Medication adherence and its associated factors among Chinese community-dwelling older adults with hypertension

Wenru Wang*, Ying Lau, Aloysius Loo, Aloysius Chow, David R. Thompson

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

37 Citations (Scopus)


Objective: To investigate the factors that influence medication adherence in Chinese community-dwelling older adults with hypertension. Methods: A cross-sectional study was conducted with a convenience sample of 382 older adults with hypertension recruited from six health centers in Macao, China. Chinese versions of the Morisky 4-Item Self-Report Measure of Medication-Taking Behavior, Fear of Intimacy with Helping Professionals scale and Exercise of Self-care Agency scale were administered to participants. Results: Participants older than 65 years (β= .118, p= .017), with a low level of education (β= .128, p= .01), who had more than one other common disease (β= .120, p= .015), were on long-term medication (β= .221, p<.001) and who reported higher self-care (β= .188, p= .001), had better medication adherence. Conclusions: Health care professionals should consider these factors when planning medication regimens for Chinese older adults with hypertension, to enhance medication adherence and improve patient outcomes.

Original languageEnglish
Pages (from-to)278-283
Number of pages6
JournalHeart and Lung: Journal of Acute and Critical Care
Issue number4
Early online date22 May 2014
Publication statusPublished - Jul 2014


  • Chinese
  • Community-dwelling
  • Hypertension
  • Medication adherence
  • Older adults

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine


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