A community based study on medication adherence and its determinants among people with Non communicable diseases in Ahmedabad
Lakshmi N, Priyank Algotar, A Bhagyalaxmi
Background: Non Communicable diseases (NCD) are of exponential rise in this era. One of the main challenges in the treatment of NCD is medication adherence. Objective: To study the medication adherence among people with Cardio Vascular Disease, Diabetes and Hypertension. To identify the factors that influences medication adherence. Methods: Study was conducted in the field practice area of B. J. Medical College involving patients with Cardio Vascular Disease, Diabetes Mellitus, and Hypertension. They were selected by purposive sampling method and were interviewed using pretested semi structured questionnaires. Four items Morisky's Medication Adherence Scale (MMAS-4) was used for assessing medication adherence. Data analyzed using MS Excel 2013, Epi info 7.0 Results: Total 182 NCD patients were studied of which 78.5%, 17.5%, 53.3% of people have Hypertension, Cardio Vascular Disease & Diabetes Respectively, with the mean age of 55.8±10.6 years. 56% patients were taking treatment from private clinics. As per MMAS 4 questionnaires those with completely Adherent to medications for Diabetes (37.1%) Hypertension (41.2%), CVD (25%). Reasons were divided into two categories intentional and unintentional. 65% were from intentional non-adherent and the major reason was fear of side effects (25.8%). 35% were unintentional and the major reason was forgetfulness (23.6%). Conclusions: Patients adhere poorly to NCD medications. There is a need for detecting level of adherence to medication, its barriers and subsequent interventions to reduce morbidity and mortality due to NCDs.