Strong Structuration Analysis of Patterns of Adherence to Hypertension Medication

Achieving blood pressure control is among the highest priorities for reducing the burden of cardiovascular diseases globally. Control is poor in the Philippines; especially in socioeconomically marginalised communities. This paper explores long-term adherence to anti-hypertensive medication in these...

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Main Authors: Seguin, Maureen L, Mendoza, Jhaki A., Lasco, Gideon, Palileo-Villanueva, Lia M, Palafox, Benjamin, Renedo, Alicia, McKee, Martin, Balabanova, Dina
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Published: Archīum Ateneo 2022
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Online Access:https://archium.ateneo.edu/dev-stud-faculty-pubs/131
https://archium.ateneo.edu/context/dev-stud-faculty-pubs/article/1131/viewcontent/1_s2.0_S266732152200066X_main.pdf
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spelling ph-ateneo-arc.dev-stud-faculty-pubs-11312023-08-03T06:39:38Z Strong Structuration Analysis of Patterns of Adherence to Hypertension Medication Seguin, Maureen L Mendoza, Jhaki A. Lasco, Gideon Palileo-Villanueva, Lia M Palafox, Benjamin Renedo, Alicia McKee, Martin Balabanova, Dina Achieving blood pressure control is among the highest priorities for reducing the burden of cardiovascular diseases globally. Control is poor in the Philippines; especially in socioeconomically marginalised communities. This paper explores long-term adherence to anti-hypertensive medication in these communities; identifying 4 distinct medication adherence patterns. We draw on Strong Structuration Theory to explore motivations of action for those who are consistently adherent; consistently non-adherent; and those who became more or less adherent over time. We employ longitudinal qualitative methods comprising repeat interviews and digital diaries collected over 12 months by 34 participants. Twelve participants were consistently adherent; 9 consistently non-adherent; 9 increasingly adherent; and 4 increasingly non-adherent. For the consistently adherent; positive views about prescribed medication and family support encouraged adherence. Conversely; negative views of medication and lack of family support were notable amongst the consistently non-adherent; along with resistance to accepting a ‘sick’ label. A shift toward positive views of medication was detected amongst those whose adherence improved; along with worsening health and increased family support. A decrease in financial resources drove some participants to become less adherent; especially if they already held negative views toward medication. This study sheds light on the variety of medication adherence patterns among poor people with hypertension in the Philippines; as well as the complex web of elements influencing their treatment choices. The results point to the potential for measures that address concerns about medicines and increase family support. 2022-12-01T08:00:00Z text application/pdf https://archium.ateneo.edu/dev-stud-faculty-pubs/131 https://archium.ateneo.edu/context/dev-stud-faculty-pubs/article/1131/viewcontent/1_s2.0_S266732152200066X_main.pdf Development Studies Faculty Publications Archīum Ateneo Hypertension Structuration Theory qualitative methods health systems Cardiology Chemicals and Drugs Community Health and Preventive Medicine Medicine and Health Sciences Public Health
institution Ateneo De Manila University
building Ateneo De Manila University Library
continent Asia
country Philippines
Philippines
content_provider Ateneo De Manila University Library
collection archium.Ateneo Institutional Repository
topic Hypertension
Structuration Theory
qualitative methods
health systems
Cardiology
Chemicals and Drugs
Community Health and Preventive Medicine
Medicine and Health Sciences
Public Health
spellingShingle Hypertension
Structuration Theory
qualitative methods
health systems
Cardiology
Chemicals and Drugs
Community Health and Preventive Medicine
Medicine and Health Sciences
Public Health
Seguin, Maureen L
Mendoza, Jhaki A.
Lasco, Gideon
Palileo-Villanueva, Lia M
Palafox, Benjamin
Renedo, Alicia
McKee, Martin
Balabanova, Dina
Strong Structuration Analysis of Patterns of Adherence to Hypertension Medication
description Achieving blood pressure control is among the highest priorities for reducing the burden of cardiovascular diseases globally. Control is poor in the Philippines; especially in socioeconomically marginalised communities. This paper explores long-term adherence to anti-hypertensive medication in these communities; identifying 4 distinct medication adherence patterns. We draw on Strong Structuration Theory to explore motivations of action for those who are consistently adherent; consistently non-adherent; and those who became more or less adherent over time. We employ longitudinal qualitative methods comprising repeat interviews and digital diaries collected over 12 months by 34 participants. Twelve participants were consistently adherent; 9 consistently non-adherent; 9 increasingly adherent; and 4 increasingly non-adherent. For the consistently adherent; positive views about prescribed medication and family support encouraged adherence. Conversely; negative views of medication and lack of family support were notable amongst the consistently non-adherent; along with resistance to accepting a ‘sick’ label. A shift toward positive views of medication was detected amongst those whose adherence improved; along with worsening health and increased family support. A decrease in financial resources drove some participants to become less adherent; especially if they already held negative views toward medication. This study sheds light on the variety of medication adherence patterns among poor people with hypertension in the Philippines; as well as the complex web of elements influencing their treatment choices. The results point to the potential for measures that address concerns about medicines and increase family support.
format text
author Seguin, Maureen L
Mendoza, Jhaki A.
Lasco, Gideon
Palileo-Villanueva, Lia M
Palafox, Benjamin
Renedo, Alicia
McKee, Martin
Balabanova, Dina
author_facet Seguin, Maureen L
Mendoza, Jhaki A.
Lasco, Gideon
Palileo-Villanueva, Lia M
Palafox, Benjamin
Renedo, Alicia
McKee, Martin
Balabanova, Dina
author_sort Seguin, Maureen L
title Strong Structuration Analysis of Patterns of Adherence to Hypertension Medication
title_short Strong Structuration Analysis of Patterns of Adherence to Hypertension Medication
title_full Strong Structuration Analysis of Patterns of Adherence to Hypertension Medication
title_fullStr Strong Structuration Analysis of Patterns of Adherence to Hypertension Medication
title_full_unstemmed Strong Structuration Analysis of Patterns of Adherence to Hypertension Medication
title_sort strong structuration analysis of patterns of adherence to hypertension medication
publisher Archīum Ateneo
publishDate 2022
url https://archium.ateneo.edu/dev-stud-faculty-pubs/131
https://archium.ateneo.edu/context/dev-stud-faculty-pubs/article/1131/viewcontent/1_s2.0_S266732152200066X_main.pdf
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