Treatment Adherence and Health Perception in Patients with Hypertension: A Cross-Sectional Study in Primary Care

Elisar Özcan; Dursun Çadırcı Barut; Fatma Zehra Ağan

Treatment Adherence and Health Perception in Patients with Hypertension: A Cross-Sectional Study in Primary Care

Abstract

Sustained adherence to antihypertensive therapy is vital for long-term clinical management, whereas individuals' subjective health perceptions can substantially impact their self-care behaviors. This research aimed to assess the extent of antihypertensive medication compliance alongside personal health perceptions among individuals receiving care in a primary healthcare setting. A prospective cross-sectional design was conducted with 205 adult hypertensive individuals undergoing pharmacological therapy for at least six months across primary Family Health Centers located in Şanlıurfa, Türkiye. Compliance levels were measured using the 12-item adapted Turkish version of the Hill-Bone Hypertension Treatment Compliance Scale (HBHTCS), while participants' health perceptions were determined via the Health Perception Scale (HPS). Demographics, clinical metrics, routine blood pressure (BP) monitoring habits, physician consultation frequencies, and office BP values were formally recorded. The mean HBHTCS score was 7.2±4.3, with lower scores indicating better adherence. Better treatment adherence was observed among participants with comorbidities and those reporting regular antihypertensive medication use. More frequent blood pressure monitoring and physician follow-up were also associated with better adherence (both p < 0.001). The mean HPS score was 42.9±5.6. Overall HPS was not significantly correlated with total HBHTCS (r = 0.060, p=0.392). However, the control center and certainty subscales showed weak correlations with total HBHTCS (r = −0.149, p = 0.033 and r = 0.260, p < 0.001, respectively). Overall adherence was not associated with systolic or diastolic blood pressure. Antihypertensive treatment compliance within primary care is markedly influenced by comorbidity presence, regular medication intake, proactive BP monitoring, and scheduled medical follow-ups, rather than global health perception or static BP readings. However, distinct sub-dimensions of health perception display minor links to compliance, underlining the necessity of integrating patient perception metrics into primary care hypertension management.

Keywords

Supporting Institution

No institutional support or funding was received for this study.

Ethical Statement

The study was approved by the Harran University Faculty of Medicine Ethics Committee (decision dated 26 December 2022, session no. 25, decision no. 22.25.20) and by the Şanlıurfa Provincial Directorate of Health Ethics Committee before initiation of the study.

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Details

Primary Language

English

Subjects

Primary Health Care

Journal Section

Research Article

Authors

Elisar Özcan
0000-0003-4757-0767
Türkiye

Dursun Çadırcı Barut ^*
0000-0003-0969-382X
Türkiye

Fatma Zehra Ağan
0000-0002-3784-8553
Türkiye

Early Pub Date

August 31, 2026

Publication Date

-

Submission Date

August 27, 2026

Acceptance Date

August 31, 2026

Published in Issue

Year 2026 Number: Advanced Online Publication

IZ

https://izlik.org/JA42XX53WJ

Cite

RIS / Bibtex

APA

Özcan, E., Çadırcı Barut, D., & Ağan, F. Z. (2026). Treatment Adherence and Health Perception in Patients with Hypertension: A Cross-Sectional Study in Primary Care. International Journal of Nature and Life Sciences, Advanced Online Publication, 100-108. https://izlik.org/JA42XX53WJ

AMA

1.Özcan E, Çadırcı Barut D, Ağan FZ. Treatment Adherence and Health Perception in Patients with Hypertension: A Cross-Sectional Study in Primary Care. Int J Nature Life Sci. 2026;(Advanced Online Publication):100-108. https://izlik.org/JA42XX53WJ

Chicago

Özcan, Elisar, Dursun Çadırcı Barut, and Fatma Zehra Ağan. 2026. “Treatment Adherence and Health Perception in Patients With Hypertension: A Cross-Sectional Study in Primary Care”. International Journal of Nature and Life Sciences, no. Advanced Online Publication: 100-108. https://izlik.org/JA42XX53WJ.

EndNote

Özcan E, Çadırcı Barut D, Ağan FZ (August 1, 2026) Treatment Adherence and Health Perception in Patients with Hypertension: A Cross-Sectional Study in Primary Care. International Journal of Nature and Life Sciences Advanced Online Publication 100–108.

IEEE

[1]E. Özcan, D. Çadırcı Barut, and F. Z. Ağan, “Treatment Adherence and Health Perception in Patients with Hypertension: A Cross-Sectional Study in Primary Care”, Int J Nature Life Sci, no. Advanced Online Publication, pp. 100–108, Aug. 2026, [Online]. Available: https://izlik.org/JA42XX53WJ

ISNAD

Özcan, Elisar - Çadırcı Barut, Dursun - Ağan, Fatma Zehra. “Treatment Adherence and Health Perception in Patients With Hypertension: A Cross-Sectional Study in Primary Care”. International Journal of Nature and Life Sciences. Advanced Online Publication (August 1, 2026): 100-108. https://izlik.org/JA42XX53WJ.

JAMA

1.Özcan E, Çadırcı Barut D, Ağan FZ. Treatment Adherence and Health Perception in Patients with Hypertension: A Cross-Sectional Study in Primary Care. Int J Nature Life Sci. 2026;:100–108.

MLA

Özcan, Elisar, et al. “Treatment Adherence and Health Perception in Patients With Hypertension: A Cross-Sectional Study in Primary Care”. International Journal of Nature and Life Sciences, no. Advanced Online Publication, Aug. 2026, pp. 100-8, https://izlik.org/JA42XX53WJ.

Vancouver

1.Elisar Özcan, Dursun Çadırcı Barut, Fatma Zehra Ağan. Treatment Adherence and Health Perception in Patients with Hypertension: A Cross-Sectional Study in Primary Care. Int J Nature Life Sci [Internet]. 2026 Aug. 1;(Advanced Online Publication):100-8. Available from: https://izlik.org/JA42XX53WJ