Relationship Between Demographic Characteristics, Knowledge of Antihypertensive Drug Use, and Health-Seeking Behavior Among the Elderly with Hypertension in Karawang Regency Relationship Between Demographic Characteristics, Knowledge of Antihypertensive Drug Use, and Health-Seeking Behavior Among the Elderly with Hypertension in Karawang Regency
Article Sidebar
Main Article Content
Abstract
Hypertension in the elderly can reduce physical ability, daily activities, and psychological well-being, impacting quality of life. Factors related to the quality of life among the elderly with hypertension, such as demographic characteristics, knowledge of antihypertensive drug use, and health-seeking behavior, have been studied only to a limited extent at the primary healthcare level. This study aims to analyze the relationship between demographic characteristics, knowledge of antihypertensive medication use, and health-seeking behavior (HSB) with the quality of life among the elderly with hypertension in the service area of the Telukjambe Timur Community Health Centre in Karawang Regency. This study uses a quantitative approach with a cross-sectional design implemented in August-October 2025, with 68 respondents selected through purposive sampling. Data were collected using a structured questionnaire. Quality of life was measured using the WHOQOL-BREF, and HSB was assessed using a structured questionnaire developed based on the Andersen Behavioral Model. The analysis was descriptive and bivariate, using the chi-square test. The results showed that the majority of respondents had a good quality of life (76.5%). Knowledge of antihypertensive drug use (OR = 23.333; p = 0.001) and health-seeking behavior (OR = 12.600; p = 0.001) showed the strongest associations with quality of life among elderly with hypertension. These findings indicate that the quality of life of elderly with hypertension is related to their knowledge of drug use and active engagement in healthcare services. Education about antihypertensive therapy and the promotion of health check-ups at health facilities are strategies for supporting the quality of life among the elderly with hypertension.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish in PharmaCine: Journal of Pharmacy, Medical and Health Science agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-ShareAlike 4.0 International License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors can enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
PharmaCine : Journal of Pharmacy, Medical and Health Science by https://jhs.unsika.ac.id/ is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
You are free to:
- Share, copy and redistribute the material in any medium or format
- Adapt, remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
References
Adewoye, K. R., Aremu, S. K., Ekpo, D. S., Akanbi, S. A., & Ibrahim, T. (2021). Health Seeking Behavioral Practices of the Elderly in Rural Community of Ekiti State, South-western Nigeria. Research Square. https://doi.org/10.21203/rs.3.rs-1149361/v1
Afiani, N. (2014). Analysis of determinants of quality of life in patients with stage ii hypertension. Media Husada Scientific Health Journal, 3(1), 1-14. https://doi.org/10.33475/jikmh.v3i1.124
Agustina, N. W. P. D., Nursasi, A. Y., & Permatasari, H. (2023). Health Education to Improve Medication Adherence Among The elderly with Hypertension. Silampari Nursing Journal, 6(2), 2049-2059.
Aliyah, N. (2025). Relationship Between Knowledge and Adherence on Taking Hypertension Medication. Jurnal Ilmu Dan Teknologi Kesehatan, 13(1), 17-28.
Amalia, N. U., & Soesanto, E. (2024). Health education on hypertension management to improve health-promoting behaviors. Ners Muda, 5(2), 209-219.
Amanda, F., Oktarlina, R. Z., Andrifianie, F., & Iqbal, M. (2024). Pharmacotherapy for hypertension in the Elderly. Sains Medisina, 2(5), 164-168.
Andriani, A., Kurniawati, D., & Lubis, A. K. S. (2022). The relationship between depression levels and quality of life among the elderly with hypertension. Jurnal Ners, 7(1), 48-52.
Anshari, Z. (2020). Hypertensive complications in relation to patients' knowledge of hypertension. Jurnal Penelitian Keperawatan Medik, 2(2), 54-61.
Baroroh, F., Nurul Ichwan, W., & Sari, A. (2021). Quality of life among outpatient hypertension patients. Media Farmasi: Jurnal Ilmu Farmasi, 18(1), 1-11.
Cadmus, E., Adebusoye, L. A., & Owoaje, E. (2021). Rural-urban differences in quality of life among community-dwelling older persons. Quality & Quantity, 56(3), 1327. https://doi.org/10.1007/s11135-021-01178-8
Dolo, L. S., Yusuf, A., & Azis, R. (2021). Analysis of factors influencing treatment adherence among elderly patients with hypertension. Prepotif: Jurnal Kesehatan Masyarakat, 5(2), 828-842.
Firmansyah, F., Purnomo, K. I., & Ni Luh Putu Pranena. (2025). Adherence to antihypertensive medication and Its impact on quality of life of The elderly: A Literature Review. Jurnal Kesehatan Tambusai, 6(4), 17452-17460.
