Revista da Escola de Enfermagem da U S P · 2026
The relationship between religious health fatalism, medication adherence, and health literacy among patients with hypertension: a cross-sectional study.
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Ömer Tanrıverdi, Abdurrezzak Gültekin
Аннотация
OBJECTIVES: Hypertension remains a leading global public health challenge requiring consistent self-management, particularly through medication adherence and adequate health literacy. This study aimed to examine the relationship between religious health fatalism, medication adherence, and health literacy among patients with hypertension.
METHODS: A descriptive, cross-sectional study was conducted among 211 hypertensive patients in two public hospitals in southeastern Türkiye. Data were collected using a sociodemographic questionnaire, the Religious Health Fatalism Scale (RHFS), the Medication Adherence Report Scale (MARS), and the Health Literacy Scale (HLS).
RESULTS: The mean RHFS score was 59.41 ± 12.14, indicating a moderate-to-high level of fatalistic belief. Participants also demonstrated moderate levels of health literacy and medication adherence. A weak positive correlation was observed between religious health fatalism and health literacy (r = 0.16, p = 0.04).
CONCLUSIONS: Although health literacy was positively associated with medication adherence in correlation analysis, this association did not remain statistically significant in the regression model. Religious health fatalism showed a stronger association with medication adherence.
METHODS: A descriptive, cross-sectional study was conducted among 211 hypertensive patients in two public hospitals in southeastern Türkiye. Data were collected using a sociodemographic questionnaire, the Religious Health Fatalism Scale (RHFS), the Medication Adherence Report Scale (MARS), and the Health Literacy Scale (HLS).
RESULTS: The mean RHFS score was 59.41 ± 12.14, indicating a moderate-to-high level of fatalistic belief. Participants also demonstrated moderate levels of health literacy and medication adherence. A weak positive correlation was observed between religious health fatalism and health literacy (r = 0.16, p = 0.04).
CONCLUSIONS: Although health literacy was positively associated with medication adherence in correlation analysis, this association did not remain statistically significant in the regression model. Religious health fatalism showed a stronger association with medication adherence.