Indian Journal of Public Health Research & Development

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Cross Sectional Study of Adherence to Prescribed Medications among Individuals Registered at a High Risk Clinic in a Rural Area in Bangalore, India


Affiliations
1 Department of Community Health, St. John's Medical College, Sarjapura Road, Koramangala, Bangalore, India
2 Department of Community Health, St. John's Medical College, Sarjapura Road, Koramangala, Bangalore, India
3 Department of Community Medicine, Sree Siddhartha Medical College, Sree Siddhartha University, Tumkur, Karnataka, India
4 University of South Florida, Tampa, United States
     

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Introduction: Non-communicable diseases (NCDs) contributed 63% of the 57 million global deaths in the year 2008 and cardiovascular diseases (CVDs) accounted for the maximum number of NCD deaths. For proper prevention and control of CVDs, it is important that patients strictly adhere to the prescribed drug regimens.

Objectives: To assess adherence to prescribed pharmacological medications among individuals registered at a 'rural cardiovascular disease - high risk clinic' in Bangalore and to identify the factors associated with adherence.

Materials and Method: This cross-sectional study included all patients registered at a cardiovascular disease high risk clinic at a private primary care centre in a village, near Bangalore during November - December 2009. A pre-structured interview schedule in the local language was administered to all study subjects. Morisky's Medication Adherence Scale (MMAS) was used to assess adherence to medications.

Results: Out the 162 patients , 85 (52.5%) were females. Most patients had hypertension (45.7%) followed by those with hypertension and diabetes (30.2%). Sixty-five patients (40.1%) were fully adherent to the prescribed medications while 95 (58.6%) were partially adherent and 2(1.3%) were completely non-adherent. Age and the perceived expense of medications were found to be having statistically significant association with adherence. There was no statistical association between adherence and gender, educational status, occupation, religion, marital status, side effects of drugs, presence of care giver and number of drugs prescribed.

Conclusions: Only 40.1% were fully adherent to prescribed pharmacological medications. Perceived expense of medications and age appear to be factors that influence adherence.


Keywords

Adherence, CardioVascular Diseases (CVDs), Hypertension, Diabetes Mellitus, Morisky's Medication Adherence Scale (MMAS)
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  • Global status report on non-communicable diseases 2010. World Health Organization. Ch 1 – Burden: mortality, morbidity and risk factors. p.9.

  • Reddy KS, Shah B, Varghese C, Ramadoss A. Responding to the threat of Chronic Diseases in India. Lancet 2005; 366: 1744 – 9.

  • Sabaté E, editor. Ch. XIII – Hypertension. In: Adherence to long-term therapies - Evidence for action. World Health Organization. Geneva: WHO Press. 2003. p. 129 - 36.

  • Sabaté E, editor. Ch III – How does poor adherence affect policy makers and health managers? In: Adherence to long-term therapies - Evidence for action. World Health Organization. Geneva: WHO Press. 2003. p 27.

  • Haynes RB, McDonald HP, Garg AX. Helping patients follow prescribed treatment: clinical applications. JAMA. 2002; 288: 2880 - 3.

  • Krousel-Wood M, Hyre A, Muntner P, Morisky D. Methods to improve medication adherence in patients with hypertension: current status and future directions. Curr Opin Cardiol. 2005; 20: 296–300.

  • DiMatteo MR. Variations in patients’ adherence to medical recommendations: a quantitative review of 50 years of research. Med Care. 2004; 42: 200–209.

  • Morisky D, Green LW, Levine DM. Concurrent and predictive validity of a self-reported measure of medication adherence. Med Care. Jan 1986; 24(1): 67 - 74.

  • Agarwal AK. Social Classification: The need to update in the present scenario. Ind Jour Com Med, Jan 2008; 33(1): 50 – 1.

  • Inkster ME, Donnan PT, MacDonald TM, Sullivan FM, Fahey T. Adherence to antihypertensive medication and association with patient and practice factors. J Hum Hypertens. 2006. 20: 295 - 297.

  • Falaschetti E. Ch 7 - Blood Pressure. In: Sproston K, Primatesta P, editors. Health Survey for England 2003. National Centre for Social Research, Department of Epidemiology and Public Health at the Royal Free and University College Medical School. 2004. London: TSO. p 181–220. (Risk Factors for Cardiovascular diseases; vol.2)

  • Taira DA, Wong KS, Frech-Tamas F, Chung RS. Copayment level and compliance with antihypertensive medication: analysis and policy implications for managed care. Am J Manag Care 2006; 12(11): 678-83.


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  • Cross Sectional Study of Adherence to Prescribed Medications among Individuals Registered at a High Risk Clinic in a Rural Area in Bangalore, India

Abstract Views: 394  |  PDF Views: 3

Authors

Farah Naaz Fathima
Department of Community Health, St. John's Medical College, Sarjapura Road, Koramangala, Bangalore, India
Deepthi N Shanbhag
Department of Community Health, St. John's Medical College, Sarjapura Road, Koramangala, Bangalore, India
Shailendra Kumar B Hegde
Department of Community Medicine, Sree Siddhartha Medical College, Sree Siddhartha University, Tumkur, Karnataka, India
Bibin Sebastian
Department of Community Health, St. John's Medical College, Sarjapura Road, Koramangala, Bangalore, India
Stephanie Briguglio
University of South Florida, Tampa, United States

Abstract


Introduction: Non-communicable diseases (NCDs) contributed 63% of the 57 million global deaths in the year 2008 and cardiovascular diseases (CVDs) accounted for the maximum number of NCD deaths. For proper prevention and control of CVDs, it is important that patients strictly adhere to the prescribed drug regimens.

Objectives: To assess adherence to prescribed pharmacological medications among individuals registered at a 'rural cardiovascular disease - high risk clinic' in Bangalore and to identify the factors associated with adherence.

Materials and Method: This cross-sectional study included all patients registered at a cardiovascular disease high risk clinic at a private primary care centre in a village, near Bangalore during November - December 2009. A pre-structured interview schedule in the local language was administered to all study subjects. Morisky's Medication Adherence Scale (MMAS) was used to assess adherence to medications.

Results: Out the 162 patients , 85 (52.5%) were females. Most patients had hypertension (45.7%) followed by those with hypertension and diabetes (30.2%). Sixty-five patients (40.1%) were fully adherent to the prescribed medications while 95 (58.6%) were partially adherent and 2(1.3%) were completely non-adherent. Age and the perceived expense of medications were found to be having statistically significant association with adherence. There was no statistical association between adherence and gender, educational status, occupation, religion, marital status, side effects of drugs, presence of care giver and number of drugs prescribed.

Conclusions: Only 40.1% were fully adherent to prescribed pharmacological medications. Perceived expense of medications and age appear to be factors that influence adherence.


Keywords


Adherence, CardioVascular Diseases (CVDs), Hypertension, Diabetes Mellitus, Morisky's Medication Adherence Scale (MMAS)

References