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South Asians living in the UK and adherence to coronary heart disease medication: a mixed- method study

Zahraa Jalal1, Sotiris Antoniou2, David Taylor3

  • 1School of Pharmacy, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK. z.jalal@bham.ac.uk.

International Journal of Clinical Pharmacy
|December 20, 2018
PubMed

Insights

South Asian patients often attribute coronary heart disease to factors beyond genetics and diet, such as fate. While their belief in medicine necessity is high, adherence to coronary heart disease medication decreases over time.

Area of Science:

  • Cardiology
  • Public Health
  • Health Psychology

Background:

  • Coronary heart disease (CHD) prevalence is disproportionately high in the UK's South Asian population.
  • Understanding patient beliefs is crucial for effective management and adherence.
  • This study focuses on South Asian patients' perspectives on CHD and medication.

Purpose of the Study:

  • To investigate South Asian patients' beliefs and experiences concerning coronary heart disease (CHD).
  • To explore medication-taking behaviors in South Asian patients with CHD.
  • To compare beliefs and adherence between South Asian and non-South Asian patients.

Main Methods:

  • Mixed-methods approach combining qualitative interviews and quantitative questionnaires.
  • Semi-structured telephone interviews with 14 South Asian patients.
  • Validated questionnaires (Morisky Scale, Belief About Medicines Questionnaire-Specific) administered to 71 patients (17 South Asian, 54 non-South Asian) over 6 months.

Main Results:

  • South Asian patients cited genetic factors, diet, and 'god's will' as causes of CHD.
  • Beliefs regarding the necessity of medication outweighed concerns among South Asian patients.
  • Medication adherence, measured by the Morisky Scale, decreased over time in both South Asian and non-South Asian groups.

Conclusions:

  • South Asian patients attribute CHD to diverse causes, including non-traditional risk factors.
  • Cultural context significantly influences prevention attitudes and disease experience.
  • Further research is needed to understand the impact of cultural factors on CHD management in this population.

Keywords:
AdherenceCardiovascular medicationCoronary heart diseaseSouth AsiansUnited Kingdom

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