Assessment of Adherence to Treatment among Hypertensive and Diabetic Patients attending Urban Health Centre, Chennai

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dc.contributor.authorThirumalaikumar, Pen_US
dc.contributor.authorDevi, Men_US
dc.contributor.authorIlangovan, Sen_US
dc.contributor.authorAbhinaya, Ven_US
dc.date.accessioned2024-12-07T11:25:38Z
dc.date.available2024-12-07T11:25:38Z
dc.date.issued2024-06
dc.description.abstractIntroduction: Globally, Non communicable diseases (NCD) are the leading cause of death accounting for 63% of annual deaths. More than 40% of NCD deaths are premature deaths which is mainly due to the complication arising as a result of non- adherence to treatment. Moreover, non-adherence to treatment is a growing challenge in India which blocks the clinical outcomes and paves way for complications. Objective: To assess the treatment adherence among Diabetic and Hypertensive patients and to determine the factors inluencing adherence. Method: Community based, cross sectional study was conducted among 112 patients of diabetes and hypertension diagnosed for more than 1 year, attending NCD clinic of Puliyanthope UHC during Oct-Nov 2020. Data was collected using semi structured questionnaire with socio demographic and, treatment details by interviewer. Adherence was assessed using Morisky Adherence Scale (MAS 4). Results: Among patients, 57% were female and mean age was 54 years with Standard Deviation of 4.5 years. About 39% had diabetes, 27% had hypertension and 34% suffered with both. Total of 34% patients were highly adherent and 66% were non adherent to prescribed drugs. About 64% patients monitored their blood sugar once in three months. Female patients had better adherence (51%) to medications than male(38%) but not statistically signiicant. About 34% of patients at least once missed their drugs due to high cost. Adherence was high among those who were aware about complications of drug discontinuation (p = 0.023). Literacy, Socioeconomic status, Number of medicines were not signiicant with treatment adherence (P>0.05). Conclusion: This study indicates high proportion (66%) of non-adherence to treatment among patients with hypertension and/or diabetes. Awareness of impact of discontinuation of drugs had a major impact on adherence to treatment. Common reasons behind low adherence were fear of side effects of drugs, forgetfulness and carelessness.en_US
dc.identifier.affiliationsDepartment of Community Medicine, Government Medical College, Virudhunagar, Tamil Nadu, Indiaen_US
dc.identifier.affiliationsDepartment of Community Medicine, Government Medical College, Virudhunagar, Tamil Nadu, Indiaen_US
dc.identifier.affiliationsDepartment of Community Medicine, Government Medical College, Virudhunagar, Tamil Nadu, Indiaen_US
dc.identifier.affiliationsDepartment of Community Medicine, Government Medical College, Virudhunagar, Tamil Nadu, Indiaen_US
dc.identifier.citationThirumalaikumar P, Devi M, Ilangovan S, Abhinaya V. Assessment of Adherence to Treatment among Hypertensive and Diabetic Patients attending Urban Health Centre, Chennai. Indian Association of Preventive and Social Medicine, Gujarat Chapter. 2024 Jun; 15(2): 113-117en_US
dc.identifier.issn2229-337X
dc.identifier.issn2320-1525
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/241796
dc.languageenen_US
dc.publisherDr.Viral R.Daveen_US
dc.relation.issuenumber2en_US
dc.relation.volume15en_US
dc.source.urihttps://doi.org/10.51957/Healthline_ 606_2024en_US
dc.subjectDiabetesen_US
dc.subjectHypertensionen_US
dc.subjectTreatment Adherenceen_US
dc.titleAssessment of Adherence to Treatment among Hypertensive and Diabetic Patients attending Urban Health Centre, Chennaien_US
dc.typeJournal Articleen_US
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