Understanding adherence-related beliefs about medicine amongst patients of South Asian origin with diabetes and cardiovascular disease patients: a qualitative synthesis
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BACKGROUND: Prevalence of diabetes and cardiovascular (CVD) disease amongst UK South Asians is higher than in the general population. Non-adherence to medicines may lead to poor clinical outcomes for South Asian patients with diabetes and CVD. To understand the decision making processes associated with taking medicines, a qualitative systematic meta-synthesis exploring medicine taking behaviours, and beliefs was undertaken. METHODS: Four databases (Medline, Embase, Science Citation Index and CINAHL) were searched to identify qualitative studies of South Asian patients taking diabetic medicines. Data were thematic coded and synthesised. RESULTS: The following themes were identified: [1] beliefs about the need for and efficacy of medicines; [2] toxicity of medicines and polypharmacy; [3] the necessity of traditional remedies versus "western medicines"; [4] stigma and social support; and [5] communication. CONCLUSIONS: South Asians described cultural social stigma associated with diabetes and reported fears about drug toxicity as barriers to taking medicines. Cultural beliefs about traditional remedies and interactions with healthcare professionals also appeared to play a role in the way people made decisions about medicines. Advice should be tailored provided to South Asian patients highlighting the long term consequences of diabetes and CVD.
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A systematic review by Marshall et al. in 16 countries revealed that lack of awareness of the causes and symptoms of hypertension, fear of drug side effects, and dependency are major causes of treatment discontinuation and lack of adherence.
“A systematic review by Marshall et al. in 16 countries revealed that the lack of awareness of the causes and symptoms of hypertension, fear of the drugs’ side effects, and their dependency are the major causes of treatment discontinuation and lack of adherence to treatment [35, 36].”
From The effect of the mobile “blood pressure management application” on hypertension self-management enhancement: a randomized controlled trial (2021) · cites this paper as [35]
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- Authors
- Kumar, K., Greenfield, S., Raza, K., Gill, P., & Stack, R.
- Affiliations
- University of Manchester (GB)
- University of Birmingham (GB)
- Sandwell & West Birmingham Hospitals NHS Trust (GB)
- Corresponding author
- Gill, Paramjit
- Venue
- BMC Endocrine Disorders
- Published
- 2016-05-26
- Volume
- 16
- Issue
- 1
- Pages
- 24-24
- ISSN
- 1472-6823 (ISSN-L)
- PMC
- PMC4880880
- OpenAlex
- W2342816966
- Cited by
- 77
- References
- 52
- Citations by year
- 2026: 9 · 2025: 5 · 2024: 3 · 2023: 15 · 2022: 5 · 2021: 12 · 2020: 11 · 2019: 7 · 2018: 9 · 2017: 1
- FWCI
- 6.91
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- BMC Endocrine Disorders (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion, cc-by)
- Nottingham Trent University's Institutional Repository (Nottingham Trent Repository) (acceptedVersion)
- University of Birmingham Research Portal (University of Birmingham) (submittedVersion, cc-by)
- Funders
- National Institute for Health Research (GB) (RGKP15291)
- Topics
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
- Keywords
- medication adherence, medication beliefs, South Asian patients, diabetes mellitus, cardiovascular disease, polypharmacy, traditional remedies, stigma, social support, patient-provider communication, cultural beliefs, patient decision-making
- MeSH terms
- Cardiovascular Diseases, Diabetes Mellitus, United Kingdom, Humans, Medicine, Traditional, Patient Acceptance of Health Care, Patient Compliance, Social Support, Asian People, Social Stigma
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