherence in hypertension-a primary care study","volume":"73","author":"Maguire","year":"2008","journal-title":"Patient Educ Couns"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"982","DOI":"10.1097\/HJH.0000000000002453","article-title":"International Society of Hypertension global hypertension practice guidelines","volume":"38","author":"Unger","year":"2020","journal-title":"J Hypertens"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"559","DOI":"10.1177\/1474515115626878","article-title":"Impact of disease acceptance on adherence to pharmacological and non-pharmacological therapy in patients with hypertension","volume":"15","author":"Jankowska-Polanska","year":"2016","journal-title":"EJCN"},{"key":"ref37","first-page":"25","article-title":"Prevalence and consequences of non-adherence to therapeutic recommendations","volume-title":"Non-adherence to therapeutic recommendations","author":"Kardas","year":"2015"},{"key":"ref38","first-page":"151","article-title":"Adherence and compliance in the treatment of hypertension","volume":"18","author":"Rycombel","year":"2014","journal-title":"Hypertension"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"118","DOI":"10.1111\/j.1524-4733.2008.00400.x","article-title":"Development and evaluation of the adherence to refills and medications scale (ARMS) among low-literacy patients with chronic disease","volume":"12","author":"Kripalani","year":"2009","journal-title":"Value Health"},{"key":"ref40","first-page":"377","article-title":"Medication adherence in hypertensive patients of different cardiovascular risk treated in primary health care","volume":"70","author":"Wilinski","year":"2013","journal-title":"Przegl Lek"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"325","DOI":"10.1186\/1471-2458-11-325","article-title":"Implementing a hypertension management programme in a rural area: local approaches and experiences from Ba-vi district","volume":"11","author":"Nguyen","year":"2011","journal-title":"Vietnam BMC Public Health"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"e62775","DOI":"10.1371\/journal.pone.0062775","article-title":"Determinants of medication adherence to antihypertensive medications among a Chinese population using Morisky medication adherence scale","volume":"8","author":"Lee","year":"2013","journal-title":"PLoS One"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"392","DOI":"10.1016\/j.ijcard.2007.04.114","article-title":"Antihypertensive drug medication adherence and its affecting factors in South Korea","volume":"128","author":"Park","year":"2008","journal-title":"Int J Cardiol"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"613","DOI":"10.2147\/PPA.S34704","article-title":"Medication adherence among hypertensive patients of primary health clinics in Malaysia","volume":"6","author":"Ramli","year":"2012","journal-title":"Patient Prefer Adherence"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"2461","DOI":"10.1001\/jama.2018.19271","article-title":"Interventions to improve medication adherence: a review","volume":"320","author":"Kini","year":"2018","journal-title":"JAMA"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"n1493","DOI":"10.1136\/bmj.n1493","article-title":"Medication adherence in cardiovascular medicine","volume":"374","author":"Simon","year":"2021","journal-title":"BMJ"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"304","DOI":"10.4065\/mcp.2010.0575","article-title":"Medication adherence: who cares?","volume":"86","author":"Brown","year":"2011","journal-title":"Mayo Clin Proc"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"e29303","DOI":"10.1016\/j.heliyon.2024.e29303","article-title":"Knowledge and acceptance associated with medication adherence among hypertension individuals in Aceh province, Indonesia","volume":"10","author":"Andala","year":"2024","journal-title":"Heliyon"},{"key":"ref49","doi-asserted-by":"publisher","first-page":"1606","DOI":"10.18203\/2319-2003.ijbcp20162480","article-title":"Assessment of medication adherence among hypertensive patients: a cross-sectional study","volume":"5","author":"Bhusal","year":"2016","journal-title":"Int J Basic Clin Pharmacol"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"64","DOI":"10.37107\/jhas.59","article-title":"Medication adherence and blood pressure control among hypertensive patients of Pokhara Valley","volume":"3","author":"Khan","year":"2013","journal-title":"J Heal Allied Sci"},{"key":"ref51","doi-asserted-by":"publisher","first-page":"433","DOI":"10.1016\/j.acvd.2019.11.009","article-title":"Poor adherence to medication and salt restriction as a barrier to reaching blood pressure control in patients with hypertension: