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Paper Information

Journal:   INTERNATIONAL JOURNAL OF PREVENTIVE MEDICINE   2014 , Volume 5 , Number 8; Page(s) 992 To 998.
 
Paper: 

TREATMENT COMPLIANCE AMONG PATIENTS WITH HYPERTENSION AND TYPE 2 DIABETES MELLITUS IN A COASTAL POPULATION OF SOUTHERN INDIA

 
 
Author(s):  RAO CHYTHRA R.*, KAMATH VEENA G., SHETTY AVINASH, KAMATH ASHA
 
* DEPARTMENT OF COMMUNITY MEDICINE, KASTURBA MEDICAL COLLEGE, MANIPAL UNIVERSITY, MANIPAL -576 104, KARNATAKA, INDIA
 
Abstract: 

Background: Hypertension and diabetes are major risk factors for cardiovascular and cerebrovascular disease. Adherence is a primary determinant of the effectiveness of treatment because poor adherence attenuates optimum clinical benefit and paves the way for complications.
Methods: The cross-sectional community-based survey was carried out among men and women aged 30 years and above in the field practice area of a medical college to assess treatment compliance with respect to hypertension and type 2 diabetes mellitus. The study comprised of 426 subjects, already diagnosed with hypertension (287) and type 2 diabetes mellitus (139). During house visits, data were collected by personal face-to-face interview using a pre-tested structured questionnaire. Compliance was determined by indirect methods, which included self-reporting and interviews with the patients.
Results: Compliance to hypertension treatment was found to be 82.2%, while 83.6% of individuals with type 2 diabetes mellitus were on regular medication. Among the individuals on regular medication, 88 (37.3%) of them had controlled blood pressure. Although the compliance was good, blood pressure control was not optimal. Adherence was better among females as compared with males. Literacy status and socio-economic background were not found to be associated with treatment compliance. High cost of treatment for hypertension (39.3%) and diabetes (30.4%) and asymptomatic nature of the disease were the most common reasons cited for not taking regular medications.
Conclusions: Adherence to hypertension and diabetes treatment was good. High cost of medications and asymptomatic nature of the disease were the reasons identified among the non-adherent patients.

 
Keyword(s): ADHERENCE, HYPERTENSION, TREATMENT COMPLIANCE, TYPE 2 DIABETES MELLITUS
 
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