Maichou Lor|Theresa A. Koleck|Suzanne Bakken|Sunmoo Yoon|Ann Margaret Dunn Navarra
Association Between Health Literacy and Medication Adherence Among Hispanics with Hypertension
Columbia University|Columbia University|Columbia University|Columbia University|New York University
poor adherence prescribed antihypertensive medication major contributor disparities effective blood pressure control among hispanics purpose study investigate association health literacy level adherence antihypertensive medications among hispanic adults selfreported hypertension controlling potential covariates adherence andor health literacy conducted crosssectional survey 1355 hispanic adults primarily dominicans selfreported hypertension antihypertensive medication adherence health literacy evaluated along covariates including sociodemographic characteristics depression anxiety sleep disturbance linear regression models created health literacy covariate adherence factors found significantly associated adherence individual regression models p value 020 included hierarchical multiple linear regression model overall majority participants low adherence levels antihypertensive medications 884 n 1026 inadequate health literacy 849 n 1151 controlling age sex birth country education level recruitment location depression anxiety sleep disturbance adequate compared inadequate health literacy associated higher adherence score b 0378 p 0043 full model explained 136 variance medication adherence p value 0001 unique contribution health literacy model minimal r2 change 0003 tailored interventions considering health literacy needed support medication adherence order improve hypertension outcomes hispanics additional studies needed identify prioritize factors development targeted effective adherence interventions hispanics hypertension