Medication Adherence Remains a Challenge Among Hypertensive Patients in Primary Healthcare: Evidence from  West Java, Indonesia

Hardini Tri Indarti; Melati Amalia Putri; Yosvi Sayyidah Muslima; Sri Atun; Siti Aminah; Euis Setiawati

doi:10.14710/jpki.21.2.173-179

DOI: https://doi.org/10.14710/jpki.21.2.173-179

Medication Adherence Remains a Challenge Among Hypertensive Patients in Primary Healthcare: Evidence from West Java, Indonesia

*Hardini Tri Indarti

- Department of Nursing, Sekolah Tinggi Ilmu Kesehatan Budhi Luhur Cimahi, Jl. Kerkoff 243, Cimahi, Jawa Barat, Indonesia 40532, Indonesia

Melati Amalia Putri - Department of Nursing, Sekolah Tinggi Ilmu Kesehatan Budhi Luhur Cimahi, Jl. Kerkoff 243, Cimahi, Jawa Barat, Indonesia 40532, Indonesia

Yosvi Sayyidah Muslima - Department of Nursing, Sekolah Tinggi Ilmu Kesehatan Budhi Luhur Cimahi, Jl. Kerkoff 243, Cimahi, Jawa Barat, Indonesia 40532, Indonesia

Sri Atun - 1. Department of Nursing, Sekolah Tinggi Ilmu Kesehatan Budhi Luhur Cimahi, Jl. Kerkoff 243, Cimahi, West Java, Indonesia 40532, Indonesia

Siti Aminah - Department of Nursing, Sekolah Tinggi Ilmu Kesehatan Budhi Luhur Cimahi, Jl. Kerkoff 243, Cimahi, Jawa Barat, Indonesia 40532, Indonesia

Euis Setiawati - Puskesmas Batujajar, Bandung, West Java, Indonesia, Indonesia

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

BibTex Citation Data :

@article{JPKI85495,
    author = {Hardini Indarti and Melati Amalia Putri and Yosvi Sayyidah Muslima and Sri Atun and Siti Aminah and Euis Setiawati},
    title = {Medication Adherence Remains a Challenge Among Hypertensive Patients in Primary Healthcare: Evidence from  West Java, Indonesia},
    journal = {Jurnal Promosi Kesehatan Indonesia},
  volume = {21},
    number = {2},
    year = {2026},
    keywords = {hHypertension, Medication adherence ,MMAS-8, Educational level, Primary healthcare},
    abstract = {   Background:      Hypertension is a chronic disease that requires long-term treatment to prevent cardiovascular complications. Medication adherence plays a crucial role in blood pressure control; however, adherence remains suboptimal among many patients. This study aimed to examine the association between patient characteristics and medication adherence among hypertensive patients in primary healthcare settings.       Method:    A cross-sectional study was conducted in April 2026 at Batujajar Primary Health Center, West Bandung Regency, and a primary clinic in Cimahi City, Indonesia. A total of 178 hypertensive patients were recruited using total sampling. Data were collected using a respondent characteristics questionnaire and the Indonesian version of the 8-item Morisky Medication Adherence Scale (MMAS-8). Data were analyzed using Chi-square tests and binary logistic regression, with a significance level of p<0.05.     Result:    Only 26.4% of respondents were categorized as adherent to antihypertensive medication. Bivariate analysis showed significant associations between age (p=0.019), educational level (p=0.017), duration of hypertension (p=0.012), and medication adherence. Younger patients, those with higher educational attainment, and those who had lived with hypertension for at least five years demonstrated higher adherence rates. Sex was not significantly associated with medication adherence (p=0.405). In multivariable analysis, no factor remained statistically significant after adjustment. Although duration of hypertension had the largest adjusted odds ratio (OR=2.056; 95% CI=0.948–4.456), the association did not reach statistical significance (p=0.068).     },
   issn = {2620-4053},   pages = {173--179}  doi = {10.14710/jpki.21.2.173-179},
    url = {https://ejournal.undip.ac.id/index.php/jpki/article/view/85495}
}

Citation Format:

Abstract

Background: Hypertension is a chronic disease that requires long-term treatment to prevent cardiovascular complications. Medication adherence plays a crucial role in blood pressure control; however, adherence remains suboptimal among many patients. This study aimed to examine the association between patient characteristics and medication adherence among hypertensive patients in primary healthcare settings.

Method: A cross-sectional study was conducted in April 2026 at Batujajar Primary Health Center, West Bandung Regency, and a primary clinic in Cimahi City, Indonesia. A total of 178 hypertensive patients were recruited using total sampling. Data were collected using a respondent characteristics questionnaire and the Indonesian version of the 8-item Morisky Medication Adherence Scale (MMAS-8). Data were analyzed using Chi-square tests and binary logistic regression, with a significance level of p<0.05.

Result: Only 26.4% of respondents were categorized as adherent to antihypertensive medication. Bivariate analysis showed significant associations between age (p=0.019), educational level (p=0.017), duration of hypertension (p=0.012), and medication adherence. Younger patients, those with higher educational attainment, and those who had lived with hypertension for at least five years demonstrated higher adherence rates. Sex was not significantly associated with medication adherence (p=0.405). In multivariable analysis, no factor remained statistically significant after adjustment. Although duration of hypertension had the largest adjusted odds ratio (OR=2.056; 95% CI=0.948–4.456), the association did not reach statistical significance (p=0.068).

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Keywords: hHypertension, Medication adherence ,MMAS-8, Educational level, Primary healthcare

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Section: Research Article

Language : EN

In Vol 21 No 2: April 2026

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