cross-sectional study from 12 sub-Saharan countries","volume":"113","author":"Macquart de Terline","year":"2020","journal-title":"Arch Cardiovasc Dis"},{"key":"ref52","doi-asserted-by":"publisher","first-page":"264","DOI":"10.1080\/10641963.2016.1247164","article-title":"Self-reported adherence to therapeutic regimens among patients with hypertension","volume":"39","author":"Al-Daken","year":"2017","journal-title":"Clin Exp Hypertens"},{"key":"ref53","doi-asserted-by":"publisher","first-page":"486","DOI":"10.1007\/s11096-021-01236-z","article-title":"Prevalence of non-adherence to antihypertensive medication in Asia: a systematic review and meta-analysis","volume":"43","author":"Mahmood","year":"2021","journal-title":"Int J Clin Pharm"},{"key":"ref54","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1007\/s12646-014-0291-5","article-title":"Doctor-patient communication: impact on adherence and prognosis among patients with primary hypertension","volume":"60","author":"Swain","year":"2015","journal-title":"Psychol Stud"},{"key":"ref55","doi-asserted-by":"publisher","first-page":"517","DOI":"10.1007\/s40615-018-00550-z","article-title":"Association between health literacy and medication adherence among Hispanics with hypertension","volume":"6","author":"Lor","year":"2019","journal-title":"J Racial Ethn Health Disparities"},{"key":"ref56","doi-asserted-by":"publisher","first-page":"21336","DOI":"10.1038\/s41598-024-70710-1","article-title":"Non-adherence to appointment follow-up and its associated factors among hypertensive patients in follow-up clinics in South Gondar hospitals","volume":"14","author":"Yirga","year":"2024","journal-title":"Sci Rep"},{"key":"ref57","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1016\/j.pec.2010.04.030","article-title":"Association of age, health literacy, and medication management strategies with cardiovascular medication adherence","volume":"81","author":"Kripalani","year":"2010","journal-title":"Patient Educ Couns"},{"key":"ref58","doi-asserted-by":"publisher","first-page":"893","DOI":"10.2147\/PPA.S457026","article-title":"Factors affecting the level of adherence to hypertension medications: a cross-sectional study using the hill-bone questionnaire","volume":"18","author":"Farah","year":"2024","journal-title":"Patient Preferred Adherence"},{"key":"ref59","doi-asserted-by":"publisher","first-page":"e0002774","DOI":"10.1371\/journal.pgph.0002774","article-title":"Non-adherence to antihypertensive drugs and its risk factors among hypertensive patients, Marrakech, Morocco","volume":"4","author":"Belayachi","year":"2024","journal-title":"PLOS Glob Public Health"},{"key":"ref60","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1186\/s12872-023-03117-x","article-title":"Impact of health literacy and social support on medication adherence in patients with hypertension: a cross-sectional community-based study","volume":"23","author":"Guo","year":"2023","journal-title":"BMC Cardiovasc Disord"},{"key":"ref61","doi-asserted-by":"publisher","first-page":"P102","DOI":"10.1093\/geronb\/61.2.P102","article-title":"Executive function, working memory, and medication adherence among older adults","volume":"61","author":"Insel","year":"2006","journal-title":"J Gerontol B Psychol Sci Soc Sci"},{"key":"ref62","doi-asserted-by":"publisher","first-page":"922","DOI":"10.1111\/j.1751-7176.2008.00049.x","article-title":"Barriers to antihypertensive medication adherence among adults--United States, 2005","volume":"10","author":"Vawter","year":"2008","journal-title":"J Clin Hypertens"},{"key":"ref63","first-page":"194","article-title":"How to improve adherence to treatment recommendations and the quality of doctor-patient collaboration?","volume":"13","author":"Winnicki","year":"2016","journal-title":"Cardiovasc Dis"},{"key":"ref64","doi-asserted-by":"publisher","first-page":"e36985","DOI":"10.1016\/j.heliyon.2024.e36985","article-title":"Self-care adherence and associated factors among hypertensive patients at Guraghe zone, 2023","volume":"10","author":"Abza","year":"2024","journal-title":"Heliyon."}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1536430\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,24]],"date-time":"2025-03-24T05:37:15Z","timestamp":1742794635000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1536430\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,24]]},"references-count":64,"alternative-id":["10.3389\/fpubh.2025.1536430"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2025.1536430","relation":{},"ISSN":["2296-2565"],"issn-type":[{"type":"electronic","value":"2296-2565"}],"subject":[],"published":{"date-parts":[[2025,3,24]]},"article-number":"1536430"}}