Treatment compliance among patients with hypertension and type 2 diabetes mellitus in a coastal population of southern India

Research output: Contribution to journalArticle

9 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)992-998
Number of pages7
JournalInternational Journal of Preventive Medicine
Volume5
Issue number8
Publication statusPublished - 2014

Fingerprint

Patient Compliance
Type 2 Diabetes Mellitus
India
Hypertension
Population
Asymptomatic Diseases
Compliance
Therapeutics
Interviews
Blood Pressure
Cerebrovascular Disorders
Health Care Costs
Cardiovascular Diseases
Economics
Costs and Cost Analysis

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

Cite this

@article{c92e6bccb7d54799993b575ce8dd732d,
title = "Treatment compliance among patients with hypertension and type 2 diabetes mellitus in a coastal population of southern 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.",
author = "Rao, {Chythra R.} and Kamath, {Veena G.} and Avinash Shetty and Asha Kamath",
year = "2014",
language = "English",
volume = "5",
pages = "992--998",
journal = "International Journal of Preventive Medicine",
issn = "2008-7802",
publisher = "Isfahan University of Medical Sciences(IUMS)",
number = "8",

}

TY - JOUR

T1 - Treatment compliance among patients with hypertension and type 2 diabetes mellitus in a coastal population of southern India

AU - Rao, Chythra R.

AU - Kamath, Veena G.

AU - Shetty, Avinash

AU - Kamath, Asha

PY - 2014

Y1 - 2014

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=84906355628&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84906355628&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:84906355628

VL - 5

SP - 992

EP - 998

JO - International Journal of Preventive Medicine

JF - International Journal of Preventive Medicine

SN - 2008-7802

IS - 8

ER -