Research Article

Predictors of Nonadherence to Medications among Hypertensive Patients in Ghana: An Application of the Health Belief Model

Table 5

Association of constructs of HBM with respondent’s medication nonadherence.

ParameterNoncompliance statusχ 2-value (-value)aOR (95% CI)-value
CompliantNoncompliantTotal

Total145 (36.3%)254 (63.7%)399 (100.0%)
Susceptibility38.886 (0.001)
 Low103 (71.0%)98 (38.6%)201 (50.4%)Reference
 High42 (29.0%)156 (61.4%)198 (49.6%)3.889 (2.254–6.710)0.001
Severity50.552 (0.001)
 Low117 (80.7%)112 (44.1%)229 (57.4%)Reference
 High28 (19.3%)142 (55.9%)170 (42.6%)4.884 (2.753–8.663)0.001
Barriers8.982 (0.003)
 Low66 (45.5%)155 (61.0%)221 (55.4%)Reference
 High79 (54.5%)99 (39.0%)178 (44.6%)0.275 (0.149–0.506)0.001
Cues to action13.971 (0.001)
 Low54 (37.2%)144 (56.7%)198 (49.6%)Reference
 High91 (62.8%)110 (43.3%)201 (50.4%)0.363 (0.215–0.612)0.001
Self-efficacy3.345 (0.069)
 Low46 (31.7%)104 (40.9%)150 (37.6%)
 High99 (68.3%)150 (59.1%)249 (62.4%)
Benefit9.539 (0.003)
 Low112 (77.2%)158 (62.2%)270 (67.7%)Reference
 High33 (22.8%)96 (37.8%)129 (32.3%)0.687 (0.353–1.337)0.269

Data are presented as frequency and percentage in parenthesis, f (%). SD: standard deviation, NHIS: National Health Insurance Scheme, aOR: adjusted odds ratio, χ2-value: Chi-square value, and CI: confidence interval. -value <0.05 is considered statistically significant.