Gossell-Williams M, Williams-Johnson J, Williams E W, Levy P
Department of Basic Medical Sciences, Pharmacology Section, The University of the West Indies, Kingston 7, Jamaica.
Department of Surgery, Radiology, Anaesthesia and Intensive Care, The University of the West Indies, Kingston 7, Jamaica.
West Indian Med J. 2014 Jun;63(3):271-3. doi: 10.7727/wimj.2013.156. Epub 2014 Jun 12.
The second Jamaica Health and Lifestyle Survey completed in 2007-2008 provided evidence that the prevalence of hypertension has increased significantly since 2000-2001. With more of the population living with hypertension, greater will be the need to ensure the best quality of life. A recent survey conducted in the ambulatory section of the Emergency Medicine Division at the University Hospital of the West Indies, identified a 36.5% non-compliance rate among the 52 patients prescribed with antihypertensive drugs. The reasons given for non-compliance with their antihypertensive medications are not new and included adverse effects, inconvenience and fear of dependence. However, in the same survey, it was also found that blood pressure was poorly controlled in 69.7% of the self-reported compliant subjects. Together, these points suggest that simply providing access to drugs is inadequate and a more holistic approach will be required to reduce blood pressure at the population level.
2007年至2008年完成的第二次牙买加健康与生活方式调查提供了证据，表明自2000年至2001年以来，高血压患病率显著上升。随着越来越多的人患有高血压，确保最佳生活质量的需求将更大。最近在西印度大学医院急诊医学科门诊进行的一项调查发现，在52名开了抗高血压药物的患者中，不遵医嘱率为36.5%。不遵医嘱服用抗高血压药物的原因并不新鲜，包括副作用、不便和对依赖的恐惧。然而，在同一项调查中还发现，在自我报告遵医嘱的受试者中，69.7%的人的血压控制不佳。综合来看，这些情况表明，仅仅提供药物是不够的，需要采取更全面的方法来在人群层面降低血压。
