Unraveling the Key Determinants of Life Style Compliance in Patients with Hypertension: Insights from a Multivariate Analytical Approach

Numerous individuals with hypertension demonstrate non-compliance with pharmacological and non-pharmacological treatments, in addition to dietary and lifestyle modifications. Patient compliance is a crucial element in emergency scenarios, as demonstrated by multiple sources.

A quantitative correlational study design was employed to investigate variables affecting lifestyle adherence. 138 respondents met the following criteria: outpatients at Sokaraja I and II Community Health Centers, with a minimum of elementary school education, and aged 45-65 years. Participants were selected via purposive sampling. Multivariate, univariate, and bivariate analyses were performed to identify the primary factors affecting patient adherence to hypertension treatment and quality of life.

Bivariate analysis indicated that gender, salt intake, smoking habits, obesity, familial history of hypertension, and marital status were strongly correlated with lifestyle adherence (p-values < 0.05). In the multivariate analysis, marriage emerged as the variable with the greatest influence on adherence, with an odds ratio of 3.347. Married individuals were 3.347 times more likely to maintain a healthy lifestyle compared to their unmarried counterparts.

The findings of this study demonstrate the significance of marriage, as an individual’s lifestyle is profoundly affected by familial support. Social cognitive theory posits that behavioral modifications are affected by both internal and external variables, including familial influences.

Factors strongly associated with adherence to a healthy lifestyle include gender, salt intake, smoking, obesity, a familial history of hypertension, and marital status.