Os fatores sociodemográficos interferem na adesão aos anti-hipertensivos na Atenção Primária? Revisão integrativa

Resumo

This study aimed to gather scientific evidence on the role of sociodemographic factors in adherence to antihypertensive drugs in Primary Care in Brazil. This is an integrative review with studies published between 2015 and 2019 in national journals. Original studies developed with hypertensive Primary Care users in Brazil were included, and articles published outside the range between 2015 and 2019 were excluded, as well as literature reviews, and those that did not focus on the elements of interest in this review. Five studies that investigated sociodemographic variables in the context of adherence to antihypertensive drugs in Primary Care were selected. Although some studies have found a possible interference of some sociodemographic variables in adherence to antihypertensive drugs in Primary Care, there are, for each of these variables, divergent results, showing that the sociodemographic dimension may or may not interfere with medication adherence in a given population group. In this sense, there are also results suggestive that, with effective provision of assistance to users, such variables seem to lose their interference in adherence to antihypertensive drugs, in line with the hypothesis that organizational characteristics of health services have a much greater impact on adherence than sociodemographic differences.