Fitrianingshi, D., Winahyu, K. M., Wibisana, E., & Ahmad, S. N. A. (2022). Self-efficacy and lifestyle among the elderly with hypertension. Jurnal JKFT, 7(2), 108-112.
Harnawati, R. A., & Nisa, J. (2023). Management of hypertension prevention through blood pressure monitoring in the elderly. Jurnal Surya Masyarakat, 5(2), 261-263.
Haryanto, M., Sundari, N. R., & Sumarni, T. (2025). Self-management as the key to quality of life for the elderly with hypertension. Jurnal Ilmiah Keperawatan, 11(3), 424-433.
Ida Ayu, M. P. S., Dewi, D. A. P. S., Sudiari, M., & Dewi, N. M. A. C. (2022). Family support for medication adherence among elderly patients with hypertension. Bali Medika Jurnal, 9(1), 11-25.
Kementerian Kesehatan RI. (2023). Laporan survei kesehatan indonesia (SKI). https://www.badankebijakan.kemkes.go.id/hasil-ski-2023/
Kurniawan, I., & Ratnasari, T. B. (2018). An overview of family health services provided to families with elderly members suffering from hypertension. The Indonesian Journal of Health Science, 3(2), 194-206.
Laila, A. Z., et al. (2025). Literature Review: Medication nonadherence in hypertensive patients. Jurnal Ilmiah Keperawatan, 11(1), 71-79.
Megasari, M., Ningrum, D., & Dolifah, D. (2023). The effect of deep breathing relaxation on blood pressure reduction in elderly with hypertension. Jurnal Ners, 7(1), 632-638.
Nafi'ah, A. S., Rofiyati, W., & Sariyati, S. (2023). The effect of health education on self-management among the elderly with hypertension. Jurnal Kesehatan Tambusai, 4(4), 6790-6798.
Njakatara, U., Landi, M., & Abselian, U. P. (2024). Factors associated with compliance of hypertension treatment in the elderly. Jurnal Ilmu Kesehatan Insan Sehat, 12(2), 126-132.
Noviyanti, H., Haryeti, P., & Nuryani, R. (2023). The relationship between cognitive function and quality of life among the elderly with hypertension. Jurnal Ners, 7(1), 650-656.
Nurhayati, T., et al. (2020). The relationship between anxiety and sleep patterns in the elderly with and without hypertension. JKEP, 5(2), 122-136.
Pangestuti, E., Larasati, A. D., & Vitani, R. A. I. (2022). An overview of quality of life among patients with hypertension during the covid-19 pandemic. Jurnal Keperawatan Jiwa, 10(1), 219-228.
Pirouz, M., et al. (2024). Awareness: the golden key to understanding healthcare seeking behavior among elderly hypertensive patients. Elderly Health Journal, 10(1), 62-69.
Prabasari, N. A. (2021). Self-Efficacy, Self-care management, and adherence among the elderly with hypertension. Jurnal Keperawatan Malang, 6(1), 1-10.
Priyanto, S., et al. (2020). Improving health services at the senior citizens health post. Community Empowerment, 5(3), 138-141.
Putri, A., Septyasari, A. F., & Apriliana, B. (2025). Adherence rates and factors influencing antihypertensive medications among elderly patients. CERATA Jurnal Ilmu Farmasi, 15(2), 144-150.
Sakinah, A. S., Utomo, W., & Agrina, A. (2021). The relationship between family support and adherence to follow-up care among the elderly with hypertension. BIMIKI, 9(2), 99-108.
Sutini, S., Winahyu, K. M., & Rayatin, L. (2022). Hypertension Management Behaviors Among the Elderly: A Review. Indonesian Journal of Nursing Science (JIKI), 5(2), 134-144.
Wardani, N. T., & Azinar, M. (2023). Adherence to routine treatment among elderly patients with hypertension during the covid-19 pandemic. Indonesian Journal of Public Health and Nutrition, 3(1), 99-108.
Winahyu, K. M., Wahyuniati, S., & Sekarsari, R. (2017). The relationship between perceived social support and quality of life of the elderly with hypertension. Jurnal Ilmiah Keperawatan Indonesia, 1(1), 25-34.
World Health Organization. (2025). Hypertension. https://www.who.int/news-room/fact-sheets/detail/hypertension
Yulitasari, B. I., Maryadi, M., & Anggraini, A. N. (2021). Quality of life among patients with hypertension at the sedayu ii community health center. Faletehan Health Journal, 8(02), 77-83.
Zahra, A., et al. (2024). The relationship between knowledge and adherence to antihypertensive medication among the elderly. Jurnal Keperawatan Indonesia Florence Nightingale, 4(1), 1-7.
Zheng, E., et al. (2021). Health-Related Quality of Life and Its Influencing Factors for Elderly Patients With Hypertension. Frontiers in Public Health, 9. https://doi.org/10.3389/fpubh.2021.654822.