Introduction. Hypertension (HPT) is recognized as a significant public health problem worldwide from a health and economic perspective. This study determined predictors of nonadherence to HPT medications in Ghana using the health belief model. Methods. A cross-sectional descriptive survey employing a quantitative approach was conducted among HPT patients who routinely attend clinics at selected hospitals in the Brong Ahafo region of Ghana. Respondents (n = 399) were recruited using a multistage sampling technique. Results. The prevalence of nonadherence was 63.7% (n = 254). Nonadherence to hypertension medication was associated with lower education status (). In logistic regression analysis, patients with high “perceived susceptibility” and “perceived severity” were more likely to forfeit their HPT medication schedules, while patients with high “perceived barriers” and “cues to action” were less likely to skip their medication. Conclusion. The present study suggests a plausible path to improving medication adherence in this population. Given the high prevalence of nonadherence, policymakers need to urgently design tailor-made health promotion interventions to ensure optimal health outcomes.

中文翻译：

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加纳高血压患者不依从药物的预测因素：健康信念模型的应用

简介。从健康和经济的角度来看，高血压 (HPT) 被公认为世界范围内的一个重大公共卫生问题。本研究使用健康信念模型确定了加纳不依从 HPT 药物的预测因子。方法。一项采用定量方法的横断面描述性调查在加纳 Brong Ahafo 地区选定医院定期就诊的 HPT 患者中进行。受访者 ( n  = 399) 是使用多阶段抽样技术招募的。结果。不依从的发生率为 63.7%（n  = 254）。不依从高血压药物与较低的教育状况相关（）。在逻辑回归分析中，具有高“感知敏感性”和“感知严重性”的患者更有可能放弃其 HPT 药物治疗计划，而具有高“感知障碍”和“行动提示”的患者不太可能跳过他们的药物治疗。结论。本研究提出了一条改善该人群服药依从性的合理途径。鉴于不依从的高发率，政策制定者需要紧急设计量身定制的健康促进干预措施，以确保最佳的健康结果。