Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Access to Health Services and Its Influence on Adherence to Treatment of Arterial Hypertension During the COVID-19 Pandemic in a Hospital in Callao, Peru

Version 1 : Received: 8 August 2022 / Approved: 26 August 2022 / Online: 26 August 2022 (11:37:35 CEST)

How to cite: Rivera-Lozada, O.; Rivera-lozada, I.C.; Bonilla-Asalde, C.A. Access to Health Services and Its Influence on Adherence to Treatment of Arterial Hypertension During the COVID-19 Pandemic in a Hospital in Callao, Peru. Preprints 2022, 2022080460 (doi: 10.20944/preprints202208.0460.v1). Rivera-Lozada, O.; Rivera-lozada, I.C.; Bonilla-Asalde, C.A. Access to Health Services and Its Influence on Adherence to Treatment of Arterial Hypertension During the COVID-19 Pandemic in a Hospital in Callao, Peru. Preprints 2022, 2022080460 (doi: 10.20944/preprints202208.0460.v1).

Abstract

Access to health services compromises therapeutic adherence in patients with HTN, which is a risk factor for cardiovascular disease and premature death. The aim of the research is to determine the influence of access to health services on adherence to antihypertensive treatment during the COVID-19 pandemic. We included a cross-sectional analytical study. A survey was applied to 241 hypertensive patients at the Daniel Alcides Carrión Hospital, Callao-Peru. Data were analyzed using SPSS software. Absolute and relative frequencies were reported and the chi-square test was applied with a statistical significance level of p<0.05. In addition, multiple logistic regression analysis was performed using the Stepwise method. An association was found between non-adherence to treatment and health expenses (ORa: 1.9 CI 95% 1.7-2.2), not receiving care due to lack of a doctor (ORa: 2.8 CI 95% 1.5-3.2), having difficulty with schedules (ORa: 3.7 CI 95% 2. 3-5.5), fear of receiving care at the hospital (ORa: 4.5 CI 95 % 2.7-6.8), trust in health personnel (ORa: 7.5 CI 95% 2.3-10.5) and considering that the physician does not have enough knowledge (ORa: 3.1 CI 95% 2.4-7.8). Therapeutic adherence was associated with physician availability for care, difficulty with schedules, fear of being seen in the hospital, trust in health personnel, and waiting time.

Keywords

adherence; COVID-19; arterial hypertension; health services

Subject

MEDICINE & PHARMACOLOGY, General Medical Research

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