Impact of Social Determinants and Medication Adherence on Quality of Life in Hypertension and Type II Diabetes Patients

Abstract

Background: Chronic diseases like Hypertension and diabetes are major public health problems in India and their prevalence is rapidly increasing. There is a need to assess the impact of social determinants and medication adherence on quality of life in patients suffering from chronic diseases. Aim: This study aimed to assess the impact of socio-economic status and medication adherence on quality of life in patients with hypertension and type II diabetes. Study design: This study was a prospective cross-sectional study. Methodology:  This study included 2880 patients with hypertension and type II diabetes attending tertiary medical hospitals in the Khammam region. Data were collected by interviewing patients using the MMS 8 scale and SF36 questionnaire. Results:  In univariate analysis, age, gender, and marital status had a significant effect on the quality of life (P value < 0.0001). In multivariate analysis, education level, occupational conditions, mean monthly income, medication adherence had a significant effect on the quality of life in patients with hypertension and diabetes with P values <0.0001.  Conclusion: Patients with a high degree of education, high income, and good relationships with their families had a high health-related quality of life. This study confirmed that age, gender, singleness, socioeconomic status, and medication noncompliance were associated with lower quality of life. There is an inverse relationship between the duration of disease and health-related quality of life in patients. The most vulnerable group of patients must be identified and evaluated by planning necessary interventions to improve the quality of if in patients with chronic diseases.