Factores asociados a la adherencia al tratamiento en pacientes hipertensos atendidos en el primer nivel de atención en los distritos de San Juan Bautista y El Tigre, Loreto 2025

• Autor: Villacorta Garate, Roberto Manuel
• Formato: tesis de grado
• Fecha de Publicación: 2026
• Institución: Universidad Nacional De La Amazonía Peruana
• Repositorio: UNAPIquitos-Institucional
• Lenguaje: español
• OAI Identifier: oai:repositorio.unapiquitos.edu.pe:20.500.12737/12729
• Enlace del recurso: https://hdl.handle.net/20.500.12737/12729
• Nivel de acceso: acceso embargado
• Materia: Hipertensión; Adherencia al tratamiento; Factores asociados; Atención primaria de salud; Zona rural; Zona urbana; https://purl.org/pe-repo/ocde/ford#3.03.05

Objective: To determine the factors associated with treatment adherence in hypertensive patients treated at the primary care level in the districts of San Juan Bautista and El Tigre, Loreto, 2025. Materials and methods: This was a quantitative, analytical, cross-sectional, and non-experimental study. Two hundred and thirty hypertensive patients were evaluated (150 from urban areas and 80 from rural areas). Treatment adherence was measured using the Morisky-Green-Levine test, and influencing factors (socioeconomic, provider, therapy, and patient) were assessed using the Ortiz and Guaqueta instrument. Data analysis was performed using SPSS v25, applying descriptive statistics, bivariate analysis, and binary logistic regression, considering statistical significance at p < 0.05. Results: Overall adherence was 47.4%, being higher in urban areas (56.0%) than in rural areas (31.2%). In the multivariate analysis, a diagnosis time greater than 10 years was significantly associated with a higher probability of treatment adherence (OR = 12.26; 95% CI: 1.80–83.29; p = 0.010). Socioeconomic factors showed an independent association, with non adherence reducing the likelihood of treatment adherence (OR=0.13; 95% CI: 0.03–0.53; p=0.005). Furthermore, factors related to therapy showed the strongest association with non-adherence (p<0.001). Sociodemographic variables did not remain significantly associated after multivariate adjustment. Conclusions: Adherence to antihypertensive treatment was low and was primarily influenced by socioeconomic and therapeutic factors, as well as the time since diagnosis, rather than by sociodemographic characteristics, revealing greater barriers in rural areas.