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Combined effect of income and medication adherence on mortality in newly treated hypertension: Nationwide study of 16 million person-years

Journal of the American Heart Association Aug 22, 2019

Lee H, et al. - Researchers examined how household income and medication adherence in combination are associated with death and cardiovascular disease in patients newly treated for hypertension. In this nationwide cohort study, they included 1,651,564 individuals (aged 30 to 80 years) with newly treated hypertension and no prior cardiovascular disease, using the Korean National Health Insurance database and followed them for 10 years. The analysis revealed increased mortality and cardiovascular disease risks in correlation to low socioeconomic status and poor adherence to antihypertensive medication, however, patients with low income are subject to larger excess risks by nonadherence. Findings thereby emphasize the potential significance of encouraging medication adherence for risk mitigation, particularly in low-income patients with hypertension.
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