A Cross Sectional Study on Adherence to Medication among Patients with Hypertension and/or Diabetes Attending One of the Tertiary Care Institutes of Ahmedabad City, Gujarat, India

Authors

Keywords:

Morisky Medication Adherence, Hypertension, Diabetes

Abstract

Background: The lifelong management of chronic diseases such as Hypertension and Diabetes Mellitus necessitates a comprehensive approach, including lifestyle modifications and consistent adherence to medication. Present study aimed to evaluate treatment adherence among patients with diabetes and /or hypertension attending a tertiary care institute in Ahmedabad city, India.

Methods: A cross-sectional study was conducted among 200 patients aged over 18 years, diagnosed with diabetes and/or hypertension. The sample population was selected from a tertiary care institute at Ahmedabad city using a consecutive sampling method. Data collection utilized a pretested and predesigned proforma along with the Morisky Medication Adherence Scale (MMAS-8).

Results: Hypertension was present in 43.0% of the participants, while 20.0% reported diabetes mellitus. Additionally, 37.0% had both conditions. Out of total 200 patients 53.5% exhibited low adherence to treatment. Lower adherence to treatment was found to be more among Diabetics (67.5%) as compared to hypertensive patients (51.2%). Among participants having comorbidities 48.6% had low adherence to treatment. The association between disease type and adherence levels was not significant (p-value = 0.305). Not having any symptoms and forgetfulness were common reasons for low adherence among 41.1% and 24.2% of participants, respectively.

Conclusion: This study highlights the need for targeted interventions aimed at enhancing medication adherence among individuals managing with chronic illnesses like hypertension and diabetes. The findings provide valuable insights for healthcare professionals and policymakers to develop effective strategies for improving treatment adherence and subsequently mitigating the progression of these chronic conditions.

Metrics

Metrics Loading ...

References

Joshi SR, Parikh RM. India – Diabetes capital of the world: Now heading towards hypertension. J Assoc Physicians India. 2007;55:323–4.

World Health Organization (WHO). What is adherence. WHO.2003. pages 17–18. Available from: https://www.who.int/chp/knowledge/publications/adherence_Section1.pdf. Cited on May 29 2023

Bhandari S, Sarma PS, Thankappan KR. Adherence to antihypertensive treatment and its determinants among urban slum dwellers in Kolkata, India. Asia Pac J Public Health.

Venkatachalam J, Abrahm SB, Singh Z, Stalin P, Sathya GR. Determinants of Patient's Adherence to Hypertension Medications in a Rural Population of Kancheepuram District in Tamil Nadu, South India. Indian J Community Med. 2015 Jan-Mar;40(1):33-7.

Mishra R, Sharma SK, Verma R, Kangra P, Dahiya P, Kumari P, Sahu P, Bhakar P, Kumawat R, Kaur R, Kaur R, Kant R. Medication adherence and quality of life among type-2 diabetes mellitus patients in India. World J Diabetes. 2021 Oct 15;12(10):1740-1749.

Venkatesan M, Dongre AR, Ganapathy K. A Community-Based Study on Diabetes Medication Nonadherence and its Risk Factors in Rural Tamil Nadu. Indian J Community Med. 2018 Apr-Jun;43(2):72-76.

Lavakumar S, Jesurun RS. A study on the level of drug compliance among the outpatients who are on a long-term drug therapy in a tertiary care teaching hospital at Kancheepuram district in Tamil Nadu. Asian J Pharm Clin Res 2017;10:174-6.

Rao CR, Kamath VG, Shetty A, Kamath A. Treatment Compliance among Patients with Hypertension and Type 2 Diabetes Mellitus in a Coastal Population of Southern India. Int J Prev Med. 2014 Aug;5(8):992-8.

Pentapati SSK, Debnath DJ. Updated BG Prasad's classification for the year 2022. J Family Med Prim Care. 2023 Jan;12(1):189-190.

Morisky DE, Ang A, Krousel-Wood M, Ward HJ. Predictive validity of a medication adherence measure in an outpatient setting. J Clin Hypertens (Greenwich). 2008 May;10(5):348-54.

Surekha A, Fathima FN, Agrawal T, Misquith D. Psychometric properties of Morisky Medication Adherence Scale (MMAS) in known diabetic and hypertensive patients in a rural population of Kolar District, Karnataka. Indian J Public Heal Res Dev. 2016;7:250–256.

Balasubramanian A, Nair SS, Rakesh PS, Leelamoni K. Adherence to treatment among hypertensives of rural Kerala, India. J Family Med Prim Care. 2018 Jan-Feb;7(1):64-69.

Rao CR, Kamath VG, Shetty A, Kamath A. Treatment Compliance among Patients with Hypertension and Type 2 Diabetes Mellitus in a Coastal Population of Southern India. Int J Prev Med. 2014 Aug;5(8):992-8.

Pokharel P, Jha SK, Adhikari A, Katwal S, Ghimire S, Shrestha AB, Poudel N. Non-adherence to anti-hypertensive medications in a low-resource country Nepal: a systematic review and meta-analysis. Ann Med Surg (Lond). 2023 Jul 19;85(9):4520-4530.

Sahoo J, Mohanty S, Kundu A, Epari V. Medication Adherence Among Patients of Type II Diabetes Mellitus and Its Associated Risk Factors: A Cross-Sectional Study in a Tertiary Care Hospital of Eastern India. Cureus. 2022 Dec 29;14(12):e33074.

Sweileh WM, Aker O, Hamooz S. Rate of compliance among patients with diabetes mellitus and hypertension. An-Najah Univ J Research-A-(Natural Sciences) 2005;19:1–12.

Downloads

Published

2024-11-18

How to Cite

Patel, J., Shah, K., Jain, J., & Shah, V. (2024). A Cross Sectional Study on Adherence to Medication among Patients with Hypertension and/or Diabetes Attending One of the Tertiary Care Institutes of Ahmedabad City, Gujarat, India. International Journal of Medical Students. Retrieved from https://ijms.info/IJMS/article/view/2598

Issue

Section

Original Article

Categories