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Behind the scenes of adherence in a minority population

Uri Yoel1, Talab Abu-Hammad, Arnon Cohen

  • 1Siaal Research Center for Family Medicine and Primary Care, Department of Family Medicine, Division of Community Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Israel.

The Israel Medical Association Journal : IMAJ
|March 15, 2013
PubMed

Insights

Bedouin patients show lower adherence to treatments for diabetes, hypertension, and lipid disorders. Beliefs in traditional medicine and fear of drug side effects contribute to non-adherence in this population.

Area of Science:

  • Public Health
  • Cardiovascular Disease Management
  • Minority Health

Background:

  • Adherence to treatment for diabetes mellitus (DM), hypertension (HTN), and lipid metabolic disorder (LMD) is notably lower among the Bedouin population in southern Israel compared to the Jewish population.
  • This disparity highlights a significant public health challenge in managing chronic diseases within this minority group.

Purpose of the Study:

  • To investigate the underlying reasons for non-adherence to cardiovascular risk factor treatments among Bedouin patients.
  • To identify specific patient perceptions and socio-demographic factors contributing to treatment non-adherence.

Main Methods:

  • A study involving 99 high and 101 low adherent Bedouin patients diagnosed with HTN, DM, or LMD.
  • In-depth structured interviews were conducted by trained personnel to gather data on patient knowledge, attitudes towards chronic illness and treatment, healthcare service evaluation, and socio-demographic characteristics.

Main Results:

  • A significant proportion of low adherent patients (47%) believed traditional therapies could substitute prescribed medications, with 10% using only traditional treatments.
  • A higher percentage of low adherent patients (65%) perceived drug side effects as worse than the disease itself, with 47% citing this as a reason for discontinuing medication.

Conclusions:

  • Patient perceptions regarding chronic disease and its treatment are primary drivers of non-adherence in the Bedouin population.
  • Interventions should focus on educating patients about evidence-based therapies and fostering open dialogue between patients and physicians concerning disease management and drug side effects.
Abstract

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